PT  - JOURNAL ARTICLE
AU  - Buetow, Stephen A.
TI  - To Care Is to Coprovide
AID  - 10.1370/afm.342
DP  - 2005 Nov 01
TA  - The Annals of Family Medicine
PG  - 553--555
VI  - 3
IP  - 6
4099  - http://www.annfammed.org/content/3/6/553.short
4100  - http://www.annfammed.org/content/3/6/553.full
SO  - Ann Fam Med2005 Nov 01; 3
AB  - Although primary care, including family medicine, recognizes different types of clinician-patient interaction, I argue that only interactions characterized by coprovision define care. By coprovision I mean that clinicians and patients each provide the expertise in health care that they have the capacity to contribute in any given situation. I argue that paternalism and consumerism cannot signify care in any real sense. Some implications of this analysis include a reconceptualization of family medicine and its defining attributes; support for features of caring relationships, such as mutual responsiveness and responsibility; and an acknowledgment that clinicians and patients need to be self-regarding as well as other-regarding. In a previous issue of the Annals, I called for a new dictionary for family medicine, one that would redefine attributes of family medicine in ways not exclusively clinician-centric. Specifically, it would acknowledge the role of patients and their informal caregivers as coproviding, not merely consuming, health care.