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Physicians, know thy patient.

Isaac Ks Ng1,2

  • 1Department of Medicine, National University Hospital, Singapore, Singapore.

The Journal of the Royal College of Physicians of Edinburgh
|March 24, 2024
PubMed
Summary
This summary is machine-generated.

Achieving true person-centered care requires clinicians to deeply understand patients, moving beyond technology. Implementing a holistic biopsychosocial approach and ensuring care continuity are key strategies for better patient outcomes.

Keywords:
biopsychosocial modelcontinuity of careknowing patientspatient-centred carepersoncentered care

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Area of Science:

  • Healthcare delivery
  • Clinical practice
  • Patient-physician relationship

Background:

  • Person-centered care emphasizes shared decision-making and patient autonomy.
  • Modern healthcare faces challenges from technology, AI, and teleconsultation impacting patient-physician communication.
  • Aging populations with complex comorbidities and fragmented systems complicate care delivery.

Purpose of the Study:

  • To define the intricate skill of 'knowing a patient' essential for person-centered care.
  • To propose strategies for enhancing the quality of patient-physician interactions.
  • To address the fragmentation of care in complex health systems.

Main Methods:

  • Conceptual analysis of 'knowing a patient' within the person-centered care framework.
  • Discussion of the impact of technological advancements on clinical communication.
  • Exploration of the biopsychosocial model and care coordination.

Main Results:

  • 'Knowing a patient' is a complex clinical skill, not merely data acquisition.
  • Technological integration and system fragmentation can impede deep patient understanding.
  • A holistic biopsychosocial approach and system-level coordination are vital.

Conclusions:

  • Clinicians must cultivate the skill of truly knowing their patients.
  • Implementing a holistic biopsychosocial model at the physician level is crucial.
  • Fostering coordinated and continuous care at the health system level is necessary to uphold person-centered care standards.