THE CIRCULAR CARE MODEL
Based on a multidimensional approach, 4-HSN suggests modifying the office environment by removing any type of professional shield that prevents free communication with the patient. This includes any physical or emotional barriers placed between the doctor, the patient, and the family that may block spontaneous dialogue. The interview (anamnesis) is carried out in a face-to-face conversation, providing continuous eye contact and creating a desirable balance in the doctor-patient relationship. It takes place in a living room, where the doctor, patient, and family are accommodated in comfortable chairs that assume a circular distribution, creating a relaxed atmosphere. The goal is to exercise empathy, better understanding the patient’s complaints. The presence of family members is encouraged, as our care model works in a patient-family binomial. Doctors should not wear white coats or any type of stereotypical physician attire. The room does not display the physician’s titles, awards, and other professional achievements, as the focus must be on the patient’s needs. During the interview, the physician does not use a computer or any other type of device that obscures or diverts direct eye contact with the patient. A free dialogue is initiated, giving the patient all the time necessary to express their problems, doubts, insecurities, and expectations. When the patient brings previous exams, the doctor should reserve some time to analyze them later, not taking away the humanized focus of the first interview.
