Smiths patient centered interviewing an evidence-based method free download

While the role and expectations of each differed, the biopsychosocial model stressed the importance of mutual influence and reciprocity in building and maintaining healthy, healing clinician—patient relationships. E-Book Details No. E-Book Description. E-Book Details. Table of Contents. Forgot Username? About MyAccess If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

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Fortin A. Auguste H. Fortin, VI, et al. McGraw Hill; Accessed November 25, McGraw Hill. Download citation file: RIS Zotero. Reference Manager. Autosuggest Results.

Jump to a Section. Download Section PDF. In an important series of research and conceptual papers in the s and s, George L. Engel expanded the centuries old and very successful biomedical model by demonstrating the importance of psychological and social factors in disease and illness and how these factors affect care processes and outcomes. While patients continue to be understood partly in biological terms, the biopsychosocial BPS model underscores the importance of the medical interview in diagnosis, treatment, and therapy by integrating the psychosocial dimensions of the patient and their experience of illness.

Shortly after Engel described the BPS model and under the influence of the psychologist Carl Rogers and others, 4 Joseph Levenstein, Ian McWhinney, and colleagues 5 , 6 proposed the general concept that clinicians become "patient-centered" in their interviewing approach. Recommendations for patient-centered interviewing included suggestions that the clinician follow the patient's lead and interests to reach common ground and uncover important psychosocial issues relevant to their care.

Other suggestions included inquiry that avoided interruption, and the use of open-ended and nondirective questions. The patient-centered method differed from the standard "clinician-centered" approach that used closed-ended, clinician-directed questions to diagnose and treat diseases.

Wide dissemination of patient-centered practices was promoted by the American Academy on Communication in Healthcare AACH , 7 the European Association for Communication in Healthcare, 8 and the Institute for Healthcare Communication, 9 as well as by many other groups including several primary care organizations. In , the Institute of Medicine identified patient-centered care as one of six domains of quality, thereby establishing the concept as a key to patient safety and effective, efficient care.

But many, including Engel, 11 noted that a specific definition of the patient-centered interview and explicit directions for its practice were lacking, 6 , 11 — 20 limiting research and teaching 21 , 22 and producing variable, sometimes contradictory, recommendations. Smith, developed a behaviorally defined, replicable patient-centered method based on empirical evidence, 23 , 24 , 31 , 35 literature review, consultation with others, and their own experiences.

The result was the 5-step, substep method presented in Chapter 3. In a randomized controlled trial RCT , the MSU group demonstrated that the method was easily learned, efficient, and replicable. In a typical outpatient encounter, no more than 3—6 minutes of patient-centered interviewing is necessary additional time is needed for clinician-centered interviewing. Others have demonstrated that patient-centered practices do not add time to the visit. Interviewing is the most important and most difficult skill learners must master in their clinical careers.

The book is designed for learners in medicine, advanced-practice nursing, physician assistant, and other health-related disciplines where communication and relational skills are central. We have discovered from feedback on previous editions of the book that learners and their teachers have particularly valued two unique features of the approach. First, the 5-step method is very user-friendly and easily learned. Historically, learners and teachers using the method have been pleased with the structure provided.

Users report that they typically learn the basic skills in one session and the requisite interviewing steps in the next two teaching sessions and progress rapidly thereafter. If you feel that we have violated your copyrights, then please contact us immediately. Your email address will not be published. Save my name, email, and website in this browser for the next time I comment. Learning aids include practice exercises in each chapter, a pocket card, lists of essential questions, and graphics that facilitate understanding and retention.