1. A focus on the patient’s individual disease and illness experience: exploring the main reasons for their visit, their concerns, and need for information |
The 3D review template began with a question about patients’ most important concerns and then had questions about quality of life as part of a comprehensive review |
2. A biopsychosocial perspective: seeking an integrated understanding of the whole person, including their emotional needs and life issues |
The 3D template included questions about quality of life, and incorporated depression screening. Continuity of care was intended to facilitate developing knowledge of patients’ circumstances |
3. Finding common ground on what the problem is and mutually agreeing management plans |
The 3D template when completed produced a printable summary of the patient’s agenda based on patient’s primary concerns. The template also prompted development of printable collaborative management plans to address patients’ goals |
4. Enhancing the continuing relationship between the patient and doctor (the therapeutic alliance) |
A named doctor and nurse allocated to each patient who would see the patient for every review and for interim visits to increase continuity of care |