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Related Experiment Video

Updated: May 9, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

What makes a difference to patients?

Deirdre Johnston¹

¹Department of Psychiatry and Behavioural Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. Djohnst4@jhmi.edu

International Review of Psychiatry (Abingdon, England)

|July 18, 2013

Summary

This summary is machine-generated.

Healthcare reform necessitates a shift towards collaborative, preventative, and efficient care models for patients with multiple chronic conditions. This includes updating medical education to emphasize a

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Area of Science:

Medical Education
Healthcare Systems
Psychiatry

Background:

Increasing prevalence of multiple chronic conditions (multi-morbidity) challenges current healthcare delivery.
Existing healthcare systems are often fragmented and inefficient, failing to meet patient needs.
Current medical education models perpetuate episodic, crisis-driven care, which is costly and ineffective.

Purpose of the Study:

To discuss the evolving needs of patients with chronic psychiatric illness in a changing healthcare landscape.
To redefine the psychiatrist's role as a collaborative care provider, interdisciplinary role model, and educator.
To advocate for a paradigm shift in medical education towards a 'whole patient' approach.

Main Methods:

Analysis of current healthcare trends and challenges in managing multi-morbidity.
Review of the impact of the US Patient Protection and Affordable Care Act on healthcare delivery.
Discussion of the role of psychiatric medications in exacerbating medical conditions.

Main Results:

The current episodic care model is unsustainable and inadequate for aging populations with multi-morbidity.
Psychiatric medications can complicate the management of co-existing chronic medical conditions.
New healthcare models are emerging, driven by policy changes like the Affordable Care Act.

Conclusions:

A 'whole patient' approach, emphasizing collaboration and prevention, is essential for managing chronic psychiatric and medical illnesses.
Medical education must adapt to train clinicians in interdisciplinary teamwork and patient-centered care.
Psychiatrists play a crucial role in leading this paradigm shift in healthcare and education.