scholarly journals Hippocrates Revisited

2016 ◽  
Vol 21 (1) ◽  
pp. 33
Author(s):  
Gary Schwartz
Keyword(s):  
United States ◽  
Medical Students ◽  
Medical Schools ◽  
Fundamental Principle ◽  
Hippocratic Oath ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Latin Language ◽  
Do No Harm ◽  
Physician Patient

A fundamental principle upon which the physician-patient relationship has come to rest is that of “primum non nocere,” translated from Latin to “first, do no harm.” It is often erroneously attributed to the Hippocratic Oath that graduating medical students swear by at more than 60% of United States medical schools (Tung and Organ, 2000), which actually lacks that phrasing, although it certainly acknowledges the principle of non-maleficence. Some sources attribute the Latin language of “primum non nocere” to the Roman physician Galen, c. 129–200 C.E. (Weitzel, 1996). 

scholarly journals United States Physician Preferences Regarding Healthcare Financing Options: A Multistate Survey

Pharmacy ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 131
Author(s):  
Shamima Khan ◽  
Joshua Spooner ◽  
Harlan Spotts
Keyword(s):  
United States ◽  
Insurance Coverage ◽  
Professional Autonomy ◽  
Patient Relationship ◽  
Healthcare Financing ◽  
Physician Patient Relationship ◽  
Single Payer ◽  
Physician Patient ◽  
The Impact ◽  
System Orientation

Background: Not much is currently known about United States (US) physicians’ opinions about healthcare financing, specifically subsequent to the creation and implementation of the Affordable Care Act (ACA). Objectives: A four state survey of practicing US based physicians’ opinions about healthcare financing following ACA passage and implementation. Methods: Physician leaders practicing in the state of New York, Texas, Colorado and Mississippi were surveyed. Two factor analyses (FA) were conducted to understand the underlying constructs. Results: We determined the final response rate to be 26.7% after adjusting it for a variety of factors. Most physicians favored either a single payer system (43.8%) or individualized insurance coverage using health savings accounts (33.2%). For the single-payer system, FA revealed two underlying constructs: System orientation (how the physicians perceived the impact on the healthcare system or patients) and individual orientation (how the physicians perceived the impact on individual physicians). Subsequently, we found that physicians who were perceived neutral in their attitudes towards physician-patient relationship and patient conflict were also neutral in reference to system orientation and individual orientation. Physicians who were perceived as stronger on the physician-patient relationship were more supportive of a single-payer system. Conclusion: This study brings attention to the paradox of social responsibility (to provide quality healthcare) and professional autonomy (the potential impact of a healthcare financing structure to negatively affect income and workload). Efforts to further reform healthcare financing and delivery in the US may encounter resistance from healthcare providers (physicians, mid-level prescribers, pharmacists, or nurses) if the proposed reform interferes with their professional autonomy.

scholarly journals Perspectives and Values of Dental Medicine Students Regarding Domestic Violence

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 780
Author(s):  
Oana-Maria Isailă ◽  
Sorin Hostiuc ◽  
George-Cristian Curcă
Keyword(s):  
Domestic Violence ◽  
Medical Students ◽  
Ethical Issues ◽  
Physical Violence ◽  
Fundamental Problem ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Learning Platform ◽  
E Learning ◽  
Physician Patient

Background and Objectives: The purpose of this study is to evaluate dental medical students’ opinions concerning domestic violence from a social and medical standpoint and from the perspective of the moral values of the physician–patient relationship. Materials and Methods: We performed an observational study with 4- and 5-year dental medical students at the UMF “Carol Davila” in Bucharest from October 2020–May 2021, using a questionnaire containing 20 items on domestic violence (DV). The questionnaire was uploaded online on the e-learning platform where the students have access. To collect the data, we used Microsoft Excel 365, and the statistical analysis was performed using Jamovi. Results: Of the 600 students enrolled, 415 answered the questionnaire, the answering rate being 69.16%. A total of 215 (53.1%) personally knew victims of DV, 4 (1.0%) considered that violence within a couple is necessary for certain situations, 401 (99.0%) considered that domestic violence is a fundamental problem in today’s society, and 170 (41.5%) felt that in domestic violence situations, the blame lies solely with the partner who resorts to physical violence. Regarding the role of the physician, 220 (56%) considered that the physician should breach confidentiality and report cases when patients state they are a victim of DV, 337 (88.2%) thought that free medical treatment should be provided for DV victims who have a dire financial situation, and 212 (56.7%) considered that victims of DV are non-compliant patients. Conclusions: Domestic violence is a phenomenon well-known to stomatology students, which creates the premise of an excellent physician–patient relationship with them, aiding in proper management of ethical issues such as a potential need to breach confidentiality or evaluate the potential conflicts between autonomy and beneficence.

