Saturday, July 11, 2009

Health care's missing care

Health care's missing care (Globe & Mail Essay)

Caregiving is a lost art, says Arthur Kleinman –let's restore humanities to the same level as diagnosis and treatment

Arthur Kleinman

From Saturday's Globe and Mail

Most physicians, apart from primary-care providers, do little in the way of hands-on caregiving. Hospice doctors are caregivers; physicians who routinely deal with the end of life, such as oncologists and cardiologists and nephrologists and gerontologists, are surrounded by caregiving opportunities, yet few take part in its nitty-gritty – leaving the practical assistance and emotional tasks to nurses, social workers and the patient and his or her network of support.

In medical school, the curriculum in both basic science and the clinical-apprenticeship years places the greatest emphasis on understanding disease processes and high-technology treatments. The illness experience gets less and less pedagogic attention, as the student progresses from classroom to inpatient ward and clinic.

In the broader system of health care, students can all too readily discern that medicine largely leaves caregiving to others. Those others include nurses, whose professional science has made caregiving a central element of knowledge production and training."

Your thoughts?


Hannah said...


This is Hannah Bevills, I am an editor for We are a medical publication whose focus is geared towards promoting awareness on hospitals, including information, news, and reviews on them. We do this to promote the quality of a patients visit in offering them a chance to choose where they receive care. Given the relevance of what you are offering from your site and what our mission is, I feel we may be able to collaborate in some way or another, I look forward to your response regarding the matter.

Hannah Bevills

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