Concordance in Medical Consultations: A Critical Review
Kristian Pollock, Senior Research Fellow, School of Nursing, Nottingham University IN PRODUCTION - due to be published in November 2005 Concordance in Medical Consultations considers whether the shift towards letting patients make treatment decisions is what they really want. It provides a concise overview of a wide range of literature and evidence covering such areas as patient involvement, patient consent, compliance and best practice. Adopting a thorough, patient-centred, critical approach this book points to the need for a substantial revision of current policy, culture and practice. Healthcare professionals at all levels and in all settings will find this review invaluable, as will researchers and students of health and illness sociology, medicine and healthcare. 'A truly patient centred - and concordant - medical practice needs to start from a genuine professional awareness and understanding of the patient perspective. In particular, it should acknowledge the central importance of attending to the patient's experience of illness as an arbitrary and capricious manifestation of misfortune, rather than an occasion for the attribution of blame and personal irresponsibility. Only then will there be a chance for the reorientation of the professional preoccupation with non-compliance as a technical problem of defective patient behaviour towards an acceptance of the radical shift in underlying philosophy and culture that is required for the development of a genuinely concordant medical practice' Kristian Pollock Contents The medical construction of compliance Evidence based medicine The lay perspective The doctor-patient relationship The medical consultation Patient participation and shared decision making in the consultation The informed and expert patient Satisfaction Conclusion
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