Patient-Centred Medicine in Transition

The Heart of the Matter

  • Alan Bleakley

Part of the Advances in Medical Education book series (AMEDUC, volume 3)

Table of contents

  1. Front Matter
    Pages i-xiii
  2. Alan Bleakley
    Pages 1-18
  3. Communication in Medicine: Democracy and Its Discontents

    1. Front Matter
      Pages 19-19
    2. Alan Bleakley
      Pages 31-45
    3. Alan Bleakley
      Pages 47-56
    4. Alan Bleakley
      Pages 67-78
    5. Alan Bleakley
      Pages 79-94
    6. Alan Bleakley
      Pages 95-109
    7. Alan Bleakley
      Pages 111-126
  4. Deep Theorizing in Communication in Medicine: Relationships Between Team Process and Practitioner Identity

  5. A Brief but Provocative Conclusion

    1. Front Matter
      Pages 231-231
  6. Back Matter
    Pages 239-267

About this book


The recent history of medicine is one of great biological and technological advances. Diagnoses are being made earlier, diseases caught sooner, patients living longer. And yet there is one area that lags behind the rest of the field: despite the efforts of graduate courses and training manuals, too many doctors still find communication a challenge.


In Patient-Centered Medicine in Transition, the focus is not on skills or tools but on context to improve communication not only with patients, but between colleagues, with management, and within and across teams. Rigorous and readable, this timely manifesto presents new models of team process in patient-centered care, emphasizing their value in reducing harmful medical errors and improving patient care, safety, and outcomes.

Further, the author provides significant research evidence supporting democratic approaches to communication in medicine while also addressing vital questions of ethics, empathy, gender dynamics, and physician self-care. Included in the coverage:

  •  The epidemic of communication hypocompetence.
  • Patient-centeredness without a center.
  • How doctors think can be judged from how they listen and speak.
  • Working and learning in teams in the new era of health care.
  • Blunting Occam's Razor: team process and complexity theory.
  • Building a collaborative community in medical education research.

 Patient-Centered Medicine in Transition offers a bold new reconceptualization of an important topic and a roadmap to new frontiers in practice to be read and discussed by researchers and practitioners in medical education.


Communication and postiive patient healthhcare outcomes Communication skills and medical education Doctor identities and communication skills Doctor patient communication Doctor patient relationship Interpersonal communication and medical education

Authors and affiliations

  • Alan Bleakley
    • 1
  1. 1.and DentistryPlymouth University Peninsula School of MedicineCornwallUnited Kingdom

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing Switzerland 2014
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Print ISBN 978-3-319-02486-8
  • Online ISBN 978-3-319-02487-5
  • Series Print ISSN 2211-1298
  • Series Online ISSN 2211-1301
  • Buy this book on publisher's site