Reflection Over Doctor Patient Relationship: A Promise of Trust

2014 ◽  
Vol 8 (2) ◽  
pp. 104-108 ◽  
Author(s):  
S Prasad ◽  
C Dhingra ◽  
R Anand

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.

1985 ◽  
Vol 57 (2) ◽  
pp. 399-427 ◽  
Author(s):  
Lucille Hollander Blum

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.


2017 ◽  
Vol 3 (2) ◽  
pp. 104
Author(s):  
Maria Vargiami ◽  
Maria Goula

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.


Author(s):  
Andelka M Phillips ◽  
Thana C de Campos ◽  
Jonathan Herring

This introductory chapter argues that the advent of personalized medicine, precision medicine, and new consumer-focused services—such as personal genomics—is changing the nature of the traditional doctor–patient relationship. If trust was the ethical value guiding the traditional doctor–patient relationship, now other considerations such as market efficiency are aggregated to the considerations of the relationship between the patient and the health-care provider. Also, if medical law traditionally focused on the regulation of the doctor–patient relationship, nowadays medical law also encompasses the regulation of institutional relationships involving health-care providers of different sorts and at various levels. Some new services also pose challenges for medical lawyers and ethicists, because they are not being offered within the traditional clinical setting and thus sit outside the traditional governance frameworks established in medical settings. The chapter then provides an overview of the general theories on the philosophical foundations of medical law.


1989 ◽  
Vol 18 (3) ◽  
pp. 337-361 ◽  
Author(s):  
Peggy Foster

ABSTRACTSince the early 1970s British and American feminists have developed a comprehensive critique of the dominant doctor/patient relationship within mainstream health care services. In Britain, activists in the women's health movement have struggled to put into practice a model of health care delivery based on feminist principles, within which the doctor/patient relationship is radically redesigned. This paper will explore the principles and practice of this feminist health care model. It will then attempt to evaluate alternative strategies for strengthening and expanding feminist health care within the NHS. The paper will draw on data gathered by the author in 1987 through a series of unstructured interviews with feminist health care providers who were working within a variety of NHS settings in the North West of England.


2016 ◽  
Vol 60 (1) ◽  
Author(s):  
Marcin Kolwitz ◽  
Jakub Gąsiorowski

The article describes the problem of corruption occurring in the relationship between doctor and patient. The doctor–patient relationship, including the provision of health services, is one of several potential areas of corruption in the health care system. Among the reasons for the existence of corruption in these relationships are the need to obtain better health care for the patient, and higher earnings in the case of a doctor. Indications of corruption are utilitarian (action for personal advantage without ethical aspects), but may also be (actually or in the patient’s opinion) the only way to obtain services and save health and even life. Corruption between the doctor and the patient can be limited by better organization of the health care system, including the financing of benefits and education of medical personnel and patients, as well as traditional legal measures, such as prevention or the application of criminal sanctions.


2018 ◽  
Vol 1 (2) ◽  
pp. 1-6 ◽  
Author(s):  
Jose Luis Turabian

The transcendence of the doctor-patient relationship is given by the confirmed fact of its influence on the results of health care. Several models of doctor-patient relationship can be described, but evidence of improved compliance, satisfaction and recall of physician information has been found in patient-centered consultations. Since these concepts of doctor-patient relationship and patient-centered consultation have multiple facets, they are complex to understand and teach. Using a metaphor is a tool that can be useful in these situations. We could say that the "good" doctor-patient relationship is a process where an "alliance" is created: a process in which the doctor adapts to the rhythm of the patient and little by little can help him move towards healthier scenarios; that is, detect "what dance the patient dances and like a good dancer, take a step back, another forward, dancing and pacing with the patient. But there is not a single type of "good" or "adequate" doctor-patient relationship; there is not "a single dance that the patient dances". If "the doctor has to dance with the patient", he has to know that there are many types of dance! The doctor will have to dance dances such as Cha-Cha (which has to be slow or very fast to dance), the Mambo (where the music is faster and the rhythm more complicated - the relationship with an urgent patient); the Merengue (which is danced like walking - informal doctor-patient relationship); el Pasodoble (that you have to dance with a haughty air, but not with rigidity -synchronizing assertiveness and empathy); The Salsa (where you have to learn the basic step separately - discontinuity of the doctor-patient relationship), among others.


