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IJHSE Abstract

Clinical Communication and Sustainable Healthcare Delivery in the Era of Pandemics: Revisiting Nigeria’s Biomedical Model

1Stephen Asombu Saa-Aondo, and 2Hajara Umar Sanda

Department of Mass Communication, Bayero University, Kano, Kano State, Nigeria.

Authors Contact Details: E-mail Addresses ✉:1= saasteven@yahoo.com; 2 = husanda2003@yahoo.com

Accepted January 27, 2021

Clinical activity is a communication activity, but Nigeria’s healthcare model does not recognise communication as integral in the clinical process. The recent pandemics have also proved the burden of public health as largely psychosocial, but again, the existing paradigm does not recognise the biopsychosocial nature of illness. This paper explored clinical communication and sustainable healthcare delivery in Nigeria based on the existing model, emerging paradigms and current realities. The paper used ethnographic and library methods. It justifies that the existing biomedical paradigm does not provide for the role of communication in clinical activity, which is sine-qua-non in attaining sustainable healthcare delivery; that, the country’s health system, both in policy and practice, does not recognise the patient as an important stakeholder whose participation in the clinical activity is integral for satisfactory outcome. It further identifies the failure of biomedicine in answering for the health needs of the people, evident in high rate of self-medication, resistance to medical programmes and facilities such as immunisation, anti-natal care. The paper recommends, amongst other things, remodelling of healthcare delivery on Biopsychosocial Model as proposed by George Engel for effective and sustainable healthcare delivery.

Key words: biomedical model, biopsychosocial model, clinical communication, sustainable healthcare delivery, Nigeria, pandemics.

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