Doctor Patient Relationship Flashcards
Relationship definition
State of being related or interrelated
Connecting or binding participants in a relationship
Activity-passivity model of interaction
Physician does something to the recipient (patient)
- clinical applications include: comatose, anesthesia etc.
- prototype of patient-infant relationship
Guidance Cooperation model of interaction
Physician tells patient what to do and the patient cooperates
- clinical applications include acute infectious processes
- prototype of the parent-adolescent model
Mutual participation model of interaction
Physician cooperates with the patient to “help themselves”
Patient is participant in the partnership
- clinical applications include most chronic illnesses, psychoanalysis
Paternalistic model of relationship
Patient values are objective and shared
Physician promotes patients well-being regardless of patient preferences
Patients autonomy is asserting objective values
Physicians role is like a guardian
Informative model of relationship
Patient values are defined and well-know to the patient
Physician provides factual information/ implements an intervention
Patients autonomy is self-understanding
Physicians role is the technical expert
Interpretive model of relationship
Patient values: not understood and need to be defined
Physician is to define and interpret relevant info to the patient regarding values, and treatment
Patients autonomy: Self-understanding and relevant to medical care
Physicians role: counselor/advisor
Deliberative model of relationship
Patient values: open to development/revision through morals
Physicians obligation: articulating and persuading patient of values and implementing them
Patients autonomy: moral self-development to medical care
Physicians role: friend/teacher
Factors that affect doctor-patient relationships
Context of problem
Chronic nature of condition
Taking charge v. Collaboration
The facility itself
Patient centered care
Patients are valued in tandem with scientific evidence
Two person medicine
Involves patient- centered interviewing
- approx. 70% of patients prefer this
Concerns are prioritized based on patient preferences and serve its of emergency
Factors of effective relationships
Foster adherence
Confidence
Rapport
Satisfaction
Openness to negotiate
Expert in charge relationship
Only done in serious and acute settings, the doctor takes actions on the patients behalf in unstable circumstance
No room for collaboration
Expert guide relationship
Provides opinions and advice/treatment suggestions
Still primarily directive but some room for collaboration
Partner relationship
Builds a relationship with the patient under stable conditions.
Motivates and engages the patient w/ ideas and treatment options
Patient actually carries out the treatment with minimal to no directive.
Dialogue and empathy are present w/ patient
Facilitator
Only done during minor/ chronic illnesses
Physician motivates patient and can facilitate but there is absolutely no directive
Patient carries out the treatment
Inviting and listening to dialogue of the patient by the physician
