A Biopsychosocial Approach to Finding Common Ground in the Clinical Encounter

Yamada, Seiji; Greene, Gordon M.; Bauman, Kay A.; Maskarinec, Gregory G.

doi:10.1097/00001888-200006000-00017

Cited by 9 publications

(5 citation statements)

References 5 publications

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“…This was a major step toward holistic care (Stineman, ); by inviting consideration of more than just a patient's symptom status, providers would be led to greater understanding of the illness. Other “conditions of life,” such as social context, were organized within a hierarchical system ranging from the individual patient, through the provider–patient relationship, family systems, ethnic beliefs, and the political economy (Yamada, Greene, Bauman, & Maskarinec, ). Patients were treated as “human beings” (Engel, , p. 103) whose experiences and behaviors shaped not only disease manifestation, but confidence in and adherence to medical care.…”

Section: Traditional Health Care: Patients and Families As Passive Rementioning

confidence: 99%

Clinical Implications of Family-Centered Care in Stroke Rehabilitation

Creasy

Lutz

Young

et al. 2015

Rehabilitation Nursing

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Background and Purpose Most stroke survivors will be cared for at home by family caregivers with limited training. Families actively involved in rehabilitation feel more prepared for the new responsibilities of caring for the stroke survivor. The focus of this article is to highlight the relevant concepts of a family-centered model of care and provide general guidance on how integrating a family-centered mindset may be clinically applicable. Family-Centered Care Family-centered care is a model of healthcare that encourages collaboration and partnership among patients, families, and providers with respect to the planning, delivery, and evaluation of health care. Care provided within such a model can expand providers’ knowledge of the impact of illness and any issues that may affect eventual transition back home. Clinical Relevance and Conclusion Rehabilitation nurses should view stroke patients and family caregivers as a unit. Using family-centered strategies can help nurses provide appropriate, individualized care during rehabilitation.

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Section: Traditional Health Care: Patients and Families As Passive Rementioning

confidence: 99%

Clinical Implications of Family-Centered Care in Stroke Rehabilitation

Creasy

Lutz

Young

et al. 2015

Rehabilitation Nursing

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“…5 The biopsychosocial model is crucial to understanding and addressing health disparities because health disparities are often associated with factors that extend beyond biological differences and contribute to disproportionate disease morbidity and mortality rates. 6 Potential sources of disparities in care include: 1) health systems factors, 2) patient-level factors, and 3) disparities arising from the clinical encounter. Access to proper and timely medical care, poor quality of care, lack of insurance coverage, and limited knowledge of the health care system are serious contributors to the health status of the population.…”

Section: Introductionmentioning

confidence: 99%

The role of patient navigators in eliminating health disparities

Natale-Pereira¹,

Enard

Nevarez

et al. 2011

Cancer

304

305

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Despite many important efforts to increase equity in the US health care system, not all Americans have equal access to health care—or similar health outcomes. With the goal of lowering costs and increasing accessibility to health care, the nation’s new health care reform legislation includes certain provisions that expand health insurance coverage to uninsured and underinsured populations, promote medical homes, and support coordination of care. These provisions may help narrow existing health care disparities. Many of the most vulnerable patients, however, may continue to have difficulty accessing and navigating the complex US health care delivery system. This article explores the unique role that patient navigation can play in improving health outcomes for racial and ethnic minorities, as well as other underserved populations, in the context of a changing healthcare environment. Patient navigators can not only facilitate improved health care access and quality for underserved populations through advocacy and care coordination, but they can also address deep-rooted issues related to distrust in providers and the health system that often lead to avoidance of health problems and non-compliance with treatment recommendations. By addressing many of the disparities associated with language and cultural differences and barriers, patient navigators can foster trust and empowerment within the communities they serve. Specific patient navigator activities are discussed, and metrics to evaluate program efforts are presented.

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“…34 Rather, family physicians frame pathology in context of individuals living and working in communities, their lives and their illnesses, shaped by such factors as faith, gender, class and relationships. 35 What emerges from this understanding of family medicine is whole-person care: treating people as whole people who have a wide variety of needs-psychological, social, biological and existential-that commonly present in clinical encounters as inter-related admixtures of distressing signs and symptoms. 36 In this regard, 'full-spectrum' family medicine means tailoring medical practice to meet as many of those needs as possible, all the while acknowledging patients-people-as objects of primary attention.…”

Section: Full-spectrum Family Medicine Austin Brownmentioning

confidence: 99%

Storylines of family medicine IX: people and places—diverse populations and locations of care

Ventres,

Stone,

Abou-Arab

et al. 2024

Fam Med Com Health

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Storylines of Family Medicineis a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘IX: people and places—diverse populations and locations of care’, authors address the following themes: ‘LGBTQIA+health in family medicine’, ‘A family medicine approach to substance use disorders’, ‘Shameless medicine for people experiencing homelessness’, ‘‘‘Difficult” encounters—finding the person behind the patient’, ‘Attending to patients with medically unexplained symptoms’, ‘Making house calls and home visits’, ‘Family physicians in the procedure room’, ‘Robust rural family medicine’ and ‘Full-spectrum family medicine’. May readers appreciate the breadth of family medicine in these essays.

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A Biopsychosocial Approach to Finding Common Ground in the Clinical Encounter

Cited by 9 publications

References 5 publications

Clinical Implications of Family-Centered Care in Stroke Rehabilitation

Clinical Implications of Family-Centered Care in Stroke Rehabilitation

The role of patient navigators in eliminating health disparities

Storylines of family medicine IX: people and places—diverse populations and locations of care

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