What is narrative-based medicine? Narrative-based medicine 1

• Published in: Canadian family physician Vol. 64; no. 3; pp. 176 - 180
• Main Author: Zaharias, George
• Format: Journal Article
• Language: English
• Published: Canada College of Family Physicians of Canada 01.03.2018
• Subjects: Clinical medicine; Evidence-Based Medicine; Family physicians; Holistic medicine; Humans; Narration; Narrative Medicine - methods; Narratives; Patients; Physician patient relationships; Physician-Patient Relations; Practice
• ISSN: 0008-350X; 1715-5258

To raise awareness of narrative-based medicine (NBM) as a valuable approach to the consultation, which, if practised more widely by GPs, would convey considerable benefits to both patients and physicians. Principally, the perspectives of 2 of NBM's key proponents, Rita Charon and John Launer. This first in a series of 3 articles outlines what NBM is and its benefits. In holding the patient story as central, NBM shifts the doctor's focus from the need to problem solve to the need to understand. As a result, the patient-doctor relationship is strengthened and the patient's needs and concerns are addressed more effectively and with improved health outcomes. The healing power of narrative is repeatedly attested to but the scientific evidence is sparse. If NBM is to be incorporated more broadly in clinical practice, more research is needed to better define NBM's role, understand the specific skills required for practice, and determine NBM's outcomes with respect to illness and disease.