2021 ◽  
Vol 6 (2) ◽  
pp. 92-98
Author(s):  
Boloya Vukumo Eric ◽  
Tawari Erebi Patricia

Background: There is a deep dissatisfaction towards the services offered by doctors in government hospitals. Communication, being one of the major issues both on the part of the doctor and patient. There are also instances where patients lie to doctors about their health status, probably because the doctor fails to create a safe and conducive environment for the patient or because the patient could not confide in the doctor thus resulting in ineffective treatment. The quality of relationship between doctors and patients in government hospitals is fundamental for the several outcomes as regard services rendered by the doctor and those received by the patients and in other to improve the quality of healthcare delivery in public health care sector, there is the need for a research in the possible causes and solution to these problems. The study aimed to determine the perceived influence of doctor-patient relationship on effective health care delivery in some Health Facilities in Ogbia Local Government Area of Bayelsa State. Methods: A descriptive cross-sectional study design was conducted among patients in Federal Medical Center, Otuoke, General Hospital, Kolo and Cottage Hospital, Otuasega, all in Ogbia Local Government Area of Bayelsa state. Data collection was carried out using both self-administered and interview administered questionnaire. 138 patients were selected for the study. An average of 20 interviews were conducted per clinic day. Results: Results of the study showed that majority of patients interviewed agreed that their relationship with the doctor is important in treatment outcome and were involved in making treatment decisions and were satisfied with the services received from their doctors. Conclusion: Many of the patients were satisfied with the level of doctor patient relationship. Keywords: Perception, Doctor- Patient relationship, Health care delivery.


2016 ◽  
Vol 74 (3) ◽  
pp. 251-285 ◽  
Author(s):  
Timothy Hoff ◽  
Grace E. Collinson

The physician–patient relationship is an important ideal, and a construct central to discussions regarding health systems change and innovation. This review examines the nonempirical literature focused on the physician–patient relationship published over the past 15 years. The review’s results show a literature that is heavily context bound, relies on a combination of informational and emotional appeals to influence readers, and is mostly focused on portraying the state of this relationship in negative ways. Characteristics of the relationship such as trust, communication, and information are particularly focused on, while other important features like empathy remain less addressed. The review’s findings suggest broadening the perspective regarding how the physician–patient relationship is construed, in order to take advantage of its increased importance in the modern health care marketplace, and to account for new relational dynamics between providers and patients suggested by innovations in care delivery.


2016 ◽  
Vol 7 (4) ◽  
pp. 1-5 ◽  
Author(s):  
Sourabh Paul ◽  
Vikas Bhatia

God has chosen special persons to take care of the physical pains and sufferings of man and such persons are known as doctors. But recently countrywide dissatisfaction on the major pillar of the medical services raises number of questions. In this present article authors have tried to find out the related factors with the changing scenario of doctor- patients relationship from India’s prospective. In the ancient India, doctors were enjoying the highest level of respect in the society because of the attitude and activity towards the patient. In the last decade of the 20th century and beginning of 21st century, a chronic dissatisfaction began to settle over the relationships between doctors and patients. High level of corruption in the health care industry, inequity in health care delivery, technological development in medical science, growth of health insurance, patient’s desire in share decision making, information technology development are few factors behind changing doctor- patient relationship. If physicians take a little more time in reassuring patients in the old fashioned way, this will restore the deteriorating relationship.Asian Journal of Medical Sciences Vol.7(4) 2016 1-5


2021 ◽  
Vol 27 (1) ◽  
pp. 1-13
Author(s):  
James J Delaney

Abstract The nature of the doctor–patient relationship is central to the practice of medicine and thus to bioethics. The American Medical Association (in AMA principles of medical ethics, available at: https://www.ama-assn.org/delivering-care/ethics/patient-physician-relationships, 2016) states, “The practice of medicine, and its embodiment in the clinical encounter between a patient and a physician, is fundamentally a moral activity that arises from the imperative to care for patients and to alleviate suffering.” In this issue of Christian Bioethics, leading scholars consider what relevance (if any) Christianity brings to the relationship between physician and patient: does Christianity make a difference? The contributors consider this question from several different perspectives: the proper model of medicine, the role that the Christian moral tradition can play in medicine in a secular pluralistic society, how a Christian understanding of virtue can inform practices such as perinatal hospice and physician-assisted suicide, and whether or not appeals to Christian values can (or should) ground a physician’s right to conscientious objection.


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