A brief history: the medical model

Historically doctors consulted using a medical model treating the disease not the person.

Farre & Rapley (2017) stated that “whilst the term ‘disease’ would typically have a strictly physiologically based definition, the term ‘illness’ would typically be defined in terms of the human experience of ‘ill health’, encompassing both an objective and a subjective reality in its definition.

They suggested that if we are to provide a basis for understanding the determinants of disease and arriving at rational treatments and patterns of health care, a medical model must also take into account the patient, the social context in which he lives, and the complementary system devised by society to deal with the disruptive effects of illness.

The Aligned Care approach promotes just that, looking at the disease but in the context of the whole person.

A medical practitioner examining a urine flask. Oil painting by C. De Bie (?) after David Teniers the younger. Contributors: David Teniers (1610-1690); C. de. Bie. Work ID: xpshmcyw.

The next video shows an example of a consultation with a patient living with long term conditions. As you are watching it really think about what is missing from the consultation.