THE EVOLUTION OF THE DOCTOR PATIENT RELATIONSHIP INTO MODERN TIMES
With the onset of current technological innovations as well as new modern developments in the health care world, the traditional relationship doctors once had with their patients has evolved dramatically. Instead of strictly focusing on the well-being of their patients, doctors now more than ever have additional roles in the health care world, from advancing patient care outside of the hospital, to becoming more informed of the for profit clinics that are readily increasing in numbers across the country. Doctors are continually trying to increase their productivity while accepting these additional roles. This expansion of the doctor’s roles has led to the decrease in effectiveness in the connection with patients. Long gone are the days in which doctors took the appropriate amount of time to nurture the intimate and sacred relationship they had with their patients. Instead, doctors rush to see as many patients as possible a day, sacrificing quality of care. Currently, doctors are spread too thinly and are slowly dissolving the trust of patients. The unfortunate shift of the doctor patient relationship in today’s society is undeniably devastating with the accumulation of these changes. Traditionally, doctors had complete knowledge of the full medical history of all patients and every single health complication each patient amassed. With technology playing a huge factor in the modern era and people
The video presented the ethics and boundaries and factors that affect those boundaries such as addiction, abuse, absent role models, and patients assuming the professional shares the same feelings as he or she does. Then the video discusses issues the doctor may incur such as “special treatment” of patients, time management, poor awareness of feelings, and the response to the patient.
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
Another reason why physicians are finding it difficult employ the time-honored principles listed within the Hippocratic Oath is due to the increase in the number of patients listed under their care and the short amount of time with which they are able to see their patients (Hippocrates, pg. 1). Physicians, who work at clinics, on average, find themselves in charge of several patients. The number of patients that a physician must care for is generally too many for him to become acquainted with and care for, especially if the patient doesn’t schedule routine visits. As a result, physicians are only able to see patients for about an hour. During the appointments, physicians try their best to answer their patient’s questions. However, patients’ often feel intimidated and
A 21-year-old female was brought in by the paramedics, briefing the team that she was found unconscious on the woman’s restroom floor. Upon arrival, she was confused and frightened as she stared at the uniformed strangers in an unfamiliar environment. As other paramedics were taking her vitals, I softly spoke to her and reassured her that she was in a safe place and she will be taken care of. By accompanying her and sharing each other’s stories, she was able to calm down as well as have her trust instilled in our team. As she went from a defensive to relaxed demeanor, I have realized that these bedside manners are what open a gateway to patient trust. Gaining patients trust was a challenging but crucial skill in order to provide strong patient care. Regardless of what she was doing at the event, our team’s focus was on her health. This mirrors the core mission statement of Rock Med, “setting the standards in non-judgemental medicine”. It is this approach that I want to apply into my career as a physician; taking the initiative by actively engaging with patient in order to bring comfort and trust in their most vulnerable time. I have seen many physicians disregard consoling patients during a time of need. It is not enough to simply treat the patient. A good physician will also bring comfort throughout the healing process, putting aside patient worries. This simple yet
Honorable doctors do their best to uphold the Hippocratic oath by being kind to their patients and doing their best to connect. At Harvard, they are now teaching how to connect and bond with patients through Patient-Doctor classes to create a more effective and comforting hospital experience. I know when I go to the hospital, I enjoy when doctors and nurses talk to me about my life and theirs. That bond that is created helps build a trust that this doctor cares and wants what's best for those that they treat; when things go wrong, it also opens up the ability to comfort one another. Building relationships between doctors and patients change the dynamics so that it ends up being doctor
Advancements in technology have made it possible for people to access medical information, communicate with their doctor, manage and track diseases, seek help, and maintain anonymity. Technology has facilitated the tracking of medical information, for example, Kaiser Permanente uses a computerized system to store and track patient information. Any doctor in a
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
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.
This article looks into the profession and personal relationship expectations professionals are expected to have with their living patiences and the deceased, as students. Before the 1960 to the 1970 's the expectations are set that the doctors are to know more, have good bedside manner, be personal but not to cross the line of developing relationships. This eventually changed to the expectations of having "an 'affective neutrality ' or a 'detached concern ' for clients". Due to the social norms of the time of persons in authority situations having a more colder demeanor to gain that power over others. There seems to be a fine line of expectations of the physicians to show sympathy, but not to care to much in worry that it would effect the decision and care of the health care being provided. Along with having control over the way a physician cares for the individuals other basic human emotions, such as disgust and attraction need to be in check at all times as well. Unity in caring for all patients is key , not only as
Physicians of the future will emphasize the human aspect to establish the patient doctor relationship.
If an adolescent male patient is uncomfortable with a female physician examining him, then the physician should ask the medical assistant if a male to assist the situation. The medical assistant will help get the patient comfortable with the situation if a presence of a male is overseeing the examination. Another option can be to have another physician examine the patient. However, as a physician with courtesy, this preparation will set as soon as the patient enters the room. The patient will get a sense of consideration and be comfortable, which allows the physician -patient relationship to start out good.
The health care reform laws have caused inevitable problems for doctors struggling to adapt to the bureaucratic and flawed industry. Insurance companies have largely taken control of patient care: choosing which doctors patients can see, dictating what procedures and treatments they will cover, and negotiating lower costs for medical services. The guidelines this third-party has established have put strain on the vital doctor-patient relationship. As physicians are pushed to see more patients per day to overcome pay cuts, patient satisfaction is dwindling due to rushed visits. If this trend continues, the biggest challenge I will face as a physician is preserving the crucial doctor-patient relationship, which I believe is a key ingredient of
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.
Braš, M., V. Đorđević & M. Janjanin (2013) Person-centered pain management - science and art. Croatian Medical Journal, 54, 296-300.
I 've been involved with my physician for a couple of months now. There are a lot of factors which make the relationship wrong - mostly on his side: a huge age gap, his marriage & family, the fact that he 's a doctor. He also knows my father, who is a fellow doctor, and the relationship started right when I practically committed suicide. It might be a stupid question, but did he take advantage? I am fully in my right mind and did not feel abused in any way, but I suppose psychology would show that there must be some part of me that was taken advantage of. We started the relationship and after a few days, it dwindled. Now I feel abandoned and used.