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The Patient-Centred Clinical Method. 1. A Model for the Doctor-Patient Interaction in Family Medicine
Abstract
This article describes a patient-centred clinical method appropriate for family medicine. The method is designed to attain an understanding of the patient as well as his disease. This two-fold task is described in terms of two agendas: the physician's and the patient's. The key to an understanding of the patient's agenda is the physician's receptivity to cues offered by the patient, and behaviour which encourages him to express his expectations, feelings and fears. The physician's agenda is the explanation of the patient's illness in terms of a taxonomy of disease. In the patient-centred clinical method, both agendas are addressed by the physician and any conflict between them dealt with by negotiation. This is contrasted with the disease-centred method in which only the doctor's agenda is addressed. Further articles will describe the patient-centred method in operational terms.
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Citations
Cited by
Effective physician-patient communication and health outcomes: a review.
(1995) · Europe PMC (PubMed Central) · Cited by 4,085
The art and science of clinical knowledge: evidence beyond measures and numbers
Malterud, K. (2001) · The Lancet · doi:10.1016/s0140-6736(01)05548-9 · Cited by 847
Patient-centred consultations and outcomes in primary care: a review of the literature
Mead, N., & Bower, P. (2002) · Patient Education and Counseling · doi:10.1016/s0738-3991(02)00099-x · Cited by 613
Clinical autonomy, individual and collective: the problem of changing doctors’ behaviour
Armstrong, D. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00309-4 · Cited by 295
Patient-centered care and breast cancer survivors’ satisfaction with information
Mallinger, J. B., Griggs, J. J., & Shields, C. G. (2005) · Patient Education and Counseling · doi:10.1016/j.pec.2004.09.009 · Cited by 289
Metadata
- Authors
- LEVENSTEIN, J. H., MCCRACKEN, E. C., MCWHINNEY, I. R., STEWART, M. A., & BROWN, J. B.
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 1986
- Volume
- 3
- Issue
- 1
- Pages
- 24-30
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2116194568
- Cited by
- 522
- References
- 0
- FWCI
- 11.05
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: The Patient-Centred Clinical Method. 1. A Model for the Doctor-Patient Interaction in Family Medicine. https://app.cochat.ai/papers/10.1093/fampra/3.1.24
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- LEVENSTEIN, J. H., MCCRACKEN, E. C., MCWHINNEY, I. R., STEWART, M. A., & BROWN, J. B. (1986). The Patient-Centred Clinical Method. 1. A Model for the Doctor-Patient Interaction in Family Medicine. Family Practice. https://doi.org/10.1093/fampra/3.1.24
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
