scholarly journals 危言聳聽還是未雨綢繆？——談ＡＩ醫生與患者關係

2019 ◽  
Vol 17 (2) ◽  
pp. 73-77
Author(s):  
Yonghui MA
Keyword(s):  
Autonomous Agents ◽  
Well Being ◽  
Clinical Settings ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Systematic Analysis ◽  
Target Article ◽  
Digital Commons ◽  
The Difference ◽  
Applications Of Ai

LANGUAGE NOTE | Document text in Chinese; abstract in English only.The last few years have witnessed huge growth in the capabilities and applications of AI. The applications of AI in medical and clinical settings are also expanding at an unprecedented rate. AI is expected to help solve many medical and diagnostic problems and support well-being and health; however, concerns are also growing about the potential for AI doctors to undermine the traditional doctor–patient relationship. The article by Guobin Chen et al. provides a systematic analysis of this issue, to which the current paper is a response. The target article has two main parts. First, it seeks to determine whether the "significance" and "meaning" of the doctor–patient relationship will be eroded, or even eliminated, by AI technologies. Second, it discusses the difference between the Western emphasis on autonomous agents and the Chinese "Dao of completing and perfecting oneself" (cheng-ren zhi dao), and points out that it is very important to recognize this distinction when providing an alternative Chinese approach to the relationship between the AI doctor and patient.DOWNLOAD HISTORY | This article has been downloaded 21 times in Digital Commons before migrating into this platform.

scholarly journals 挑戰與應對——中國傳統哲學視角下ＡＩ時代的醫患關係

2019 ◽  
Vol 17 (2) ◽  
pp. 43-47
Author(s):  
Hanhui XU
Keyword(s):  
Alternative View ◽  
Patient Relationship ◽  
Foreseeable Future ◽  
Doctor Patient Relationship ◽  
Digital Commons ◽  
Confucian Thought

LANGUAGE NOTE | Document text in Chinese; abstract in English only.AI physicians may replace human physicians in the foreseeable future. This, according to some philosophers, would maximize patients’ autonomy by helping to eradicate the paternalistic model of the doctor–patient relationship. In my view, however, this trend might pose a new threat to patients’ autonomy: the domination of machines. AI physicians would become dominant, depriving patients of their autonomy. This issue cannot be appropriately addressed until an alternative view of the doctor–patient relationship is available. The Confucian perspective on this relationship may be helpful. In Confucian thought, interaction between the physician and the patient is crucial. Thus, a better model would involve doctors, patients and AI devices, with AI-based diagnosis helping doctors to serve patients as efficiently as possible.DOWNLOAD HISTORY | This article has been downloaded 22 times in Digital Commons before migrating into this platform.

scholarly journals 等著被說出的軀體與病患意義

2015 ◽  
Vol 13 (2) ◽  
pp. 41-44
Author(s):  
Hongzhong QIU
Keyword(s):  
The Body ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Clinical Model ◽  
Digital Commons ◽  
Phenomenological Perspective ◽  
The Senses

LANGUAGE NOTE | Document text in Chinese; abstract in English only.Sun’s article is a useful exploration of the body ethics model of medicine. However, a body is not the equivalent of a person—the body is waiting to utter its meaning. This commentary, which adopts a phenomenological perspective, discusses different ways of treating the body and of interrogating the senses of the body understood by patients and doctors. Divergent such senses influence the doctor-patient relationship in quite distinct ways. To establish a new clinical model, this commentary holds that we need to pay greater attention to the epistemology and methodology of somatic phenomenology, which can inspire us to understand the comprehensive significance of the body for medicine.DOWNLOAD HISTORY | This article has been downloaded 35 times in Digital Commons before migrating into this platform.

scholarly journals Escuta na relação médico-paciente: uma arte perdida

2020 ◽  
Vol 4 (2) ◽  
pp. 109
Author(s):  
Douglas Vinicius dos Santos Silva ◽  
Maria Gabriela Freitas Viana ◽  
Pedro Eduardo de Moura Souza
Keyword(s):  
Data Collection ◽  
Daily Life ◽  
Pathological Condition ◽  
Well Being ◽  
Relationship Development ◽  
Patient Relationship ◽  
Human Beings ◽  
Doctor Patient Relationship ◽  
Important Relationship ◽  
Self Knowledge

