International journal of person centered medicine最新文献

{"title":"MÉDECINE DE LA PERSONNE (HEALING OF PERSONS)","authors":"J. Cox, James Appleyard","doi":"10.5750/ijpcm.v10i1.1047","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i1.1047","url":null,"abstract":"Médecine de la Personne as conceived by Paul Tournier is a relationship-based integrative body/mind/spirit approach towards all health care. The inter-war years were times of considerable personal and professional turmoil for Tournier, as well as growth, which influenced the decision to change his way of practising medicine. He became more open with patients and more willing to explore their underlying difficulties. Tournier recognised that Medicine is not just a scientific and technological matter; it has a human dimension as well. It uses science and technology in its fight against disease, but ‘through a personal relationship with a patient the doctor also helps the patient to become a person in the full sense of the term, not only in his or her individual development, but also in harmonious relationship with nature, with fellow human beings, and with God.’","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81576099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CULTURE IN PERSON- AND PEOPLE-CENTERED HEALTH CARE","authors":"Werdie van Staden","doi":"10.5750/ijpcm.v10i1.1050","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i1.1050","url":null,"abstract":"Background: Person- and people-centered medicine (PCM) underscores the importance of accounting for culture and cultural values. \u0000Objective: The objective of this article is to clarify the concept of culture and describe misleading or faulty ways of understanding this concept in averting blind-spots for culture in person- and people-centered health care. \u0000Method: Drawing on the conceptualization of PCM, the philosophy of values, values-based Practice, and principles of anthropology, misleading or faulty ways of understanding the concept of culture are identified by meeting criteria of conflation, confusing contingency as if necessity, being too narrow, or contracting blind-spots. \u0000Results: Six ways of understanding the concept of culture are identified that may undermine person-centered practice. These may be corrected by understanding culture as necessarily constituted by a set of shared practices underpinned by values. So understood, this clarifies the distinction between culture and group identity, and that: subcultures and counter-cultures are proper cultures; symbols, language, and geographic locality are contingent qualities of culture; culture is subject to change and not fixed by history or an individual’s group identity; and that culture is readily ascribed to others/foreigners owing to blind-spots for one’s own culture. \u0000Conclusion: By averting too narrow an understanding of culture and overcoming one’s blind-spot for one’s own cultural values, the clinician may recognize and account for culture and cultural values in person-centered health care. When the differences in cultural values bring about conflict or potential alienation in the interpersonal relationship, the differences need to be subjected practically to a process of dissensual decision-making, accounting for the uncommon ground within a safe space created by common ground and consensus.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77825301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AWARDING THE PAUL TOURNIER PRIZE 2020","authors":"J. Mezzich","doi":"10.5750/ijpcm.v10i1.1053","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i1.1053","url":null,"abstract":"The International College of Person Centered Medicine (ICPCM) has established the Paul Tournier Prize in order to promote Person Centered Medicine (PCM) by honoring Paul Tournier’s legacy, in cooperation with the Paul Tournier Association and the Paul Tournier family.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81728449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE SCIENCE OF WELL-BEING","authors":"C. Cloninger","doi":"10.5750/ijpcm.v10i1.1048","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i1.1048","url":null,"abstract":"People are innately resilient and able to create their own well-being if they learn to live in ways that are healthy, happy, and good. Current emphasis on costly care of discrete diseases for profit neglects more effective means of health promotion and disease prevention. Such emphasis has caused unsustainable damage to both the providers and recipients of profit-driven disease care, which fails to reduce the burden of disease efficiently and equitably. In this article, health and well-being are defined and ways to measure them are provided to facilitate clinical care and planning of effective health promotion and disease prevention. The physical, mental, social, and spiritual aspects of well-being are all strongly dependent on human personality; they are strongly intertwined with one another because health is highly dependent on personal behaviors and the socioeconomic influences. In turn, human personality depends on three systems of learning and memory: associative conditioning, intentionality, and self-awareness. Consequently, health and well-being are creative adaptive processes that can be deliberately enhanced so that individuals and their communities can learn to flourish. In contrast, the medical model of diseases as discrete entities with specific causes is approximate, imprecise, and fails to inform clinicians how they can optimally treat any individual person. Health promotion, disease prevention, and personalized disease care are each necessary components of health care. The science of well-being provides the essential facts and principles that can allow us to prioritize efforts to serve the well-being of others in ways that are effective, efficient, and equitable.