scholarly journals Medical Relief Trips...What’s Missing? Exploring Ethical Issues and the Physician-Patient Relationship

2016 ◽  
Vol 25 (1) ◽  
pp. 38 ◽  
Author(s):  
Stephanie Chow Garbern
Keyword(s):  
Medical Care ◽  
Ethical Issues ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Medical Relief ◽  
Physician Patient

"The welcome ceremony alone will leave you breathless as you become inspired by their overwhelming joy at you arrival. Here you will participate with the community and provide much needed medical care. The team will also provide care for the Talibe boys in Theis who go without medical care and are left to face disease on their own (Senegal, 2009)."

Ethical Aspects of Using Virtual Reality in Psychiatry

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 94-94
Author(s):  
Oana Maria Isailă ◽  
◽  
Sorin Hostiuc ◽  
Filip Curcă ◽  
George Cristian Curcă ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Ethical Issues ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Patient Relationship ◽  
Ethical Aspects ◽  
Physician Patient Relationship ◽  
Additional Layer ◽  
Areas Of Interest ◽  
Physician Patient

"Virtual reality (VR), initially a form of entertainment has begun to find its way in healthcare practice. One of its main areas of interest is the treatment of psychiatric disorders. When using VR, the basic ethical principles underlying the physician-patient relationship should be respected, but they should be customized by the presence of an additional layer of complexity generated by the interposition of the virtual world. The physician-patient relationship is often multidirectional, often including a larger team of healthcare professionals, family members or acquaintances, working conjointly to optimize the medical care. Each time other participants are involved within this relationship, the complexity of the ethical issues tends to increase. For example, if the patient has decreased insight, it is possible that other persons must make some medical decisions – resulting a prioritization of beneficence compared to autonomy. Also, we must take into account the fact that many psychiatric symptoms can be seen as a form of “virtual reality” by the patient. The healthcare provider must take additional safety measures to minimize the harms made by VR techniques in psychiatric patients, by using methods that are individually tailored. The main aim of this paper is to debate the ethical aspects surrounding the applicability of virtual reality in treating psychiatric patients, with an emphasis on the elements that were mentioned earlier. "

The Ethics of Medical AI and the Physician-Patient Relationship

2019 ◽  
Vol 29 (1) ◽  
pp. 115-121 ◽  
Author(s):  
SALLY DALTON-BROWN
Keyword(s):  
Healthcare Workers ◽  
Data Privacy ◽  
Medical Information ◽  
Ethical Issues ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Positive Shift ◽  
Physician Relationship ◽  
Physician Patient

Abstract:This article considers recent ethical topics relating to medical AI. After a general discussion of recent medical AI innovations, and a more analytic look at related ethical issues such as data privacy, physician dependency on poorly understood AI helpware, bias in data used to create algorithms post-GDPR, and changes to the patient–physician relationship, the article examines the issue of so-called robot doctors. Whereas the so-called democratization of healthcare due to health wearables and increased access to medical information might suggest a positive shift in the patient-physician relationship, the physician’s ‘need to care’ might be irreplaceable, and robot healthcare workers (‘robot carers’) might be seen as contributing to dehumanized healthcare practices.

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.

Basics of Ethical Issues in Obstetrics

2020 ◽  
Vol 3 (1) ◽  
pp. 01-02
Author(s):  
Gopa Chowdhury
Keyword(s):  
Decision Making ◽  
High Risk ◽  
Medical Ethics ◽  
Medical Practice ◽  
Ethical Issues ◽  
Positive Outcome ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Health Organizations ◽  
Physician Patient

Obstetrics is a high-risk specialty with the challenge of wellbeing of mother and baby. Medical ethics, a disciplined study of morality concern obligations of physicians and health organizations to patients as well as the obligations of the patients, is an integral part of medical practice which builds and sustains physician patient relationship and involves a systemic approach to decision making and actions while being secular. Primary strands of thoughts: Utilitarian, considers most positive outcome and Deontological, judges if action right or wrong, consequences of actions not considered.

Optimizing Telemedical Care in Neurological Outpatients by Characterizing the Patients’ Needs in Physician-Patient Relationship - Content Analysis of Guideline-Based Interviews

2021 ◽  
Author(s):  
Till Hamann ◽  
Stella Lemke ◽  
Peter Kropp ◽  
Florian Rimmele ◽  
Tim P. Jürgens ◽  
...  
Keyword(s):  
Content Analysis ◽  
Medical Care ◽  
Qualitative Content Analysis ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
New Concepts ◽  
Neurological Patients ◽  
Time Savings ◽  
Physician Patient ◽  
Telemedical Care

