Programme no. 406-SY
Professional Development
Person Centred Medicine - a humanistic approach to the clinical foundation of Family Medicine
Annette Sofie Davidsen*1, Josabeth Hultberg *2, Lise Dyhr*3, Lotte Hvas*4, Bente Prytz Mjølstad*5, Linn Getz6
1Research Unit for General Practice and Section of General Practice, ,University of Copenhagen,Copenhagen,Denmark, 2Åby Health Care Centre, Norrköping ,Linkoping University,Linkoping,Sweden, 3Research Unit for General Practice and Section of General Practice, ,University of Copenhagen,Copenhagen,Denmark, 4Research Unit for General Practice and Section of General Practice ,University of Copenhagen, Copenhagen,Denmark, 5General practice research unit ,Departement of public health and general practice, NTNU,Trondheim,Norway, 6, Department of Public Health and General Practice, Norwegian University of Science and Technology,Trondheim,Norway
* = Presenting author
Symposium
Objectives: To gain a better understanding of the concept of Person Centred Medicine (PCM) in the clinical context of general practice and to discuss how PCM is a useful way of meeting some of the challenges in 'the changing world' of healthcare
Background:

The ability to understand the patient and what the patient tries to communicate is essential for practicing medicine. We need a theory for this process of understanding in the clinical reality in order to make the best possible use of (the ever increasing) biomedical knowledge.

Clinical biomedicine only covers parts of the GP’s work. The biomedical thinking must be put into a context with a focus on understanding patients in their narrative and biographical situation and in a relationship with the health care professional.

During the last decade the concept of PCM has gained footing, in a clinical as well as in an academic context, to meet the challenges of the changing conditions of primary care. The concept has been used in a humanistic sense, but also to signify an individualized biomedical approach. In addition, the concept of PCM overlaps with related concepts such as patient-centredness (PC).

Narrative medicine is considered to capture the dimension of understanding, but also adds other aspects. Mentalization is a newer concept, developed in psychology during the last decades, to describe the understanding in professional relationships. Mentalization takes its point of departure in a narrative context and in this way links can be formed to narrative medicine.

In order to discuss the dimension of understanding patients in our clinical work we must formulate a theoretical approach and define relevant concepts. Our professional identity needs to incorporate both the biomedical, and the dimensions of understanding and relating to patients as persons. If we cannot formulate this important aspect and discuss it theoretically as well as in the clinical setting we miss one of the core values of Family Medicine

Content:

We will explore the concept of PCM and related concepts and approaches as a core value of Family Medicine and subsequently discuss how these concepts apply to the understanding of patients in the daily clinical work in general practice

Method:

Four different presentations with a point of departure in the above mentioned concepts and subsequent discussion of related concepts to come to a common understanding that is useful in general practice. Each of the above mentioned concepts including clinical examples will be presented and followed by discussion.

Other considerations: None