Disease – Illness Model Communication Models

1. Disease – Illness ModelCommunication Models By Ben Sturgess

2. Disease – Illness ModelCommunication Models • Stewart and Roter • Two tasks run in parallel • Doctors Framework / Agenda • Patients Framework / Agenda • Both frameworks are independent of each other • Integration of 2 pathways to agree management plan

3. Disease – Illness ModelCommunication Models • Doctor’s Disease Framework • History • Examination • Investigation • Differential Diagnosis

4. Disease – Illness ModelCommunication Models • Patient’s Illness Framework • Ideas • Concerns • Expectation • Thoughts • Feelings • Effects • The patient has a unique experience of their illness

5. Disease – Illness ModelCommunication Models • Integration • Explanation and planning • Shared understanding and decision making • Tennis elbow example • Presentation of arm pain • Doctor • Long explanation of pathology and mx • Patient • “Can I have a sick note for work?”

6. Disease – Illness ModelCommunication Models Patient presents problem Illness Framework (Patient’s agenda) Ideas Concerns Expectations Feelings Thoughts Effects Disease Framework (Doctor’s agenda) History - symptoms Examination - signs Investigations Understanding the patient’s unique experience of the illness Underlying pathology Differential diagnosis Explanation and planning : Shared understanding and decision making