Abstract
Where does the idea of ‘patient-centredness’ come from and where is patient-centredness going as a practice? Patient-centredness offers conceptual confusion, where the future of communication in medicine is not necessarily about ‘centres’ at all. Indeed, centres—including the traditional self-centred autonomy of physicians—afford the problem, not the solution. In focusing upon neither the doctor nor patient as driver of a relationship, perhaps ‘relationship-centred’ care provides a better term for communication in medicine, where the emphasis is more upon the dialogue. There is still, however, that pesky ‘centre’ at play!
Translating notions of patient-centredness into viable pedagogies is a problem if there is conceptual confusion. Further, standardization of ‘patient-centred’ practice remains impossible. We can think rather of what are the alternatives to a patient-centred practice and are they viable? This certainly narrows the field.
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Bleakley, A. (2014). A New Wave of Patient-Centredness. In: Patient-Centred Medicine in Transition. Advances in Medical Education, vol 3. Springer, Cham. https://doi.org/10.1007/978-3-319-02487-5_6
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