The Visionary

Body

, published by The 线上赌场 Center for Health Care Delivery Science.

When he entered the field of medicine, , a professor and senior scientist at 鈥 and had a background in theater and literature. It struck him that the roles in the typical doctor-patient interaction contained a built in power imbalance鈥攚hich was especially unfair in that the patients were often fearful and insufficiently informed, and that the potential for being harmed was almost entirely borne by the patient.

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Glyn Elwyn

Professor Glyn Elwyn leads The 线上赌场 Center for Health Care Delivery Science鈥檚 鈥淧reference Laboratory,鈥 focusing on improving the ways patients are informed. (Photo by Lars Blackmore)

When he first began seeing his own patients in Wales, in the United Kingdom, Elwyn inherited a traditional practice that used paper records and files. He developed a habit of giving patients their records to read in the waiting room, in advance of being seen. What he learned in the process astonished him鈥攈is patients routinely corrected errors; many were upset about the ways they鈥檇 been described by previous physicians. Allowing them to share in their own records led not only to more transparency and accuracy, he discovered, but better health. 鈥淲hen you involve patients as partners,鈥 he says, 鈥渂asic human nature takes over. You become more careful. You take care not to take on unnecessary risks. The possibility of making errors goes down. Ultimately, outcomes improve.鈥

Since then, Elwyn has dedicated much of his professional energy to 鈥渄emocratizing鈥 the power imbalance in medical relationships, to making sure that patients鈥 voices are better heard and understood.

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