Document Type
Article
Publication Date
5-1-2020
Manuscript Version
vor
Abstract
In light of concerns over the potential detrimental effects of declining care continuity, and the need for connection between patients and health care providers, our multidisciplinary group considered the possible ways that relationships might be developed in different kinds of health care encounters.We were surprised to discover many avenues to invest in relationships, even in non-continuity consultations, and how meaningful human connections might be developed even in telehealth visits. Opportunities range from the quality of attention or the structure of the time during the visit, to supporting relationship development in how care is organized at the local or system level and in the use of digital encounters. These ways of investing in relationships can exhibit different manifestations and emphases during different kinds of visits, but most are available during all kinds of encounters.Recognizing and supporting the many ways of investing in relationships has great potential to create a positive sea change in a health care system that currently feels fragmented and depersonalized to both patients and health care clinicians.The current COVID-19 pandemic is full of opportunity to use remote communication to develop healing human relationships. What we need in a pandemic is not social distancing, but physical distancing with social connectedness. Keywords: COVID-19; clinician-patient communication/relationship; continuity of care; investing in relationship; primary care issues; relationship-centered care; telehealth; telemedicine.
Keywords
primary care issues, continuity of care, primary care issues, clinician-patient communication/relationship, relationship-centered care, telehealth, telemedicine, investing in relationship, COVID-19
Publication Title
Annals of Family Medicine
Rights
© 2020 Annals of Family Medicine, Inc.
Recommended Citation
David Bergman, Christina Bethell, Narangerel Gombojav, Sandra Hassink, Kurt C. Stange. Physical Distancing With Social Connectedness. The Annals of Family Medicine May 2020, 18 (3) 272-277; DOI: 10.1370/afm.2538