Eliciting the Patient’s Explanatory Model of illness through a set of targeted questions shown below is an important tool for facilitat-ing cross-cultural communication, ensuring patient understanding, and identifying areas of con?ict that will need to be negotiated. The wording and number of questions used will vary depending on the, Kleinman’s Eight Questions Psychiatrist and anthropologist Arthur Kleinman’s theory of explanatory models (EMs) proposes that individuals and groups can have vastly different notions of health and disease. Kleinman proposed that instead of simply asking patients, “Where does it hurt,” the physicians should focus on eliciting the patient’s, 10/16/2020 · Arthur Kleinman ’s Eight Questions Friday, October 16, 2020. The 2020 Canadian Clinical Practice Guidelines for Adult Obesity stress the importance of patient-centred care and ensuring that we understand the patient’s story.. In this context, it may be a good idea to consider presenting the patient with Arthur Kleinman ’s eight questions .
Kleinman ’s Explanatory Model of Illness Kleinman and associates (1978) in their seminal paper further dis- cuss the importance of the explanatory model : “Eliciting the patient’s ( explanatory ) model gives the physician knowledge of the beliefs the patient holds about his illness, the personal and social meaning he attaches to his disorder …
To question Explanatory Models Kleinman has suggested to use seven key questions (Annex 1). These are answered by both the patient and the practitioner, first by the patient and than, 6/11/2013 · Kleinman proposed that instead of simply asking patients, “Where does it hurt,” the physicians should focus on eliciting the patient’s answers to “Why,” “When,” “How,” and “What Next.” Kleinman suggests the following questions to learn how your patient sees his or her illness: 1. What do you think caused your problem? 2.
articulated in 16 questions that clinicians might use to elicit information about key cultural aspects of the clinical presentation. Explanatory models are elicited in section 2, through a sequence of four questions exploring the patient’s, and their community’s, causal attributions, perceived stressors and contextual support.
1/2/2018 · Lloyd, KR, Jacob, KS, Patel, V, et al (1998) The development of the Short Explanatory Model Interview (SEMI) and its use among primary-care attenders with common mental disorders. Psychological Medicine , 28 : 1231–7.
