A Framework for Transformative Healthcare Practice: Review Article

Julian Ungar-Sargon

doi:10.58372/2835-6276.1313

Authors

Julian Ungar-Sargon

DOI:

https://doi.org/10.58372/2835-6276.1313

Keywords:

spirituality, healthcare, integrative medicine, narrative medicine, mindfulness, physician burnout, empathy training, trauma-informed care, medical humanities, therapeutic relationship, patient-centered care, sacred healing, holistic medicine, healthcare transformation, medical ethics, contemplative practices, healing presence, mind-body medicine, healthcare spirituality, provider wellness

Abstract

Contemporary healthcare finds itself at a crossroads. While technological advances have revolutionized our capacity to diagnose and treat disease, something essential seems missing from the healing encounter. Patients report feeling like numbers rather than persons, while healthcare providers experience unprecedented levels of burnout and moral distress (1,2). This disconnect suggests that our current paradigms, rooted in scientific reductionism and Cartesian dualism, may inadvertently fragment the very human experiences they seek to heal.

This essay proposes an integrative framework that honors both scientific rigor and the sacred dimensions of healing. Rather than abandoning evidence-based medicine, we argue for expanding our understanding of what constitutes evidence to include the profound ways that meaning, relationship, and transcendence influence health outcomes. Drawing from diverse fields—neuroscience, medical anthropology, trauma research, and theological scholarship—we outline twelve interconnected themes that could transform healthcare practice while maintaining its scientific foundation.

The framework we present here emerged from years of clinical practice working with patients whose suffering exceeded the boundaries of conventional diagnostic categories. Time and again, we encountered individuals whose healing required not just medical intervention but restoration of meaning, connection, and hope. These encounters forced us to grapple with fundamental questions: What does it mean to heal? How do we honor both the biological and spiritual dimensions of human suffering? Can medicine embrace mystery without abandoning rigor?

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