INTRODUCTION: The doctor-patient relationship has undergone several reinterpretations over the centuries being based on attentive listening primarily, a characteristic that has been neglected in many current contexts. Such a doctor-patient relationship is essential for understanding the pathological condition under analysis and, also, for understanding this patient as a human being, which will give greater dignity to this moment that is so intimate, yet so essential in medical practice. Thus, literature can be used as a tool to encourage the human development of professionals and students and subsequently reflect in this important relationship. DEVELOPMENT: Currently, there is a noticeable weakening of the doctor-patient relationship, mainly due to the exacerbated cult of technicism and the depreciation of the cultural, such as the various segments of literature, when, in fact, each of these aspects have their space and should complement each other. With this in mind, there is a greater distancing between doctor and patient, which ends up damaging the image of the clinical examination shaped by what should be a co-protagonism between these two individuals. Because of this, the doctor becomes increasingly insensitive and, therefore, the patient becomes increasingly unreachable, which hinders the proper promotion of health and future well being of this person. So, literature can be inserted as a tool that will stimulate the change of this context, either by the contact of the doctor with recurring themes in his daily life from the perspective of his patients or by the acquired self-knowledge capable of making him understand the vulnerability of human beings, including his own. Furthermore, another important function that the literature can provide is to facilitate data collection itself - through language or even by actions performed by the professional - which will have important consequences on that patient's prognosis. CONCLUSION: Doctors and students in this area should provide the greatest possible comfort for the patient who is in the state of vulnerability that the disease provides and this can be achieved more easily and efficiently with the use of the literature associated with technicism in a way wich they become complementary and encompass the various segments inherent to human beings.

scholarly journals 患者利益至上——傳統情懷與現實挑戰

2012 ◽  
Vol 10 (2) ◽  
pp. 35-49
Author(s):  
Li LIANG
Keyword(s):  
Medical Practice ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Moral Principles ◽  
Moral Perfection ◽  
The People ◽  
Digital Commons ◽  
Self Interest ◽  
Current Medical Practice ◽  
Traditional Medical Practice

LANGUAGE NOTE | Document text in Chinese; abstract also in English.以患者利益為重被視為醫學的傳統美德，也是醫生的職責。它的基本宗旨是將患者的利益放在首位。當醫生的利益不受其他因素干擾時，他們較能承擔“患者利益至上”這一責任。而當出現利益衝突時，醫生則會面臨特殊的挑戰，有時還有可能需要做出一定的自我犧牲。西方醫學倫理在強調醫師職業道德的同時也通過制度建設盡量避免利益衝突的發生，以更好維護患者和醫生雙方的利益。中國傳統醫學倫理中，“患者利益至上”雖然沒有作為具體道德原則予以規定，但在醫療實踐中卻常常可以體現出醫生“患者利益至上”的情懷。之所以如此，與儒家文化的影響密不可分。儒家“仁”的思想強調愛人，提出對待病人要“皆如至親之想”。儒家將愛親的情感擴展到病人身上，同時也將“博施於民而能濟眾”視為自己高尚的道德追求。在義利關係問題上，儒家提出了獲取利益的正當性問題，即“不以其道得之，不處也”。醫生受其影響，反對“恃己所長，專心經略財物”，強調維護病人健康利益的重要性。另一方面，儒家修身的實踐精神有助於“仁”、“義”等從一種自然情感上升為真正意義上的道德德性，而古代重視家庭親情的傳統對於醫生的品德修養也起到了重要作用。醫生在修德的同時注重自身專業技能的訓練和提高，良好品德和精湛的技藝為維護患者的利益提供了重要條件。目前，患者利益至上的職業精神正面臨著經濟、政治、科技等多方面的挑戰，中國傳統文化缺失帶來的個體道德情感的弱化使這一問題更為突出。The doctor-patient relationship in China is currently experiencing a crisis of trust brought on by the absence of traditional morals and values in healthcare. The Confucian doctrine of ren (benevolence) is based on the possibility of moral perfection in humanity, which in turn guides one how to treat others in family and non-family social relationships. Ren as a relational virtue is particularly important for the doctor-patient relationship. That is why the Confucian idea of “treating a patient like a family member” was popular in traditional medical practice. However, current medical practice is designed around the people who deliver the care, who happen to pay more attention to their own interests and benefits than those of their patients.The essay contends that although Confucian teaching does not exclude the pursuit of self-interest or self-benefit, it does emphasize virtue and personal character, especially for doctors. No doctor is expected to make a profit that is not within the scope of moral principles, even in a resource-constrained setting. It is thus time to realign the values of the Chinese healthcare system based on Confucian virtues so that the patient is again the center of attention. The essay puts forward suggestions for medical professionals to discipline themselves by ensuring good professional and interpersonal skills.DOWNLOAD HISTORY | This article has been downloaded 228 times in Digital Commons before migrating into this platform.