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81070258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MENTAL HEALTH PROMOTION","authors":"George N Christodoulou","doi":"10.5750/ijpcm.v10i1.1049","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i1.1049","url":null,"abstract":"Background: Having the person at the center of health, both in person-centered clinical care and people-centered public health [1] are a guiding principle in health promotion. Mental health is an integral part of each person’s health and well-being. This is an absolute necessity always and more so during the years of the coronavirus pandemic and the post-pandemic “new normal”. \u0000Objective: To discuss the basic concepts of health, mental health, health promotion and mental health promotion, focusing on peace and justice, two key target areas and goals of mental health promotion [2,3]. \u0000Method: The holistic approach, the need to reduce stigma and discrimination, and the person- and people-centered approach in mental health promotion were reviewed. \u0000Results: The importance of identifying target populations and using paradigms of mental health promotion initiatives, like the Athens Mental Health Promotion Initiative, was noted, as well as the positive role played by celebrities who have excelled despite their mental disorders (“recovery”). The relevance of mental health promotion guidance and effectiveness of existing mental health promotion strategies have to be updated by further research in order to meet the need for intensification of mental health promotion efforts during the COVID pandemic. \u0000Conclusion: In the post-COVID era a “new normal” requires an update of policies for an intensified and different person-centered approach delivered by different providers to different recipients of services.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74069792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International College of Person Centered Medicine","authors":"J. Mezzich","doi":"10.5750/ijpcm.v10i1.1052","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i1.1052","url":null,"abstract":"Table of Contents \u0000Prologue: James Appleyard and Juan Mezzich \u0000SECTION 1: General Concepts and Program Organization \u0000Introduction to Section 1. Jim Appleyard and Juan E. Mezzich \u00001.1 Person Centered Medicine Foundations for Medical Education: Juan Mezzich, Ihsan Salloum, Levent Kirisci, Alberto Perales \u00001.2 Medical Professionalism and Ethical and Human Rights Foundations of Person Centered Medicine: Jon Snaedal \u00001.3 The Making of a Physician: A Person-centered Approach: Shridhar Sharma, Gautam Sharma \u00001.4 Concepts and Strategies of People-Centered Public Health: Fredy A. Canchihuaman, James Appleyard, Juan Mezzich \u0000  \u0000SECTION 2: Communication, Common Ground, Diagnosis, and Assessment \u0000Introduction to Section 2. James Appleyard and Juan E. Mezzich \u00002.1 Clinical Communication and Empathy: Michel Botbol \u00002.2 Setting a Common Ground for Collaborative Care and Clinical Interviewing: Juan Mezzich \u00002.3 Person-centered Integrative Diagnosis: Concepts and procedures: Ihsan Salloum and Juan Mezzich \u00002.4 Continuity and Integration of Person Centered Assessment and Care across the Lifecycle: James Appleyard and Michel Botbol \u0000  \u0000SECTION 3: Care Planning, Shared Decision-Making and Inter-Professional Collaboration \u0000Introduction to Section 3. James Appleyard and Juan E. Mezzich \u00003.1 Person-centered Care Planning and Shared Decision-making for Mental and Comorbid Conditions: Helen Millar \u00003.2 Shared Decision Making in Oncology and Palliative Care: Paul Glare \u00003.3 Shared Decision Making for Other General Conditions: James Appleyard and Jon Snaedal \u00003.4 Inter-professional Collaboration: Tesfa Ghebrehiwet \u0000  \u0000SECTION 4: Foundations and Horizons \u0000Introduction to Section 4. Juan E. Mezzich and Michael Wong \u00004.1 Médecine de la Personne: Tournier’s vision and legacy: John Cox and James Appleyard \u00004.2 The Science of Well-being: The physical, mental, and spiritual aspects of health are inseparable: C. Robert Cloninger \u00004.3 Mental Health Promotion: Person-Centered Perspective: George N. Christodoulou \u00004.4 Culture in Person- and People-Centered Health Care: Werdie Van Staden \u00004.5 Spirituality and Person-Centered Health Care: John Cox","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82023783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SPIRITUALITY AND PERSON-CENTERED HEALTH CARE","authors":"J. Cox","doi":"10.5750/ijpcm.v10i1.1051","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i1.1051","url":null,"abstract":"This paper proposes that the adoption of a Biosocial/Psychospiritual model, and a relational Body/Mind/Spirit approach (RBMS) to health care delivery will encourage increased awareness of the contribution of religious belief and spiritual Practice to health care provision. Problems of definition are outlined. The writings of Paul Tournier and in particular his concept of Medécine de la Personne (Healing of Persons) are considered and the educational challenges of these approaches briefly outlined.