Establishment of considerably acceptable Doctor-Patient Relationship is vita. Does it have any potential to prevent negligence or filing of negligence suit?
The focus of doctor-patient relationship is comprehensive and sometimes hailed as being humanistic and the spiritual dimension in medicine.It is a very important area most physicians especially in the developing world dont pay attention to.
Too often our patients become cases and no longer people, a collection of symptoms, rather human beings with real life stories and real feelings.
having said this,
A few models exist;
The Activity-Passivity model
The Mutual participation model
The reverse-guidance
Others
These models are not rigid, it depends on the scenario, though it is reverse-guidance is never recommended for doctors.
There is a book (you can find it in Google Books):
The Clinical Encounter: The Moral Fabric of the Patient-Physician Relationship
edited by E.E. Shelp
In the world of internet,people are more informed now a days and sometimes misinformed as well... before coming to doctor most educated patient now a days google their symptoms and medications and so they have a sort of prediagnosed perceptions and queriesin their mind.. in such circumstances it becomes bit difficult to convince the patient if doctor has some different opinion than that found by patient through internet or other sources. Here is where it is now a days more important to have good doctor patient relationshi. Patient should have faith in doctor and that comes from communication skills and behaviour of doctor. Thus now days many universities/ medical colleges have classes on “ doctor- patient communication skills” For medical students.
Dr Rimple Kaur is right, it should be clearly counselled and displayed on the waiting areas of patients to keep their google outside for treatment
agree, but we cannot change times - everybody will check his/her symptoms on the smartphone, even in the waiting room. Special communications skills of the doctors are required to raise trust; such skills can be acquired, given the doctor is willing to learn and spend some time in order to improve his communication skills.
Many studies have already proved that the active involvement of the patients in their treatment ensures better patient compliance and medication adherence which leads to excellent treatment outcomes with minimal cost. It is also important in formation of therapeutic relationship between a doctor and the patients. Here determining factors are knowledge, attitude and communication skills and overcoming these barriers.
is there any downloadable copy option for the book "The Clinical Encounter: The Moral Fabric of the Patient-Physician Relationship"
edited by E.E. Shelp ?
Is there any downloadable copy option for the book : "The Clinical Encounter: The Moral Fabric of the Patient-Physician Relationship"
edited by E.E. Shelp ?
-differenz zwischen besuch privat arzt und kassen arzt.
-ich empele mehr geld fuer kassen aerzte , mehr screenin test beim brust crebs, prostata crebs lungen crebs,
-preventive abdominal krenkheit mit tumormarker fuer brust krebs ,prostata krebs, lungen krebs.und alle testiern an hepatitis a,b,c. le arbeiter untersuchen mit preventiv- , routine test.
-preventive abdominal krenkheit mit ,ultraschal
-mit tumormarker fuer brust krebs ,prostata krebs, lungen krebs.und alle testiern an hepatitis a,b,c.
-grosse firme zum beispiel bmw , simens, audi , mercedes, deutsce bank . fuer alle angestelte machen gesundheit chek unter spende grosse farmaceutische firmen, die sollten finanzireren gesundheit chek, weil die i verdienen millionen von arzneimittel. marketing.
-kinder imphen regle messig kontrolle wegen ein kolektiv imunitaet.
-impfung bei human papiloma virus.
aber das ist eine utopie weil geld diktiert gesundheit sistem .
-prevenieren hepattis c in chirurgische abteilungen.
-wegen merere bewegngen in letzte 3 jahre fluechtlinge, beim kindern ueberpruefen bei rubeolla krankheit .und herpes virus tip 1 und t
The focus of doctor-patient relationship is comprehensive and sometimes hailed as being humanistic and the spiritual dimension in medicine.It is a very important area most physicians especially in the developing world dont pay attention to.
Too often our patients become cases and no longer people, a collection of symptoms, rather human beings with real life stories and real feelings.
having said this,
A few models exist;
The Activity-Passivity model
The Mutual participation model
The reverse-guidance
Others
These models are not rigid, it depends on the scenario, though it is reverse-guidance is never recommended for doctors.
Doctor-Patient relationship is central to medical care and a good relationship will help reduce litigations. Mr Ikpe has outlined the differrent models of Doctor-Patient relationship. The modern one is the Mutual cooperation between the doctor and the patient. In this model the patient takes part in decision-making concerning his/her health and this gives the patient the autonomy required in ethics. The Activity-Passivity model also gives the patient opportunity to participate in decisions concerning his/her medical problem but the doctor still has an upper hand.
Therefore an acceptable Doctor-Patient relationship requires shared decision-making where the patient is able to discuss freely with the doctor and contribute to his/ her treatment plan. In such situations the doctor will avoid negligence in practice.
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