The biopsychosocial model - Have we made any progress since 1977?

Sixteen years ago this journal published an article entitled, "The Need for a Transitional Model: A Challenge for Biopsychosocial Medicine," (see record 2006-03022-002) which challenged George Engel's (see record 1993-18472-001) landmark article, "The Need for a New Medical Model: A Challenge for Biomedicine." In this article, the authors reviewed their experience with the biopsychosocial model in the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. A biopsychosocial orientation has mostly to do with interviewing and listening, and a psychosocial review of systems is needed, such as the patient-centered approach. The practical implementation of the model requires a suitable setting and more time for carrying on the desired dialogue with patients. Providing adequate time for staff meetings, patient presentations, clinical discussions, and feedback will encourage the use of the biopsychosocial model. Having psychologists and/or social workers in the primary care team and a psychiatric liaison system may enhance its application.