title: Delivering patient-centred care in rural family practice: using the patient's concept of health to guide treatment.
abstract: Through an examination of the life of an 83-year-old patient diagnosed clinically with secondary progressive multiple sclerosis (MS), general practice specialists, consultants and junior doctors will see the importance of assessing their patient's concept of health and how to use this understanding to target healthcare options within their healthcare system. This article highlights, in a resource limited context of rural family practice, the utility of a strong physician-patient relationship, recalls the definition of patient-centred care, and the role of judicious inaction in certain contexts. These lessons can be extrapolated for use in more resource rich or specialised settings such as academic hospitals throughout Europe.
authors.affiliation: Department of Medicine, National University of Ireland-Galway, Co. Galway, Ireland.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Charlesworth
authors.affiliation: Department of General Practice, National University of Ireland-Galway, Co. Galway, Ireland.
authors.forename: Evelyn
authors.initials: E
authors.lastname: McManus
mesh_terms: D000369:Aged, 80 and over; D003695:Delivery of Health Care; D005194:Family Practice; D005260:Female; D006801:Humans; D007494:Ireland; D009103:Multiple Sclerosis / Q000175:diagnosis* / Q000628:therapy; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D010817:Physician-Patient Relations; D019035:Rural Health Services; D017741:Survivors; D016896:Treatment Outcome