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Doctor–patient relationship
The doctor–patient relationship is central to the practice of healthcare and is essential for the delivery of high-quality health care in the diagnosis and treatment of disease. The doctor–patient relationship forms one of the foundations of contemporary medical ethics. Most universities teach students from the beginning, even before they set foot in hospitals, to maintain a professional rapport with patients, uphold patients’ dignity, and respect their privacy.
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Importance
A patient must have confidence in the competence of their physician and must feel that they can confide in him or her. For most
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There are ethical concerns regarding the use of placebo and whether or not giving a placebo leads to an undermining of trust between doctor and patient and whether deceiving a patient for their own good is compatible with a respectful and consent-based doctor-patient relationship.[3]
Formal or casual
There may be differences in opinion between the doctor and patient in how formal or casual the doctor-patient relationship should be.
For instance, according to a Scottish study,[4] patients want to be addressed by their first name more often than is currently the case. In this study, most of the patients either liked (223) or did not mind (175) being called by their first names. Only 77 disliked it, most of whom were aged over 65.[4] On the other hand, most patients don 't want to call the doctor by his or her first name.[4]
Some familiarity with the doctor generally makes it easier for patients to talk about intimate issues such as sexual subjects, but for some patients, a very high degree of familiarity may make the patient reluctant to reveal such intimate issues.[5]
Transitional care
Transitions of patients between health care practitioners may decrease the quality of care in the time it takes to reestablish proper doctor-patient relationships. Generally, the doctor-patient relationship is facilitated by continuity of care in regard to
During a physician's practice in medicine, a variety of issues can occur that will result in a consultation. Some of them issues can be ethical.
Teaching hospitals are meant to train future professionals while ensuring that they provide the uppermost care for their patients. However, what some teaching hospitals fail to maintain is a strong and positive doctor-patient relationship. You would think that television shows and films
When patients go to a doctor’s office, they need to know that the PA/NP that is treating them is highly qualified. They should feel safe and know that they are in safe capable hands. A patient should never feel like they are not getting the proper care. Patients need to know that they are being
The issue of doctor patient relationships has become more and more prevalent in our world today. It is hard to draw a clear line in deciding what the appropriate roles are of both the patient and the medical professional. The claim that the paternalistic
The doctor-patient relationship always has been and will remain an essential basis of care, in which high quality information is gathered and procedures are made as well as provided. This relationship is a critical foundation to medical ethics that all doctors should attempt to follow and live by. Patients must also have confidence in their physicians to trust the solutions and work around created to counter act certain illnesses and disease. Doctor-patient relationships can directly be observed in both the stories and poems of Dr. William Carlos Williams as well as in the clinical tales of Dr. Oliver Sacks. Both of these doctors have very similar and diverse relationships with multiple patients
Patients come to the physician because of a problem that they are having and with that notion they are prepared to give full details of their problem. Giving information to the medical staff is a
There are many social factors that can impact on the Doctor Patient relationships everything from race to gender. To break it down and find five, I started with Doctors personal views he is under pressure to be ethical when he may not entirely be accepting of a person’s beliefs or sexuality. For instance a doctor may be homophobic and have a patient attend surgery asking for advice on practicing safe sex and being HIV aware. Following on from this may be a patients confidence in doctors due to race for example a person who has racist issues would not feel comfortable attending a foreign doctors surgery. To find a third I would have to say gender being a female I tend to talk easier to a female doctor, which persists problems as my female doctor only works three days a week so I put off going to see the male doctor so therefore remain ill longer. My fourth factor is age, as the doctor could be old and the patient adolescent. This would impact on different generations living different lifestyles and changing societies. “Adolescence is indeed a tempestuous period”, (Thorne, B & Lambers.1998). Finally I find language barriers a major social factor as if you can’t understand what your doctor is saying to you it has complications in treatment and there is not always a translator available.
A pivotal aspect of receiving quality medical care is being able to communicate your health concerns and have confidence and trust in your doctor, which is essentially the doctor patient relationship. Yet, this
Patient provider relationships play a pivotal role in the healthcare process. This relationship helps to bridge the gap between ailments of the patient and the diagnosis and care of the provider. The need for this relationship and its propensity to create the catalyst for patients need to be fulfilled is second only to the medical knowledge of the provider and the patient 's willingness to get better. As we have moved from a biomedical perspective to a biopsychosocial perspective the relationship between provider and patient has changed from physician centered modes of communication to more of a patient centered style of communication. And with the change of view we find that a strong and cohesive bond between patient and provider is the key to the advancement and overall quality of care for the patient. According to The Impact of Patient-Centered Care on Outcomes a patient centered approach to care has a correlation to a better healthcare outcome. Focusing on the patient increases compliance of the patient.
There are a number of key elements that help to provide a framework that enhances truthful communication. Firstly, there is the need to develop open and honest communication from the very beginning of the patient-health professional relationship. Secondly, the health professional needs to use patient penchant as a “weigh” by asking them what they wish to know, how much they wish to know, and determining what they already know. In other words, it is a responsibility of the health professional to get a ‘feel’ for the situation, including the patients’ perception of the situation (Ashcroft, Dawson & Drape 2007).
Sometimes physicians go so far as to make patients feel belittled and helpless. Patients, in turn, are relatively passive and accommodating, at least while they are with their doctors"(du Pre 53).
Even if patients cannot understand and make true choices, they have relatives such as family or spouse; hence, doctors can tell the truth to their relatives. Therefore, since doctors can simplify their explanations and patients’ family can make choices for them, doctors should always tell the truth.
In the past, there was a lack of communication between the patient and physician. The importance of the patient-physician communication was at a low due to a lack of patient-physician relationship. Now, there is a better understanding as to taking certain steps to patient-physician satisfaction. It is extremely important and effective to require communication between patient and the physician. The patient and physician need to develop a partnership. The patient needs to be fully educated about his or her condition and the different performances to address the problem. This process will give the patient an active role in the decision-making process. A patient must feel at all times that they are treated with respect. Learning
On most rounds, doctors mainly tend to talk in a hallway just outside the patients room as they discuss test results that are crucial in planning further care. Such behavior appears impersonal though many doctors see it as efficient. Instead, they rely on nurses this failing to recognize that such behavior omits crucial elements in patient care like physical touch and personal touch. It also affects the doctor-patient relationship. It's also important to note that nurses observations and suggestions have saved many doctors from making fatal mistakes in caring for patients since nurses offer more personalized bedside care than doctors. Though most physicians will knowledge that, most dismiss it as not factual due to an arrogance and mistaken belief than a nurse can't know more than a doctor. No wonder nurses are pushing for more reforms of autonomy. However, nurses have enjoyed a great deal of flexibility in the health care sector more than anybody. Nurses are able to travel and provide their services at a great demand and pay, do private care duties at good salaries, and also work in various settings like nursing homes, schools by providing quality patient care all at a lower cost compared to
2. This reference helps me to identify with the types of communication. It gives insight on the experience the patient would have in communicating with their provider. “Although it is a common belief that physicians talking to patients reduces patient anxiety and increases patient satisfaction, there is no indication that talking to multiple health care providers would also be beneficial” (Wanzer M. B., Booth-Butterfield M., Gruber, K. 2004). It also brings to attention that healthcare