Lifelong Learning Programme

This project has been funded with support from the European Commission.
This material reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein

Also available in:


Homepage > Databases > Best Practice

Best Practice

back to the list

Document Typology: Article
Target groups: Health Workers
country Where It Took Place: Other
Name of compiler: Tania Re
name of institution: Cipes piemonte
role: project coordinator
language Of The Description: English
title: Being present: The role of narrative medicine in reducing the unequal burden of pain
description Of The Best Practice:
The Institute of Medicine (IOM) of the National Academies (USA) in its report “Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare” concluded that racial and ethnic health care disparities (ie, the difference in health, disease burden, or clinical decisions or outcomes associated with disadvantage) existed and were unacceptable.
They further concluded in the research that health system, health care provider, and patient factors, as well as bias, stereotyping, and prejudice contributed to health care disparities within an historical and contemporary context that includes persistent racial and ethnic discrimination. Disturbing differences and disparities in the pain care experience based upon social determinants such as race, ethnicity, and class continue, with racial and ethnic minorities reporting more impairment in their overall health and less access to quality pain care
In the health care arena verbal and nonverbal communication, the process of sending and receiving information, is critically important to ensuring quality pain care. However, even under the best of circumstances, health care provider the patient communication can be fraught with misunderstandings and misinterpreta-tions affecting both patient and health care provider, behavior and decision-making. Differences in how patients communicate their pain concerns may increase the likelihood of their complaints being discounted, especially if the patient’s race, ethnicity, gender, class, or language is not congruous with their health care providers. In this context the study analyses the importance of narrative medicine, sharing histories is the first step to take part and acquire an empowered position relating to health. Narrative medicine is indeed a way to reduce pain taht is not only a phisical but a socio and cultural life aspect.
Quality indicators:
Use of means of narrative medicine
Importance of the he role of narrative medicine in reducing the unequal burden of pain.
In the article it is underlined that narrative medicine allows health care providers the opportunity to actively listen, feel, and be present. Narrative medicine also allows the patient to be heard, begin healing, and may be just what we need to reduce the unequal burden of pain and improve the quality of pain care for all.
In the article there is the use of means of narrative medicine.The means of narrative medicine are movies, books and experiences of theatre used with the aim to help the patients to tell their stories.

back to the list