Dr. Patient Relationships

Question 0

Paternalistic

Answer 0

Parent-child relationship. (Instructions)
Information flow from doctor to patient. Assumes patients’ best interest, assumes doctor will make best decision

Appropriate: medical emergencies, at patient’s request

Question 1

3 main types of Dr-patient relationships

Answer 1

Paternalistic
Shared (partnership)
Informed (consumerist)

Question 2

Shared relationship

Answer 2

Two way exchange of information
Treatment preferences discussed, treatment plan mutually agreed. Requires building a relationship where patient can express preferences (doctor’s responsibility).

Question 3

Informed model (consumerist)

Answer 3

Doctor communicates relevant information and treatment options (including risk and benefit) to allow patient to make an informed treatment decision. Decision making is the prerogative of the patient, doctor acts as source on information.

More commonly seen in private healthcare

Question 4

3 benefits of shared decision making

Answer 4

Improves patient outcomes
Reduces costs
Increases patient satisfaction

Question 5

Factors that shape relationship

Answer 5

Doctor- consultation style, perception of what patients want
Patients- age, gender, ethnicity, socio-economic, education
Structural- environment, place, opportunity for continuity

Question 6

Barriers to eliciting patient preferences?

Answer 6

Communication barriers
Understanding healthcare language
Age groups (children and over 65)
Patients less active I. Consultation
Some groups of patients less likely to be involved
Under/overestimating patients desire for information

Question 7

Barriers to shared decision making

Answer 7

Patient preferences may not correspond with clinical guidelines
Requires patient to be sufficiently informed (understand medical language and condition)
May not know what decision to make (decision aids helpful)