Patient-Centred Medicine in Transition: The Heart of the Matter [Hardcover]

This book challenges functional models for more aesthetic and ethical models, where communication is grounded in values systems of cultures. Here, communication is treated as a distributed phenomenon involving networks of persons, activities and artifacts, and extends beyond doctor-patient relationships to working in and across teams around patients. The purpose of the book is to stimulate thinking about how patient care and safety may be improved through a focus upon the non-technical work of doctors  interpersonal communication, teamwork and situation awareness in teams. The focus is then not on the personality of the doctor, but on the dynamics of relationships which form doctors multiple identities.

Challenging previous models of communication between patients and doctors, this publication explains how making it a broader, team-focused, non-technical encounter can improve patient outcomes as well as increase patient safely in clinical settings.

Foreword

Introduction

Part I: Communication in medicine: democracy and its discontents

Chapter 1: Communication hypocompetence  an iatrogenic epidemic

Chapter 2: Democracy in medicine

Chapter 3: Patient-centeredness without a center

Chapter 4: How doctors think can be judged from how they listen and speak

Chapter 5: A new wave of patient-centeredness

Chapter 6: Models of patient-centered care

Chapter 7: What is meant by empathy?

Chapter 8: Gender matters in medical education

?

Part II: Deep theorizing in communication in medicine: relationships between team process and practitioner identity

Chapter 9: Working and learning in teams in a new era of health care

Chapter 10: Theorizing tel³.