Narrative competence gradually develops in the current healthcare system. Medical professionals comprehend, absorb, and perform acts based on the history of patients. Physicians effectively handle their patients' needs, especially during tough times because most individuals in need of treatment do not receive adequate care. These medical professionals understand their patients' health journey in depth, in that; they provide them with the necessary comfort and assistance needed during treatment. However, most physicians worry about future developments bound to occur in the health sector. Assistants in the medical field are obliged to acquiring essential skills that increase their associations with patients. Therefore, narrative competence helps bridge the gap between physicians and patients to create an environment where they can freely share their experiences. Creating a difference in medical professionals and patients' relations is dependent on the bio-psychosocial model because narrative medicine establishes a base for empathy, satisfaction and respect in healthcare.
Dr. Berwick's concern lies in the contemporary healthcare system, which requires empathy. Research done on the socioeconomic status of patients has determined the presence of a whopping number of persons living under poverty in America and other countries in the world. The healthcare system needs to take the economic status of individuals in society into consideration. A significant number of persons in the community experience financial burdens, mainly caused by bad health situations, increased costs of housing, and homelessness (Berwick, 2012). Physicians, therefore, need to develop a system where empathetic behaviors lead to effective treatment processes. Contemporarily, economically disadvantaged persons in the society experience increased hardships in their pursuit of healthcare. This severe condition develops from patients' inability to settle the medical bills subjected to them. The United States is an excellent example of a nation that neglects care for sick persons in society. Empathy, like that administered to Isaiah, needs adherence since Dr. Donald Berwick created an emotional connection with this patient that lasted for years.
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Patient-physician associations are important. Interactions with physicians are essential if patients are left satisfied. Medical professionals have the capability of comprehending the need for effectiveness in that; they create a friendly environment where anxiety elimination is present during interactions with people seeking treatment. Patients often feel well catered when medical professionals enquire for more information about them. Physicians need to demonstrate interactions that take into consideration compassion, altruism, courage, humility, trustworthiness, and respect. These attributes are bound to leave the patient submerged in harmony, making him or her satisfied with the interaction. Physicians can also create comfort by affirming the strengths depicted in humans, accepting weaknesses, and embracing the art of forgiveness. These practices are bound to make patients feel good about them irrespective of their health status. Bendapudi's ideologies are aligned with Charon's model of narrative medicine since they insist on the importance of integrating skills bound to increase interactions between patients and physicians. Engaging in these acts creates a patient-friendly environment where the information shared will increase the effectiveness in treatment processes.
The physician-self is a vital topic to be discussed based on Dr. Berwick's interaction with Isaiah. Dr. Berwick learned the art of respect, resilience, and embracing positivity from his patient. Narrative competence demands for mutual interactions that adhere to boundaries existing between the patient and physician. Even though individuals seek treatment and need to disclose information, medical professionals need to respect the amount of data required for a particular course (Underwood, 2010). Physicians need to create an empathetic environment that fosters mutual interactions. This association increases the likelihood of increased dispensation of information from the patient. Medical professionals, therefore, need to respect the patient by ensuring the data subjected to them is a secret. Information disclosure to third parties is bound to increase the exposure that links to affecting a person's social, mental, and physical life. Physicians, therefore, need to develop a mindset fixed with no intention of exposing the information presented by patients. Resilience and being positive are essential in healthcare. Dr. Berwick was mesmerized by Isaiah, especially during his relapse period, where instead of losing hope, he still believed in healing.
Matters of physician-society enable the extraction of most information through the discussions based on Dr. Berwick's experience with Isaiah. He requests medical doctors to incorporate entities that aid in the administration of healthcare to patients. Most individuals in society lack proper treatment due to socioeconomic factors. Governments need to consider the plights of financially challenged persons through improvising strategies that cater for their healthcare needs. Narrative competence is essential towards attaining Triple Aims in healthcare. Taking into consideration a patient's background before commencing treatment boosts their experience when seeking medical assistance. The narrative skill also creates a scenario where society boasts of healthy persons due to ease of access to healthcare (Berwick, 2008). Costs are also bound to reduce when medical provisioning considers the socioeconomic status of patients. Physicians should communicate on matters of health to the general public to create awareness of the current proceedings experienced in healthcare.
Narrative competency highly develops communication. Physicians are with skills bound to improve interactions with patients. These conversations are obliged to release the tensions that often occur in patients when conversing about their concerns. In my career, I will incorporate Charon's model in various ways. I will ensure my patients feel safe and comfortable during interactions by sharing my journey on matters of health and social interactions. This information disbursement strategy reduces tension by enabling the patient to interact with me freely.
References
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Bendapudi, N. M., Berry, L. L., Frey, K. A., Parish, J. T., & Rayburn, W. L. (2006, March). Patients' perspectives on ideal physician behaviors. In Mayo Clinic Proceedings (Vol. 81, No. 3, pp. 338-344). Elsevier.
Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: care, health, and cost. Health affairs , 27 (3), 759-769.
Berwick, D. M. (2012). To isaiah. JAMA , 307 (24), 2597-2599.
Berwick, D. M. (2013). Promising care: How we can rescue health care by improving it . John Wiley & Sons.
Charon, R. (2001). Narrative medicine: a model for empathy, reflection, profession, and trust. Jama , 286 (15), 1897-1902.
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: care, health, cost and meaning in work.
Underwood, H. R., & Kastenschmidt, W. (2010). U.S. Patent No. 7,693,728 . Washington, DC: U.S. Patent and Trademark Office.