Care

2017 ◽  
Author(s):  
Alfonso Troisi
Keyword(s):  
Social Relationships ◽  
Medical Science ◽  
Relative Weight ◽  
Well Being ◽  
Patient Relationship ◽  
Scientific Medicine ◽  
Doctor Patient Relationship ◽  
Health And Disease ◽  
Nocebo Effects ◽  
The Impact

This chapter focuses on the impact of the doctor–patient relationship on patients’ physiology and well-being. The core of the chapter reports recent data on the physiological changes associated with placebo and nocebo effects and relates these findings to the impact of social relationships on health and disease. On average, the placebo effect’s relative weight in therapeutic improvement is around 40%. The most important component of the placebo effect is the doctor–patient relationship, and this is addressed by looking at the evolution of the behavior that underlies any medical act: care of the sick. Natural selection favored the evolution of behaviors aimed at helping group companions who were wounded or sick, through two different mechanisms: kin selection and reciprocal altruism. For a long period of human evolutionary history, care of the sick followed the path of intimate and affectionate relationships. Delegation to unfamiliar experts trained in medical science came much later. The take-home message of the chapter is that the opposition between humanistic and scientific medicine fades if one looks with an open mind at what we currently know about the biological dynamics that regulate the doctor–patient relationship.

scholarly journals How Doctors Care for Others: Caring, Being with and Making the Difference

2020 ◽  
pp. 15-23
Author(s):  
Mariana Barstad Castro Neves ◽  
Rafaela Oliveira Grillo ◽  
Flavia Sollero-De-Campos
Keyword(s):  
Attachment Style ◽  
Patient Adherence ◽  
Structured Interview ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Internal Working Model ◽  
Attachment Figure ◽  
The Difference ◽  
Compliance To Treatment ◽  
The Individual

Although more frequent and intense on infancy, the attachment system can be triggered across the lifespan, from "the cradle to the grave." In adulthood, whenever the individual's internal working model does not have enough resources to sustain his/her insecurity, one seeks support from an attachment figure. Illness may trigger the attachment system, obliging the individual to pursue the proximity of an attachment figure. In our research on how the doctor's attachment style affects the doctor-patient relationship (Barstad-Castro Neves, 2018), we assessed the doctor's attachment style and correlated with a semi-structured interview script. One of the categories highlighted in our research was how physicians cared for their patients. The present article aims to explore, expand, and clarify the category mentioned. It is essential to discuss how the car ing and concerning doctor acts towards his/her patient, and how the caregiving system, from the lens of attachment theory, has a function in that matter. Our research may contribute to the discussion of strategies to improve the doctor-patient relationship, therefore refining patient adherence and compliance to treatment. Besides, it can also shed light on how to give support to medical professionals, starting from medical school.

scholarly journals Spirituality of medical students: associations with empathy and attitudes in the doctor-patient relationship

2021 ◽  
Vol 45 (2) ◽  
Author(s):  
Julianni Bernardelli Lacombe ◽  
Emiliana S. Valadares ◽  
Renata Rodrigues Catani ◽  
Tânia M. S. Mendonça ◽  
Helena Borges Martins da Silva Paro ◽  
...  
Keyword(s):  
Medical Students ◽  
Purpose In Life ◽  
Well Being ◽  
Global Score ◽  
Patient Relationship ◽  
Personal Beliefs ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Interns And Residents ◽  
Medical Interns

