Abstract
There are multiple ways of performing patient-centred medicine. Conceptual clarification of the term ‘patient-centredness’ reveals a number of approaches, here represented as a taxonomy. Conceptualizing patient-centredness is important because it helps to address what kind of care may be appropriate for context. For example, a blanket ‘patient choice’ approach may wrongly displace the value of specialized patient care under expert knowledge.
Twelve models of patient-centredness are presented and discussed—two of these are ‘dysfunctional’ yet are not uncommon—first, lingering paternalism, and, second, collaboration that degenerates to a dysfunctional, abusive, or collusive relationship. Models of patient-centred care must now also include virtual communities where doctors are absent, except as patients themselves, and where patients provide collaborative online support within specialist illness groups such as persons with blood cancers.
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Bleakley, A. (2014). Models of Patient-Centred Care. In: Patient-Centred Medicine in Transition. Advances in Medical Education, vol 3. Springer, Cham. https://doi.org/10.1007/978-3-319-02487-5_7
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