I am also in full agreement with Massimo and David and have always greatly admired - and used - Helping Health Workers Learn. I am most interested in how we take forward these essential messages in the modern world. I believe that current educational methods are much more based on self-directed learning, but the approach doesn't tend to persist into every day life. In the UK I think that many GPs are prepared to listen to their patients and develop a partnership. But in my suspicion this is not the case globally, and the profit motive is part of this, and this takes us back to our capitalist society. So probably, political change is needed before we can expect doctors to change their habits... maybe members of the forum can offer examples of how to encourage a partnership approach by doctors and other health professionals in working with their patients and clients, particularly at primary care level.
HIFA profile: Tony Waterston is a retired consultant paediatrician who worked mainly in the community in Newcastle upon Tyne, UK. He spent 6 years working in Zambia and Zimbabwe and directed the Royal College of Paediatrics and Child Health Diploma in Palestinian Child Health teaching programme in the occupied Palestinian territories. He was an Editor of the Journal of Tropical Pediatrics and is on the Executive Committee of the International Society for Social Pediatrics. His academic interests are child poverty, advocacy for child health and children's rights. He is currently the lead moderator of CHIFA (HIFA's sister forum on child health and rights). www.chifa.org He is also a member of the HIFA Steering Group.
Tony.Waterston AT newcastle.ac.uk