EDITORIAL INTRODUCTION LEARNING AND LIVING IN THE LANDSCAPE OF PERSON-CENTRED CARE

• Published in: International journal of person centered medicine Vol. 9; no. 2
• Main Authors: Appleyard, James, Van Staden, Werdie
• Format: Journal Article
• Language: English
• Published: Birmingham The University of Buckingham Press 07.04.2021
• Subjects: Medical students; Patient-centered care; Professional relationships; Quality of life; Working conditions; Japan; Germany
• ISSN: 2043-7730; 2043-7749
• DOI: 10.5750/ijpcm.v9i2.966

This issue contributes a further four international articles from the USA, Peru, Germany and Japan on wellbeing, work-life balance and burn-out, which underline the need for a person- and people-centered approach. The first paper explores, documents and discusses the concepts and procedures for positive health, particularly well-being and quality of life, within the framework of person centered medicine and health. The importance ascribed to positive health is growing internationally, with particular focus on Well-being and Quality of Life. The paper identifies some useful and encompassing instruments for assessing these concepts, which have general applicability and are substantially validated internationally. These instruments and the principles underlying them need to be incorporated into the education of medical students. Our second paper ‘on becoming a physician’ provides a qualitative analysis of medical students’ perspectives on their academic environment, well-being and mental health. Positive human connections during undergraduate years are key to dealing with adversity and helping to shape a healthier generation of practitioners Once in practice as young physicians, our third paper from Japan concludes that in order to continue their careers without burning out and excel in various fields, a health system must be created that allows for efficient learning and work–life balance for both mental and physical wellbeing. Once in established practice the maintenance of professional relationships and the nature of physicians employment within the health system become crucial as is clear from our fourth article from Germany where satisfaction with working conditions and income is high among German self-employed ambulatory doctors and psychotherapists whereas being employed by employers who are increasingly interfering with clinical practice – whether in a hospital or in an ambulatory practice – appears to decrease satisfaction with working conditions among doctors. This group is at higher risk of experiencing burn-out or have their well-being compromised, and a decreased satisfaction with working conditions among doctors.