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A change will do you good.
1Seaport Family Practice, 41 Wight St, Belfast, ME 04915, USA. dr.loxterkamp@myfairpoint.net
Annals of Family Medicine
|May 13, 2009
Summary
Family doctors are more than generalists; their key role is facilitating patient and community change. Understanding patient change capacity, as informed by Balint and Miller, is crucial for this evolving physician role.
Area of Science:
- Family Medicine
- Behavioral Science
- Health Psychology
Background:
- Primary care physicians (PCPs) traditionally fulfill roles like information management and chronic care coordination.
- Midlevel clinicians, the internet, and informed patients increasingly offer these services.
Purpose of the Study:
- To redefine the indispensable role of the family doctor in contemporary primary care.
- To explore the physician's function as an agent of change for patients and communities.
Main Methods:
- Literature review and conceptual analysis of established change theories.
- Integration of insights from the work of Michael Balint, William Miller, and Stephen Rollnick.
- Qualitative reflection on patient-physician interactions and observed change dynamics.
Main Results:
- The traditional roles of PCPs are becoming less unique due to external resources.
- A core, indispensable function of family doctors is acting as agents of change.
- Patient-physician relationships reveal profound capacities for personal and community transformation.
Conclusions:
- The evolving primary care landscape necessitates a refocused understanding of the family physician's role.
- Embracing the role of change agent, supported by established behavioral science frameworks, is vital.
- Recognizing and facilitating patient change capacity is central to the future of family medicine.
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