Abstract
The longitudinal care of patients with chronic illnesses is one of the most central respon- sibilities of a family physician's practice. To the patient-physician relationship, the patient brings his needs - arising from his prior life experiences, current life situation, resources, and explanatory models of illness. The physician brings expertise and evidence about the best care for the disease. The bridge connecting these two worlds is narrative-based medicine (NBM). An essential competency for the best care of patients with chronic illness is an amalgamation of evidence-based medicine (EBM) and NBM, based upon an underlying infrastructure of behavioral science. Although such knowledge, skills, and attitudes are essential, the very best longitudinal care develops over time and requires careful obser- vation by physicians. © 2003 Blackwell Publishing Asia and Wonca
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