Biopsychosocial Model

Question 1

How do we put the Biopsychosocial Model into practice ?

Answer 1

Recognize that relationships are central to providing health care
Elicit the patient’s history in the context of life circumstances
Decide which aspects of biological, psychological, and social domains are most important to understanding and promoting the patient’s health
Provide multidimensional treatment
Use a multidisciplinary team approach

Question 2

Role of doctors and health and social care professionals

Answer 2

Integrative Care - “whole-person care”

Family Doctor-treats all common medical conditions and refers patients to hospitals and other medical services for urgent and specialist treatment.

Focus on whole person: physical, psychological, social

Question 3

Patient-Centered Medicine - how to integrate it?

Answer 3

PCM involves mutual respect in which patient plays a more active role.

Ideas, Concerns, Expectations

Question 4

Psychosocial Factors influenced by:

Answer 4

Social /cultural basis of our own background and professional practice as well as colleagues/other healthcare professionals.

Social /cultural background of our patients/carers/friends/families -Reflective practitioner.

Health Inequalities - Social/Psychological/Cultural factors not equally distributed.

Question 5

Elements of Patient Centred Medicine

Answer 5

When doctors work in patient’s best interests
When doctors work in accordance with patient preferences
When doctors work in partnership with patients
When doctors take a patient centred approach

Question 6

PCM - how?

Answer 6

Doctor acknowledges patients beliefs and knowledge as important.

Outcome is the result of a negotiated process of decision making(shared decision)-not imposed.

Consultation is more participatory.

Question 7

Techniques for PCM

Answer 7

Open questions

Listening

Reflecting

Probing

Silence

Clarifying

Facilitating

Interpreting