Table 1

Particular Ways Relationship Might Manifest in Different Kinds of Health Care Encounters

Visit Type (Ordered Roughly From Least to More Relationship Oriented)Examples of How Relationship Might Particularly Manifest
TelehealthEasy access
Full attention to patient via the screen, or allowing no visual if that’s what the patient wants
Urgent careFocusing carefully on a single problem and arranging helpful follow-up
Being conveniently accessible in person
Emergency departmentGetting a lot of technical services and consultation in 1 stop
Arranging careful follow-up
Acute illness visit to usual source of careUsing longitudinal knowledge to contextualize and integrate care
Using the visit to check in on other ongoing care
Procedural visit to usual source of careBeing sure the procedure still needs to be done and is congruent with the patient’s values
Doing a good job with the procedure and considering follow-up options
Subspecialist visitProviding expertise in the disease of focus
Considering the disease in the context of the patient’s other illnesses, ongoing care, and life goals
Chronic disease managementConsider the illness context as well as the disease
Identifying personal, interpersonal, or community strengths to help patient follow up on disease-management plans
Well-care visitIdentifying personal, interpersonal, or community strengths to help patient follow up on health-promotion plans
Identify and connect to teachable moments
Mental health visitFocus on confidentiality
Taking a life course or developmental perspective
Integrative care of people with multiple complex medical and/or social needsLooking for synergies in causes and treatments across problems
Emphasizing contextual factors