Agency in health care. Examining patients' preferences for attributes of the doctor–patient relationship

1998 ◽  
Vol 17 (5) ◽  
pp. 587-605 ◽  
Author(s):  
Sandra Vick ◽  
Anthony Scott
Keyword(s):  
Health Care ◽  
Patient Relationship ◽  
Doctor Patient Relationship

scholarly journals Physician-Patient Relationship: The Present Situation and Our Responsibilities

2014 ◽  
Vol 41 (1) ◽  
pp. 55-58
Author(s):  
MS Islam ◽  
ST Jhora
Keyword(s):  
Health Care ◽  
Developed Countries ◽  
Present Moment ◽  
Patient Relationship ◽  
Professional Relationship ◽  
Physician Patient Relationship ◽  
Doctor Patient Relationship ◽  
Quality Health Care ◽  
Quality Health ◽  
Physician Patient

The "doctor-patient" relationship (DPR) or the "physician-patient" relationship (PPR) has long been recognized as a complex, multifaceted, and complicated balance of engagement between the care-seeker and the care-giver. The physician-patient relationship is central to the practice of healthcare and is essential for the delivery of high-quality health care in the diagnosis and treatment of disease. The doctor-patient relationship forms one of the foundations of contemporary medical ethics. In the present moment doctor-patient relationship (DPR) or physician-patient relationship (PPR) is one of the major issues in health-care throughout the world. The most common complains about the physicians of Bangladesh is their attitude towards the patients. The patients must have confidence in the competence of doctors and should feel that they can confide in him or her. For physicians, the establishment of a good relationship with the patients is also important. In developed countries students are taught from the beginning, even before they set foot in hospitals, to maintain a professional relationship with the patients, to uphold patients' dignity, and respect their privacy. These are deficient in Bangladesh. In addition to service factors, perceived treatment cost is another factor that patients may perceive as excessive. This special article reflects the importance as well as the necessary elements to establish this sacred relationship. DOI: http://dx.doi.org/10.3329/bmj.v41i1.18786 Bangladesh Medical Journal 2012 Vol. 41 No. 1; 55-58

Argumentation and informed consent in the doctor–patient relationship

2012 ◽  
Vol 1 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Jerome Bickenbach
Keyword(s):  
Health Care ◽  
Informed Consent ◽  
Patient Autonomy ◽  
Argumentation Theory ◽  
Necessary Condition ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Consent To Treatment

Argumentation theory has much to offer our understanding of the doctor-patient relationship as it plays out in the context of seeking and obtaining consent to treatment. In order to harness the power of argumentation theory in this regard, I argue, it is necessary to take into account insights from the legal and bioethical dimensions of informed consent, and in particular to account for features of the interaction that make it psychologically complex: that there is a fundamental asymmetry of authority, power and expertise between doctor and patient; that, given the potential for coercion, it is a challenge to preserve the interactive balance presumed by the requirement of informed consent; and finally that the necessary condition that patients be ‘competent to consent’ may undermine the requirement of respecting patient autonomy. I argue argumentation theory has the resources to deal with these challenges and expand our knowledge, and appreciation, of the informed consent interaction in health care.

Reflection Over Doctor Patient Relationship: A Promise of Trust

2014 ◽  
Vol 8 (2) ◽  
pp. 104-108 ◽  
Author(s):  
S Prasad ◽  
C Dhingra ◽  
R Anand
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Social Setting ◽  
Quality Service ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Care Delivery Model ◽  
Provision Of Care ◽  
The Relationship ◽  
Unique Relationship

ABSTRACT The doctor patient relationship is of primary importance in the overall health care delivery model. It is a unique relationship which depends on trust and confidence between the parties for the provision of care. Establishing a doctor/patient relationship may take place formally in the office setting or informally, such as by giving verbal advice in a social setting. Doctors enter into a doctor-patient relationship with a commitment to provide their patients with quality service. Patients are entitled to be treated with respect and without discrimination during all stages of the doctor patient relationship, even if the relationship faces termination. However, when circumstances affect the doctors ability to achieve this, the doctors may decide to end the doctors patient relationship.

scholarly journals Kommunikáció az egészségügyben – jogi vonatkozások

2016 ◽  
Vol 157 (17) ◽  
pp. 675-679
Author(s):  
András Mina
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Legal Aspects ◽  
Patient Relationship ◽  
Information Communication ◽  
Doctor Patient Relationship

This paper is focusing on the legal aspects of communication in health care, especially on doctor–patient relationship, responsibility for information, communication of adverse events, and legal declarations. Orv. Hetil., 2016, 157(17), 675–679.

