Patient-practitioner relationship

Question 1

Communication failures have been strongly associated with non-adherence to medical recommendations

Consultations have since become more ‘________- centred’ rather than ‘practitioner-centred’

Answer 1

Patient

Question 2

There are 4 beliefs regarding Parsons’ ‘sick role’.

1) Patients are excused from normal duties
2) Patients must want to get better

What are the other two?

Answer 2

3) Patients are not responsible for their own illness

4) Patients must co-operate with healthcare professional

Question 3

The sick role is seen as a ‘______ role’ distinguishing between those those healthy from those sick

Answer 3

Social

Question 4

Criticism of parsons sick role

Answer 4

too rigid a model
not for chronic conditions
favours medical profession
doesnt account for patient behaviours and beliefs
patients too define their illness
patients not always passive

Question 5

What does patient-centred care advocate?

Answer 5

• fully listening to patient
• exhibiting care and compassion
• engage in agreeable behaviours to improve patients psych, physio and functional outcomes

Question 6

What are the steps for ‘three-function model’ for the medical interview

Answer 6

1) data gathering phase
2) Rapport-development phase
3) educational and motivational phase

Question 7

Calgary-cambridge model for consultations (6)

Answer 7

initial session
gather info
provide structure
build relationship 
explain and plan
close session

Question 8

Power sharing in the medical model:

Name the 3 types of relationships that patients and health care professionals can have

Answer 8

Mutual relationship
Paternalistic relationship
Consumerist relationship

Question 9

Describe the ‘power sharing’ for three types of patient-doctor relationships in the medical model

Answer 9

Paternalistic relationship:
Power is with doctor
Doctor acts as guardian

Mutual relationship:
Power balanced
Doctor act as advisor

Consumerist relationship
Power with patient
Doctor act as consulting technician

Question 10

Shared decision making is important in the patient centred model, what does it encompass?

Answer 10

Two way exchange of information between patient and practitioner
Discuss health, therapeutic options and outcomes
Come to a Mututally-agreed decision