Disrupting the consultation: students empowering patients in a longitudinal clerkship

Figures & data

Figure 1. Factors influencing patient-centredness [13]. This Figure was published in Social Science & Medicine, 51, Nicola Mead & Peter Bower, Patient-centredness: a conceptual framework and review of the empirical literature, 1087–1110, Copyright Elsevier (2000). Reproduced with permission

Table 1. Mead and Bower’s 5 key dimensions of patient-centredness [13]

Dimension	Description
Biopsychosocial perspective	Degree to which the doctor conceptualises illness using the biopsychosocial model as opposed to biomedical model.
The ‘patient-as person’	Degree to which the doctor attempts to understand the patient’s unique experience of illness, incorporating understanding of the patient’s personality and context.
Sharing power and responsibility	Degree to which doctor and patient participate as equals in a collaborative relationship.
The therapeutic alliance	Degree to which doctor and patient develop a common understanding of goals of treatment and the requirements of the treatment.
The ‘doctor-as-person’	Degree to which personal qualities of the doctor, including awareness of emotional responses, influence the doctor-patient relationship.

Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med. 2000;51(7):1087–1110.

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