Beyond Medicine: Healing Power in the Doctor-Patient Relationship

1985 ◽  
Vol 57 (2) ◽  
pp. 399-427 ◽  
Author(s):  
Lucille Hollander Blum
Keyword(s):  
Health Care ◽  
Physical Health ◽  
Physical Symptoms ◽  
Health Improvement ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Equal Importance ◽  
Healing Power ◽  
Physical Health Care ◽  
The Relationship

Healing power in the doctor-patient relationship is addressed to physicians in physical health care and to medical students but is of equal importance to dentists, social workers, nurses, and teachers in the field of physical health care. The presentation points up that in the relationship between physician and patient certain phenomena occur that are comparable to responses in the relationship between the psychoanalyst and analysand, such as transference and countertransference. This indicates that the physician in physical health care in effect is involved in some kind of psychotherapy. Aspects of the art of medicine are described. Emphasis is on the potential for patients' physical health improvement—placebo effect—when the providers' perception extends beyond focus on physical symptoms and disorders and includes attention to the patients' psychological and emotional needs.

scholarly journals The doctor-patient relationship

2017 ◽  
Vol 3 (2) ◽  
pp. 104
Author(s):  
Maria Vargiami ◽  
Maria Goula
Keyword(s):  
Health Care ◽  
Research Field ◽  
Human Relation ◽  
The Other ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
New Era ◽  
Different Types ◽  
The Relationship ◽  
Online Sources

The relationship between the doctor and the patient is a particular type of human relation. On one hand, the word «patient» states that a person is at a disadvantage, because of his/her illness, and therefore is automatically at a disadvantageous position compared to the doctor. On the other hand, the patient has the opportunity to inform him/herself from online sources, to communicate with other patients, to participate as equal and to choose consciously his/her treatment plan.There are many different types of patients depending on their personality and interaction with their doctor. These types constituted a research field in the 80’s which lead to the analysis of patients’ psychology. After an historical flashback, patients are put in categories according to their reaction to their illness. In addition, the verbal way of approaching patients by their doctor, the patients’ expectations and their encouragement by professionals to participate more actively concerning their health care is underlined. As a result, this is the beginning of a new era, where the patient has requirements concerning both the medical and the human aspect of the doctor-patient relationship.

scholarly journals Quality health care in Indian setup: an ear, nose, throat outpatient department-based approach for quality health care indicators

2020 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
Himanshu Joshi ◽  
Satyanjaya Sahoo ◽  
Vikas Kumar
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Care ◽  
Outpatient Department ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Quality Health Care ◽  
Hard Times ◽  
Quality Health ◽  
Health Care Indicators

<p><strong>Background:</strong> In this era doctor patient relationship facing hard times, especially in Indian setup. It is immensely evident in form of increasing lawsuits and violence against doctors. This brings patient centred approach with patient satisfaction into picture and further leads to concepts of quality health care. There is raised attention on enhancing the quality of life through the quality council of India. Here is an attempt to look for any causal association with the help of some routine indicators which if modified can lead to better state of doctor patient relationship.</p><p><strong>Methods:</strong> This study has taken patient satisfaction into consideration with the help of quality care parameters at ear, nose, throat (ENT), outpatient department in Indian setup. These indicators are based on parameters divided into hospital domain and doctor domain and each parameter is graded on 5-point Likert scale.</p><p><strong>Results: </strong>Score under doctor domain are significantly high statistically. Examination and communication by doctor (domain) are the parameters which scored the most. Under hospital domain the highest preference by patients in terms of score was given to hygiene and sanitation of hospital.</p><p><strong>Conclusions:</strong> Quality health care is multifactorial and parameters under hospital domain and doctor domain are interdependent to much extent. It has been concluded statistically that examination and communication by doctor derives a better sense of trust and doctor patient relationship significantly.</p>

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