Doctor-patient relationships Flashcards
What are the 3 types of practising medicine which associate doctor-patient relationship?
Bedside to laboratory
Patient-centered
Evidence-based
What is bedside to laboratory medicine?
Focused initially on manifestation go disease, gradually led to a more centralised approach to medicine where there was emphasis on pathology and underlying causes.
Shift to laboratory medicine.
What is evidence-based medicine?
In the past, clinical experience guided treatment but in recent times there is a shift toward establishing an objective effectiveness of practice and treatment.
Evidence from research and trials.
What is patient-entered medicine?
Biopsychosocial model
Patients are actively involved in the management of his/her condition.
What are some obligations of the sick role?
Patients must want to get well as soon as possible
They should seek medical help
What are some rights of the patients?
Allowed to withdraw from daily activities
Regarded as unable to get better by his own decision and will
What are some obligations of the Doctor’s role?
Apply high degree of skills and knowledge
Act for the good of patients and community
Be objective and emotionally detached
Be guided by rules of professional practice
What are the rights of the Doctor’s role?
Granted rights to examine patients physically
Granted autonomy in medical practice
Has a position of authority in relation to the patient
Why might conflicts between doctors and patients be observed?
Different values
Breach of confidentiality
Doctors may not be able to determine the cause of patients’ symptoms
Doctors may not be able to coordinate effectively objective treatment, patient-entered approach and a cost-effective treatment for the healthcare system.
Ineffective communication
What are the 4 types of relationships between doctor-patient relationships?
Paternalistic
Mutuality
Consumerist
Default
What is a paternalistic relationship?
High doctor control, low patient control
What is a mutuality relationship?
Equal control
What is a consumerist control?
Low doctor control, high patient control
(maybe in private consultations)
What is a default relationship?
Low doctor control, low patient control
What are 2 factors that affect these relationships?
Doctor-patient expectations
Professional directives
