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Interdisciplinary Care: The Health Care Team-I01:21

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Related Experiment Video

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Author Spotlight: Exploring the Relationship Between Lipotoxicity and HFpEF
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To care is to coprovide.

Stephen A Buetow1

  • 1Department of General Practice and Primary Health Care, University of Auckland, Auckland, NZ. s.buetow@auckland.ac.nz

Annals of Family Medicine
|December 13, 2005
PubMed
Summary

True patient care, or coprovision, requires both clinicians and patients to contribute their unique expertise. This contrasts with paternalism and consumerism, advocating for a more collaborative healthcare model.

Area of Science:

  • Healthcare delivery and medical ethics
  • Family medicine and primary care dynamics
  • Clinician-patient relationship models

Background:

  • Primary care settings acknowledge various clinician-patient interaction types.
  • Existing models may not fully capture the essence of genuine care.
  • The need for a more inclusive definition of healthcare interactions is recognized.

Purpose of the Study:

  • To define care exclusively through the concept of coprovision.
  • To critique paternalism and consumerism as inadequate models of care.
  • To propose implications for family medicine and clinician-patient relationships.

Main Methods:

  • Conceptual analysis of clinician-patient interactions.
  • Argumentative approach defining care based on mutual expertise contribution.

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  • Critique of existing healthcare interaction paradigms (paternalism, consumerism).

    • Main Results:

    • Only coprovision, where both parties contribute expertise, truly defines care.
    • Paternalism and consumerism are deemed insufficient to signify genuine care.
    • Coprovision necessitates mutual responsiveness, responsibility, and self/other-regard.

    Conclusions:

    • Family medicine requires reconceptualization, moving beyond clinician-centric views.
    • Patients and informal caregivers should be recognized as active coproviders, not just consumers.
    • Adopting coprovision fosters more meaningful and effective clinician-patient relationships.