Abstract BackgroundThe use of new concepts in patient care, such as video-consultation, reminder systems and online-evaluation portals is becoming increasingly important in the physician-patient relation and in the care of outpatients. This study examines the acceptance of these approaches in a neurological setting and characterizes the patients’ preferences.MethodsWe analyzed 16 guideline-based qualitative interviews with neurological patients using qualitative content analysis (inductive category formation). ResultsThe patients commented on benefits and challenges of integrating new concepts of medical care. They identified advantages of telemedical care, including time savings for both the patient and the physician, the prospect of more intensive care and the possibility of quick response in case of urgent needs. Several challenges were reported, such as the limitations for patients with chronic or complex diseases and limited options for diagnostic procedures (such as physical examination)For individual neurological patient’s needs, telemedical and telecommunication structures could be discussed which support the respective requirements of the patients such as answering questions while having a recall, avoiding of the journey and time-savings. Also, they are rejecting evaluation portals and are skeptical about telecare in the treatment of neurological diseases.Discussion/ConclusionsThe neurological patients can be characterized as individuals with different ideas of an optimal physician-patient relationship. A successful integration of new concepts in medical care depends on fulfilling the individual patient’s needs. Regardless of the preferred form of the physician-patient relationship, there are specific instruments that can intensify the relationship. These individual needs of the patients must be inquired about and implemented.

“Difficult Patients” as Family Physicians Perceive Them

1996 ◽  
Vol 79 (2) ◽  
pp. 539-544 ◽  
Author(s):  
Roger C. Katz
Keyword(s):  
Medical Care ◽  
Family Physicians ◽  
Chronic Illnesses ◽  
Patient Relationship ◽  
Point Scale ◽  
Physician Patient Relationship ◽  
Difficult Patients ◽  
Disease Patterns ◽  
Item Questionnaire ◽  
Physician Patient

The physician-patient relationship is an important part of medical care. This study examined events that can jeopardize that relationship, i.e., patients' behaviors and attributes that physicians find frustrating. Data were collected from practicing family physicians ( N = 34) using a 32-item questionnaire developed by the author. Items were drawn from previous research on the behaviors of difficult patients and checked for relevance by two family physicians before the study began. Coefficient alpha was .92. Participants were predominantly male physicians who had been in practice for an average of 18 years. They were asked to indicate if they found specific patients' characteristics frustrating or annoying by using a 9-point scale with end-points of “not at all frustrating or annoying” (1) and “very frustrating or annoying” (9). The physicians rated half of the listed patients' attributes as at least moderately frustrating (mean rating >6). Over 80% of the physicians were frustrated by patients who expected a “cure,” brought up new symptoms at the last moment, appeared to be malingering, or refused to take responsibility for their health. They were least frustrated by disease-related conditions such as degenerative or chronic illnesses. The physicians' ratings were unrelated to their years of experience. Results are discussed in relation to changing disease patterns which have occurred in this country over the last half-century.

scholarly journals Optimizing telemedical care in neurological outpatients by characterizing the patients’ needs in the physician–patient relationship—content analysis of guideline-based interviews

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Till Hamann ◽  
Stella Lemke ◽  
Peter Kropp ◽  
Florian Rimmele ◽  
Tim P. Jürgens ◽  
...  
Keyword(s):  
Content Analysis ◽  
Medical Care ◽  
Qualitative Content Analysis ◽  
Qualitative Interviews ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
New Concepts ◽  
Neurological Patients ◽  
Physician Patient ◽  
Telemedical Care

Abstract Background The use of new concepts in patient care, such as video-consultations, reminder systems, and online evaluation portals, is becoming increasingly important in the physician–patient relationship and outpatient care. This study examines the acceptance of these approaches in a neurological setting and determines the patients’ preferences. Methods We analyzed 16 guideline-based qualitative interviews with neurological patients using qualitative content analysis (inductive category formation). Results The patients commented on the benefits and challenges of integrating new concepts of medical care. They identified advantages of telemedical care, including time savings (7 of 16; 43,8%) for both the patient and the physician, the prospect of more intensive (4 of 16; 25%) care, and the possibility for a quick response in case of urgent needs (3 of 16; 18.8%). Several challenges were reported, such as the limitations for patients with psychiatric (2 of 16; 12.5%) or complex diseases (4 of 16; 25%) and limited options for diagnostic procedures (such as physical examination (4 of 16; 25%)). For individual neurological patients' needs, telemedical and telecommunication structures could be discussed, which support the patients' specific requirements, such as answering questions while having a recall (2 of 16; 12.5%) and avoiding the journey (8 of 16; 50%). Also, patients are rejecting evaluation portals and are skeptical of telecare in the treatment of neurological diseases. Discussion The perception of telemedical care and the successful integration of new medical care concepts depend on fulfilling the individual patient’s needs. Regardless of the preferred nature of physician–patient interactions, there are specific instruments that can intensify the relationship. These individual needs of the patients must be inquired about and accommodated for. Conclusions For the first time, we could characterize the properties of optimal telemedical care for neurological patients. Interviews like the ones we conducted should be repeated during and after the pandemic, referring to our results and compare.

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