Leading up to The Myth of Mental Illness

Thomas Szasz ◽  
2019 ◽  
pp. 12-19
Author(s):  
Jan Pols
Keyword(s):  
United States ◽  
Mental Illness ◽  
The United States ◽  
Early Years ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
The Social ◽  
Physician Patient ◽  
Psychiatric Establishment ◽  
Controversial Nature

The Myth of Mental Illness was the book that launched Szasz’s reputation as a critical psychiatrist. Although he was aware of its controversial nature, the storm it generated in the United States and beyond took him by surprise. Examining the early years of Szasz’s career and contermplating certain contextual factors, in particular the sociopolitical background that shines through his work in many ways, as well as the social circumstances around psychiatry at the time, show to what extent his publications before 1961 predicted his later rebellion against the psychiatric establishment. In these early discussions of such topics as pain, psychosomatic illness, and scientific reductionism, one sees germs of his bent toward libertarian sociological, philosophical, and ideological theories of psychoanalyis, the physician-patient relationship, sociopolitical psychology, and culture in general.

Managed Care, Doctors, and Patients: Focusing on Relationships, Not Rights

2003 ◽  
Vol 12 (3) ◽  
pp. 300-307 ◽  
Author(s):  
ROBYN S. SHAPIRO ◽  
KRISTEN A. TYM ◽  
DAN EASTWOOD ◽  
ARTHUR R. DERSE ◽  
JOHN P. KLEIN
Keyword(s):  
United States ◽  
Managed Care ◽  
The United States ◽  
Published Data ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Physician Relationship ◽  
Physician Patient ◽  
The Impact ◽  
Physician’S Perspective

For over a decade, managed care has profoundly altered how healthcare is delivered in the United States. There have been concerns that the patient-physician relationship may be undermined by various aspects of managed care, such as restrictions on physician choice, productivity requirements that limit the time physicians may spend with patients, and the use of compensation formulas that reward physicians for healthcare dollars not spent. We have previously published data on the effects of managed care on the physician-patient relationship from the physician's perspective. In 1999, we collected data on the impact of managed care arrangements on the physician-patient relationship from the patient's perspective. This article discusses our collective findings.

Simulation-Based Training of Communication and Emotional Competence for the Improvement of Physician-Patient Relationship

2006 ◽  
Author(s):  
Luigi Anolli ◽  
Fabrizia Mantovani ◽  
Alessia Agliati ◽  
Olivia Realdon ◽  
Valentino Zurloni ◽  
...  
Keyword(s):  
Emotional Competence ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Simulation Based ◽  
Physician Patient

Crisis and Informed Consent: Analysis of a Law-Medicine Malocclusion

1987 ◽  
Vol 12 (1) ◽  
pp. 55-97 ◽  
Author(s):  
Fran Carnerie
Keyword(s):  
Informed Consent ◽  
Medical Treatment ◽  
Clinical Setting ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Catastrophic Illness ◽  
Physician Patient ◽  
Emotional Impairment

AbstractMany individuals develop a temporary state of cognitive and emotional impairment after being diagnosed with catastrophic illness. Thus, when crucial decisions about medical treatment are required, they are unable to assimilate information; or worse, the legal need to be informed can rival a psychological desire to not be informed. The Canadian informed consent doctrine is unresponsive to crisis and clinically impracticable, and so paradoxically compromises the integrity and autonomy it was designed to protect. Many aspects of the physician-patient relationship and clinical setting also undermine the philosophical values enshrined in this doctrine. This further jeopardizes the individual's integrity. The Article explores proposals for change such as delaying the informing and consenting, improving the concept of consent, and improving the role of the physician.

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