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79411674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2019 LIMA DECLARATION","authors":"J. Appleyard","doi":"10.5750/ijpcm.v9i4.1020","DOIUrl":"https://doi.org/10.5750/ijpcm.v9i4.1020","url":null,"abstract":"This Declaration has emanated from the Latin American Conference on Person-Centered Medicine, held in Lima-Peru on December 13 and 14, 2019, organized by the Peruvian Association of Person Centered Medicine (APEMCP), the Latin American Network of Person Centered Medicine (RLMCP), and the International College of Person Centered Medicine (ICPCM); under the auspices of the Peruvian Association of Faculties of Medicine (ASPEFAM), the Pan American Health Organization (PAHO / WHO), and the San Marcos National University (UNMSM).","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81081936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"WORK ENGAGEMENT AMONG HOSPITAL VOLUNTEERS","authors":"Esther Cisneros, R. Meda-Lara, María del Carmen Yeo Ayala, Andrés Palomera Chávez, Héctor Raúl Pérez Gómez, B. Moreno-Jiménez, Mariela Loreto Lara-Cabrera","doi":"10.5750/ijpcm.v9i4.1016","DOIUrl":"https://doi.org/10.5750/ijpcm.v9i4.1016","url":null,"abstract":"Background: Work engagement is defined as a positive, fulfilling, work-related state of mind characterized by vigor, dedication, and absorption. Even though volunteers at hospitals are deeply engaged in their unpaid work, there are no quick tools for measuring work engagement among these volunteers. The Ultra-short UWES-3 is a valuable research tool to measure engagement, indicating the need for its validation among volunteers. \u0000Several recent studies have explored the role of work engagement in volunteer work, mostly focusing on volunteers working in social and nonprofit settings. Little is known about how work engagement contributes to the well-being and quality of life of volunteers working in hospitals. Furthermore, in this context, the relationship between work engagement and burnout, referred to as a psychological syndrome of emotional exhaustion, is poorly understood. \u0000Objectives: The objectives of this study were to examine the factor structure of the UWES-3, and to undercover possible associations between work engagement, well-being, quality of life, and burnout among volunteers. \u0000Methodology: This cross-sectional study collected self-reported anonymous data from adults connected to volunteer organizations in Guadalajara, Mexico. \u0000Results: Confirmatory factor analysis supported the scale’s unidimensional structure. While well-being and quality of life were positively associated with work engagement, exhaustion showed the strongest negative relationship to work engagement. \u0000Discussion: Our results support the validity of the UWES-3 and suggest that work engagement contributes to well-being and quality of life, while exhaustion is negatively associated with work engagement. From a wider perspective, results from this study provide important insights to guide stakeholders, such as hospital administrators and volunteer organizations. \u0000Conclusions: Our findings support the validity of the UWES-3 among hospital volunteers, suggesting that the scale is an appropriate work engagement measure in this setting. This study provides a new understanding of the relationship between work engagement, burnout, and psychological variables among hospital volunteers.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79467485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2019 TOKYO DECLARATION","authors":"J. Appleyard","doi":"10.5750/ijpcm.v9i4.1019","DOIUrl":"https://doi.org/10.5750/ijpcm.v9i4.1019","url":null,"abstract":"As the Congress explored the nature of burnout among doctors and health professionals in differing settings and in different nations it is clear that burnout is a global phenomenon. An organizational paradigm changes to a person- and people-centered system that incorporates complexity, is adaptive and integrative is essential. Such a change will enable continuing medical education be effective and the current unaffordable and unnecessary waste of human resources that the Congress identified reduced. The Congress reviewed a range of features precipitating burnout including a dysfunctional work–life balance and a variety of relatively simple individually protective factors. It is because of this variety that person- and people-centered initiatives rather than narrowly based top-down management solutions will prove effective Individual-level actions can be taken to reduce stress and poor health symptoms through effective coping and promoting healthy behavior. But there needs to be a much better alignment between the health system and the individual physician so that there are shared professional values within a clear medical ethical framework [23] that encourages professional development and adaptation to the health service environment and health system.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89596833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}