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Narrative-based medicine and the general practice consultation: Narrative-based medicine 2
1GP, a medical educator, and Senior Medical Advisor, Education Progression with the Royal Australian College of General Practitioners in Melbourne. George.Zaharias@racgp.org.au.
Objective:
To raise awareness of narrative-based medicine (NBM) as a valuable approach to the consultation, which, if practised more widely by GPs, would convey considerable benefits to both patient and doctor.
Sources Of Information:
Principally, this article draws on the perspectives of 2 of NBM's key proponents, John Launer and Rita Charon, and which are complemented by the perspectives of several other authors.
Main Message:
This article examines NBM in relation to patient-centred care and the particular skills that are required to practise NBM. Narrative-based medicine brings together skills from other fields of practice-skills that are not beyond the capabilities of GPs-conferring benefits on patient and doctor. Narrative-based medicine's skills enhance the patient-centred method and an evidence-based approach.
Conclusion:
The literature speaks very loudly about the importance of narrative and of understanding the illness experience. What makes NBM stand out is the fact that it is a collaborative and mutually beneficial process, having the power to create a new narrative-a narrative that heals and transforms the patient and the doctor.
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