What is it about?
Many symptoms persist despite the best of our pills and procedures. Setting out the 4D model, this paper offers a reasoned method to help sufferers and their health professionals to address this impasse. The techniques described can be widely applied to create consultations that are more effective, collaborative - and enjoyable.
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Why is it important?
Long term symptoms and the medications used to manage them are a major cost concern for governments, health services and employers. For clinicians and patients alike, they frustrate, reducing quality of work and life. Using the holistic 4D model can mitigate these problems - to wide benefit.
Perspectives
This work grew from listening to many people and families whose life-changing conditions, and the symptoms they bring, weren’t readily going to go away. Instead, we had to think about what it is to live as well as possible despite suffering. Together, we recognized there can still be hope for better, and an art to make it so.
Edwin Jesudason
NHS Lothian
Read the Original
This page is a summary of: The 4D Model: Rehabilitating Unrealistic Medicine, British Journal of Hospital Medicine, April 2025, Mark Allen Group,
DOI: 10.12968/hmed.2024.0845.
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