Apuntes sobre la «resolutividad» y la «cura» en la medicina de familia

Fernández, José Luís Turabián; Franco, Benjamín Pérez

doi:10.1016/s0212-6567(03)79278-6

Cited by 12 publications

(2 citation statements)

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“…A pesar de los discursos y las manifestaciones en prensa, la AP no es una prioridad en España. Desde hace muchos años a la política le ha resultado mucho más rentable inaugurar hospitales, dotarles de altísima tecnología y dar manga ancha al consumo de medicamentos, que invertir en equidad 11 , resolutividad 12 , cuidados, cercanía, accesibilidad, longitudinalidad 13 , formación, promoción de la salud o prevención no medicalizantes 14 .…”

Section: Sobre La Situación De La Atención Primariaunclassified

Medicina familiar y comunitaria: la especialidad más elegida en el MIR

Vázquez-Díaz

2024

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Medicina familiar y comunitaria: la especialidad más elegida en el MIR

Vázquez-Díaz

2024

Atención Primaria

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“…The doctor must enjoy and develop personally in her office (28). Each consultation must be "meaningful" for the doctor and for the patient (29).…”

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Empathies” Rather than “Empathy” in The Clinical Context Of General Medicine: Acute Or Chronic Diseases, Physical Or Mental Health Problems and Types Of Doctor-Patient Relationships

2023

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Empathy has been a widely discussed topic in practice, education, and research. Understanding and recognizing this concept is considered fundamental to medical practice. Thus, it has acquired the status of "ideal" in modern medicine. But, in reality it is a complex and heterogeneous phenomenon. Furthermore, the idealization of empathy has made it difficult to reach a consensus on a definition and the effects of its different components. Thus, it is important to reflect on several aspects: 1. Empathic tendencies can be "risky strengths." Excessive empathy can also be dangerous for the patient. A high level of empathy without a corresponding high level of assertiveness can harm the patient as the doctor forgets her / his professional tasks. Empathy and assertiveness are two axes of the same plane: a high level of empathy must be associated with a high level of assertiveness. There is a certain point where the doctor should no longer adjust to the patient; 2. Empathy must be conceptualized within a broader biopsychosocial approach that includes (in addition to assertiveness) other psychological phenomena that occur in the consultation, and that are interconnected, such as doctor-patient relationship, transference and countertransference and the placebo effect; 3. The empathy-assertiveness of the doctor depends on multiple conditions, some related to the doctor, others to the patient, as such or as people, others to the disease, others to the context. Thus, this empathy-assertiveness can be different in different pathologies, modes of doctor-patient relationship, and in acute disease or chronic disease; 4. Empathy must be rebalanced by a "doctor-centered empathy."

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Buscando el paraíso. La historia de una isla fantasma: la medicina de familia en España

Turabián¹,

Franco²

2009

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Apuntes sobre la «resolutividad» y la «cura» en la medicina de familia

Cited by 12 publications

References 1 publication

Medicina familiar y comunitaria: la especialidad más elegida en el MIR

Medicina familiar y comunitaria: la especialidad más elegida en el MIR

Empathies” Rather than “Empathy” in The Clinical Context Of General Medicine: Acute Or Chronic Diseases, Physical Or Mental Health Problems and Types Of Doctor-Patient Relationships

Buscando el paraíso. La historia de una isla fantasma: la medicina de familia en España

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