Narrative-Based Medicine: Potential, Pitfalls, and Practice

Abstract

Mission:The Permanente Journal is published for physicians, practitioners, and nurses to create and to deliver superior health care through the principles and benefits of Permanente Medicine.Permanente Medicine is preventive, innovative, evidence-based, population care practiced by a multispecialty group, using an electronic health and medical record, and focused on patient relationships and outcomes.

Understanding the Family Context: A Qualitative Descriptive Study of Parent and NICU Clinician Experiences and Perspectives

“…Some parents in our study hesitated to share their FC because of the fear of being stigmatized based on their context. Concerns in the literature also centred on the time necessary to understand a patient's context, the education, and the culture shift necessary for its success [38,39]. Interestingly, while people worry about being stigmatized, it is argued that the antidote to this stigma, founded in implicit bias, is actually contextualizing care [40].…”

Introducing Inside Story, a New Section for JAMA Internal Medicine

“…Anecdotes and narratives help clinicians personalize care, learn from individual perspectives and experiences, and em-brace the fallible yet extraordinary humanity of all we do in medicine. 1,2 Moreover, storytelling is key to turning abstract statistical or scientific evidence into real-world examples to help decision-making by policy makers and patients alike. 3,4 Thus, we are introducing a new section, entitled Inside Story, to recognize storytelling as a-perhaps even the-fundamental mode of human learning and communication.…”

“…Valeria D. Cantos, MD; Colleen F. Kelley, MD, MPH; Carlos del Rio, MD In the US, HIV diagnoses have decreased by 8% from 2017 to 2021, in part due to an increased uptake of preexposure prophylaxis (PrEP), a highly effective and safe biomedical intervention to prevent HIV acquisition. 1 Despite these encouraging data, considerable racial, ethnic, and regional disparities in new HIV diagnoses and PrEP use persist in the US and, paradoxically, are worsening as PrEP options and ac-cess increase. 2 While young (ages 13-34 years), Black, Latino, gay, bisexual, and other adolescents and men who have sex with men (MSM) living in the southern US carry the highest burden of new HIV diagnoses in the nation, 1 PrEP coverage in each of these demographic categories is lower than the national average of 30%.…”

“…1 Despite these encouraging data, considerable racial, ethnic, and regional disparities in new HIV diagnoses and PrEP use persist in the US and, paradoxically, are worsening as PrEP options and ac-cess increase. 2 While young (ages 13-34 years), Black, Latino, gay, bisexual, and other adolescents and men who have sex with men (MSM) living in the southern US carry the highest burden of new HIV diagnoses in the nation, 1 PrEP coverage in each of these demographic categories is lower than the national average of 30%. 3 For example, Black and Latino gay and bisexual men accounted for 37% and 30% of new HIV diagnoses, respectively, among MSM in 2021, 1 but only 11% and 21% of Black and Latino PrEP-eligible individuals were prescribed PrEP, compared with 78% of their White counterparts.…”

Porroche-Escudero, Ana, Coll-Planas, Gerard, y Riba Sanmartí, Caterina (2017): Cicatrices (in)visibles. Perspectivas feministas sobre el cáncer de mama, Bellaterra.

“…El prólogo presenta a la Medicina Basada en la Narrativa 'en contraposición' a la Medicina Basada en la Evidencia; mejor que una "contraposición" es un enfoque que complementa, o que actúa como un puente (Kalitzkus y Matthiessen, 2009) en el cual se "prioriza la escucha activa en la consulta, el síntoma subjetivo y la biografía" (p. 16). La Medicina Basada en Narrativas viene siendo aplicada desde su descripción en 2006 por Charon (2006).…”