A critique of the biomedical model: The clash between physician and patient expectations.

摘要

Biomedicine evolved from art to science. Based on the science, biomedicine built its culture. The scientific biomedical culture cannot cope with individual needs expressed during a consultation. The doctor-patient relationship, more than a simple encounter where biomedicine can flex its muscles against a disease, is the expected moment where the patient's illness will be alleviated. The scientific construct "disease" has no correlation with the social construct "illness". Doctor and patient are, therefore, not in opposing fields but in different universes. It is time for a paradigm shift.