Abstract: Introduction: Currently, the study of the factors that improve interpersonal relationships in patient care and medical education has been considered relevant and necessary. Understanding what precedes empathy and medical interns’ and young doctors’ attitudes is a relevant topic for health professionals’ education and for their academic and professional performance. Although patients and medical students have indicated that spirituality is an important issue, it is not frequently addressed in medical schools. Objective: This study aims to verify the association between (i) well-being related to spirituality, religiosity and the medical interns’ and residents’ personal beliefs and (ii) empathy and attitudes in the doctor-patient relationship. Methods: This was a quantitative, cross-sectional, observational study. A total of 64 undergraduate students in the last years of medical school and 50 residents answered the following self-administered instruments: WHOQOL-SRPB, Jefferson Scale of Empathy, and Patient-Practitioner Orientation Scale. Descriptive statistics, Pearson’s correlation and stepwise linear regressions were used to analyze data. Results: Significant correlations (p<0.05) varying from weak (r=0.10) to moderate (r=0.39) were found. The WHOQOL-SRPB final score affected the global score of empathy (R2 = 0.12; p <0.00; VIF=1.00). The component meaning and purpose in life affected the global score of the patient-centered attitude (R2= 0.14; p <0.00; VIF=1.00). Conclusions: Spirituality, religiosity and personal beliefs are associated with patient-centered attitudes and medical interns’ and residents’ empathy. In general, well-being related to spirituality preceded empathy, and the component meaning and purpose in life preceded patient-centered attitudes. These results imply the need to consider well-being related to spirituality in interns’ and residents’ education for a better doctor-patient relationship.

Solidarity, Trust, and Christian Faith in the Doctor–Patient Relationship

2021 ◽  
Vol 27 (1) ◽  
pp. 14-29
Author(s):  
Christopher Tollefsen ◽  
Farr A Curlin
Keyword(s):  
Christian Faith ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Forthcoming Book ◽  
The Difference ◽  
Normative Account ◽  
Made In

Abstract In this article, we first give a normative account of the doctor–patient relationship as: oriented to the good of the patient’s health; motivated by a vocational commitment; and characterized by solidarity and trust. We then look at the difference that Christianity can, and we believe, should, make to that relationship, so understood. In doing so, we consolidate and expand upon some claims we have made in a forthcoming book, Ethics and the Healing Profession (Curlin and Tollefsen, 2021).1

scholarly journals The Relationship between Doctor and Patient as an Indicator of the Level of Trust in Medical Care

2021 ◽  
Vol 13 (7) ◽  
pp. 56
Author(s):  
Katarzyna Pawlikowska - Łagód ◽  
Magdalena Suchodolska
Keyword(s):  
Treatment Process ◽  
Medical Profession ◽  
Medical Personnel ◽  
Well Being ◽  
Healthcare Services ◽  
Patient Relationship ◽  
Preventive Healthcare ◽  
Doctor Patient Relationship ◽  
Medical Recommendations ◽  
The Relationship

Communication between the doctor and the patient is one of the most important elements affecting the treatment process. The trust, which determines the patients&rsquo; health attitude and their implementation of medical recommendations, is built by maintaining an appropriate doctor-patient relationship. A trusting patients demonstrate better mental and physical well-being, obtain better diagnostic results, use preventive healthcare services more frequently, and show greater confidence in the overall health system. Nevertheless, in order for the patients to exhibit such behaviors, they must trust the physician, which is influenced by many important issues: the maintenance an appropriate doctor-patient relationship, the patients&rsquo; hope, the prevailing opinion about the physician as well as stereotypes about the medical profession (including age, gender, professional experience, professional and scientific title). This paper presents different models of the doctor-patient relationship and how each of them affects the level of trust in the discussed relationship. In addition, it is described how stereotypes about medical personnel influence the trust among patients. All information included in the study are based on the available literature.

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