Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Health Care Processes and Decision Making
Lecture:The clinical process - overview of the classic paradigm
Gathering data and analyzing findings
Making a diagnosis
The impact of EHRs and technology on clinical decision-making
Slide content:How Stories Fit into Health System Part 1 Communication between patient and clinician Facts embedded in story (meaning to clinician) Meaning of the illness to the patient Communication and relationship building Therapeutic value Important aspect of quality of care 10
Slide notes:Kathryn Montgomery Hunter has examined some of the many ways that stories are used and why theyre important to the health care system. First, stories are the principal communication between patient and clinician. Before asking direct and pointed questions, clinicians are taught to ask open-ended questions that allow the patient to tell his or her story in its native form. The patients narrative enables the clinician not only to find facts embedded in the stories that are meaningful for generating a diagnosis but also to understand the meaning of the illness for the patient. Listening to the story is an important part of relationship building and may have therapeutic value on its own. The clinicians attentive listening can be a very important aspect of the quality of care as perceived by the patient. 10