Patient-centered medicine: A guide to the biopsychosocial model.

Weston, W. Wayne

doi:10.1037/1091-7527.23.4.387

Cited by 16 publications

(13 citation statements)

References 18 publications

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“…Medicine is still heavily preoccupied by biomedical thinking, in which disease can be understood independently from the patient suffering from it, and can be explained by abnormal molecular, pathological, and clinical markers observable to the physicians. [ 17 ] Biopsychosocial model is neglected or inadequately applied in clinical practice, especially the sociocultural factors. [ 18 ] Biological, psychological, social, and spiritual dimensions of illnesses are rarely considered as an integrated whole in most clinical encounters.…”

Section: Resultsmentioning

confidence: 99%

Biopsychosocial model of illnesses in primary care: A hermeneutic literature review

Kusnanto

Agustian

Hilmanto

2018

J Family Med Prim Care

127

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Biopsychosocial model is a useful worldview for primary care or family doctors. However, it is often considered as impractical or too complicated. The objective of this study is to review the implementation of the biopsychosocial model in clinical practice, and its contributions to clinical outcomes. Hermeneutic circle literature review was conducted to provide experiential learning in an attempt to understand biopscyhosocial model, first developed by George Engel. Literature search started with review articles in Medline and Scopus as search engines. Citations from previous articles, editorials, and research articles were identified and interpreted in the context of the knowledge derived from all identified relevant articles. The progress of biopsychosocial model has been slow, and primary care doctors do not implement biopsychosocial medicine in their practice, while biomedical thinking and approach are still the dominant model. Biopsychosocial research addressed chronic illnesses and functional disorders as conditions in need for biopsychosocial model implementation. As payment scheme, clinical guidelines and clinical performance indicators are biomedically oriented, there is no incentive for primary care doctors to adopt biopsychosocial model in their practice. Workload and lack of competence in primary care may hinder the implementation of biopsychosocial model. Biopsychosocial model helps primary care doctors to understand interactions among biological and psychosocial components of illnesses to improve the dyadic relationship between clinicians and their patients and multidisciplinary approaches in patient care. Biopsychosocial model potentially improves clinical outcomes for chronic diseases and functional illnesses seen in primary care.

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Section: Resultsmentioning

confidence: 99%

Biopsychosocial model of illnesses in primary care: A hermeneutic literature review

Kusnanto

Agustian

Hilmanto

2018

J Family Med Prim Care

127

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“…Physicians described this orientation with both trainees and patients in similar ways, such as focusing on understanding the trainee or patient as a whole person with individual needs and expectations to be integrated in the learning situation as described. This perspective has been described in both medical education and patient education literature [ 33 , 34 ]. Our second similarity is that with both trainees and patients, physicians tried to facilitate the acquisition, integration, and application of knowledge as well as emphasize the importance of providing information at the right time.…”

Section: Discussionmentioning

confidence: 99%

Common concepts in separate domains? Family physicians’ ways of understanding teaching patients and trainees, a qualitative study

et al. 2015

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BackgroundMedical education is increasingly expanding into new community teaching settings and the need for clinical teachers is rising. Many physicians taking on this new role are already skilled patient educators. The purpose of this research was to explore how family physicians conceptualize teaching patients compared to the teaching of trainees. Our aim was to understand if there is any common ground between these two roles in order to support faculty development based on already existing skills.MethodsSemi-structured interviews with twenty-five family physician preceptors were conducted in Vancouver, Canada and thematically analyzed.ResultsWe identified four key areas of overlap between the two fields (being learner-centered; supporting the acquisition, application and integration of knowledge; role modeling and self-disclosure; and facilitating autonomy) and three areas of divergence (aim of teaching and setting the learning objectives; establishing rapport; and providing feedback).ConclusionsFinding common ground between these two teaching roles would support knowledge translation and inquiry between the domains of teaching patients and trainees. It would furthermore open up new avenues for improving training and practice for clinical teachers by better linking faculty development and continuing medical education (CME).

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“…Family psychologists train primary care physicians to consider how an illness affects all family members, not just the individual patient (McDaniel, Campbell, & Hepworth, 2005). This usually means that physicians must “broaden their approach to include psychological and social aspects of illness—physicians need a transformed clinical method, one in which they seek as much to understand patients’ experiences of illness as they do to make a diagnosis” (Weston, 2005, p. 387).…”

Section: Distinctiveness and Applicationsmentioning

confidence: 99%

Family psychology specialty practice.

Nutt¹,

Stanton²

2008

Professional Psychology: Research and Practice

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The specialty of family psychology prepares practitioners to work systemically with individuals, couples, families, and larger social organizations. The specialty is defined, and a rationale is provided for its relevance to professional practice. Key concepts, competencies, and practice dimensions (e.g., assessment, case conceptualization, and intervention) are detailed, as are training and board certification in the specialty. Applications to specific problems and specialty niches are described.

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Patient-centered medicine: A guide to the biopsychosocial model.

Cited by 16 publications

References 18 publications

Biopsychosocial model of illnesses in primary care: A hermeneutic literature review

Biopsychosocial model of illnesses in primary care: A hermeneutic literature review

Common concepts in separate domains? Family physicians’ ways of understanding teaching patients and trainees, a qualitative study

Family psychology specialty practice.

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