40. The primary care consultation7 (1976)
(History of patient-centred care)
Client-centred therapy4 (1951)
The patient-centred clinical method: a model for the
doctor-patient interaction in family medicine8 (1984)
Patient-centred medicine with illness-centered
care5 (1957)
PATIENT PRESENTS CUES OF UNWELLNESS
DOCTOR SEARCHES
TWO PARALLEL AGENDAS
Total person approach6 (1972) DOCTOR’S AGENDA
PATIENT’S AGENDA
History Physical Examination
Laboratory Investigation Expectations Feelings Fears
DIFFERENTIAL UNDERSTANDING
DIAGNOSIS ILLNESS EXPERIENCE
INTEGRATION
The Thai Journal of Primary Care and Family Medicine 39
42. (Components of Patient-centred care)
16
disease and illness)
17
(understanding the whole person)
The Thai Journal of Primary Care and Family Medicine 41
43. 20
(an awareness of the potential for a power dynamic)
21
Paternalistic :
prevention and health promotion)
18
19 Consumeristic :
Default :
Mutuality :
(enhancing the patient-doctor relationship)
X X
X X
X X
X X
42
44. 23
(a focus on healing) 22
realistic)
23
23
The Thai Journal of Primary Care and Family Medicine 43
48. 12
(pharmacologic management)
13
Strong opioids
13
9
17,18
(Dyspnea assessment)
17,18
19,20
21
22
23,24
14,15
25
16
The Thai Journal of Primary Care and Family Medicine 47
56. Random Plasma glucose as a Screenting test
Random Plasma glucose Sensitivity
(mg/dl) (%) (%)
55
44
The Thai Journal of Primary Care and Family Medicine 55