New stories for old: Narrative-based primary care in Great Britain.

Abstract

Narrative-based primary care has emerged in the United Kingdom through the convergence of narrative-based medicine and family systems medicine. This article describes how the convergence took place and gives an account of the theoretical ideas that underpin narrative-based primary care. The approach is illustrated with a case example and commentary. Drawing on both psychodynamic and dialogical theory, I argue that the role of primary care is often to find a new story that fits better than the old one.

Lasten potilaskokemukset digitaalisten palveluiden kehittämisen lähtökohtana

“…Sen sijaan potilaskeskeisillä kerrontamenetelmillä voidaan saada esille potilaiden kertomuksia, jotka perustuvat heidän omiin kokemuksiinsa ja mieltymyksiinsä [17]. Potilaiden kertomukset tarjoavat terveyspalveluja tuottaville organisaatioille mahdollisuuden saavuttaa parempi ymmärrys potilaiden palvelukokemuksista [18]. Tehokkaimpana tapana potilaskokemuksen tutkimiseksi ja kuvailemiseksi pidetään yhdistelmää kvantitatiivisesta potilastyytyväisyystutkimuksesta ja laadullisesta potilaskeskeisestä kerrontamenetelmästä [19].…”

Narrative Medicine

“…As family physician John Launer points out, physicians can create and formulate their own stories, which can be help them support patients in their coping process and perhaps even a process of personal growth (Launer 2006). …”

Clinical Uncertainty in Primary Care

“…(Adapted from: 'New Stories for Old: Narrative-based primary care in the United Kingdom. ' Launer 2006 ) …”

“…It draws on ideas from the emerging fi eld of narrative medicine (Hunter 1991 ;Greenhalgh and Hurwitz 1998 ;Charon 2006 ) and is part of a comprehensive approach to family medicine developed in the United Kingdom over the last 20 years called narrative-based primary care Launer 2006 ). This approach is unusual in offering not only a method of case discussion but a set of skills for encounters with patients, a system of teaching and a theoretical base that underlies all of these.…”