[Omeo33] Art 1058 - Patient Edu Counseling, 2009, 77 (2), 172-178

Dott. Italo Grassi grassiitalo a alice.it
Lun 26 Lug 2010 20:50:04 CEST


prendo:
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in cambio ti chiedo di cancellarmi quello che mi mandi ogni mese come mio poichè non ho l'articolo da tradurre, ok? Affare fatto?
Ciao
Italo
  ----- Original Message ----- 
  From: Gino Santini 
  To: omeopatia33 
  Sent: Monday, July 26, 2010 6:09 PM
  Subject: [Omeo33] Art 1058 - Patient Edu Counseling, 2009, 77 (2), 172-178


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  Elements of effective communication-Rediscoveries from homeopathy
  Christiane S. Hartog


  Objective - Patients are increasingly attracted to homeopathy despite the unproven effectiveness of homeopathic remedies. Clinical benefit of homeopathy may be due to communication. This review aims to identify and assess effective communication patterns in homeopathy.
  Methods - Narrative review and synthesis of published communication patterns, patient narratives and the author's professional experience as a homeopathic practitioner.
  Results - In the biomedical model, where the focus is on disease, communication is physician-centered with early redirection of patients' concerns, and associated with reduced compliance, increasing risk of malpractice claims and low professional fulfillment. The biopsychosocial and the developing integrative medicine models are based on biomedicine but aim to include the whole person. Patient-centeredness is a behavior that elicits, respects and incorporates patients' wishes, allows active patient participation and is related to improved outcomes. The homeopathic model is based on holism and comprehension of the totality of the patient and uses patient-centered communication with a high degree of physician co-operation, empathy, hopefulness, enablement and narrative competence, all of which can improve outcomes.
  Conclusion - Both biopsychosocial and homeopathic models rely on patient-centered communication. Regardless of conceptual differences, they overlap in their common respect for the totality and individuality of the patient. The study of the homeopathic model shows that respect for the whole person is a basic requirement to entrench patient-centeredness more firmly in medicine.
  Practice implications - Medical education should include values such as individual coping strategies, the benefits of a sound and healthy life-style and the necessity of hope and enablement. Health care should be redesigned to honor physicians who practice these values.


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