We shall outline four models of the physician-patient interaction, emphasizing the different Ethical Models of Physician--patient Relationship Revisited with Regard to Patient Autonomy, Clinical decision making: from theory to practice. Based on this conflict, four models of physician-patient relationship have the relationship was subjected to grounded theory content analysis. The doctor-patient relationship remains the cornerstone of medical practice. Review of theoretical models on doctor-patient relationship. Health economics.
In addition, it is evident to us that the assumption that all patients possess little medical knowledge can create alienation between patient and physician, e.
We propose a paradigm that models autonomy, health care-related values formation, and medical knowledge as varying from patient to patient. Four examples of patient types are described within the context of the model based on clinical experience.
We believe that adopting this model will have implications for optimizing patient—physician interactions and teaching about patient-centered care. Further research is needed to identify relevant patient types within this framework and to assess the impact on health care outcomes.
By contrast, the models used for teaching medical students about the patient—physician interaction have remained relatively static. Thus, young physicians are struggling to efficiently incorporate a modern patient dynamic within an old conceptual framework and desperately need a new model of patient—physician interaction that embodies the current realities of medical practice. Construction of the model is described in two phases: Several examples illustrating the use of these factors to promote efficient medical practice are presented.
We begin by briefly reviewing the evolution of traditional models of patient—physician interaction and establishing necessary definitions. Consequently, the physician usually played a dominant role in clinical encounters, and patients abided by physician decisions, while sometimes suppressing their own inclinations.
However, with the reshaping of ideals in society, patients became decreasingly satisfied with this stereotypical interaction, and many began seeking greater involvement in the clinical encounter. Consequently, medical educators developed tools to assist young medical students in understanding the dynamic nature of the patient—physician interaction.
What emerged was a series of clinical models that formalize the clinical encounter. The physician independently decides the interventions to be taken, providing the patient with minimal medical information. Indisputably, there are important medical scenarios where paternalistic care is still necessary, especially in the setting of acute or trauma care where immediate treatment must be rendered and, barring non-resuscitation orders, there is little room for negotiation.
Representing a degree of increased patient involvement is the deliberative scenario. The patient in this scenario has minimally formed values, but the physician works with the patient to discover and develop these values. The physician presents carefully selected medical information to the patient.
Decision-making is a shared effort, but the physician encourages specific recommendations based on an interpretation of established health-related values. Continuing in the direction of greater patient involvement is the interpretive scenario, in which the patient has inchoate values regarding the situation which the physician helps to elucidate.
In this context, a basic element and a prerequisite to respecting human dignity is viewing every human being as a creation of God. This means that it is your intent that shapes the relationship]. These components will form the three relational elements of trust, peace and hope, and being acknowledged.
A conceptual model of physician-patient relationships: a qualitative study
The present study tried to propose a model for therapeutic relationship based on the experiences of the research participants. In order to determine the effect of this model in the current situation of medical practice, we can evaluate it at three levels. Mutual trust, peace, and being acknowledged as the results of this relationship are equally important for both patients and physicians.
Third, the healing relationship affects both parties patients and physicians.
Four Models of the Physician-Patient Relationship
A number of physicians who participated in this study had experienced working in difficult situations such as the battlefield or severely deprived areas and they were satisfied with memorizing them. This indicates that such an enriched experience and relationship left its positive impact on their life and work. It could be proposed that the solution to some health system problems could be found in redefining the physician-patient healing relationship.
Conclusion It can be concluded that the structure of the physician-patient healing relationships is comprehensible and may lead to valuable patient-centered outcomes. Moreover, this discernible and understandable structure has important impacts on treatment.
Furthermore, this conceptual model can be generalized to other therapeutic relations in the health system. Evidently, this study had some limitations. First, the participants were chosen selectively and are not considered significant indicators of the population of physicians. Nevertheless, it can be explained that the intention of this study was to provide a preferred model of doctor-patient communication, and for this purpose, it was necessary to choose a targeted selection of participants.
Accordingly, the proposed model of the study does not explain the current situation, but if experimental studies confirm its effectiveness, it could be a standard to achieve. Acknowledgments We acknowledge all physicians who participate in this study.
Ethical considerations In respect to ethical considerations and research ethics, the names of all physicians in this study are confidential and verbal consent was obtained before scheduling the interviews.
The seventh element of quality: An Introductory Philosophy of Medicine: Physicians consideration and compassionate. Four models of the physician- patient relationship.
A review of the models of physician-patient relationship and its challenges. Elo S, Kyngas H. The qualitative content analysis process. Strauss A, Corbin JM. Being and the Between.
Four models of the physician-patient relationship. - Semantic Scholar
State University of New York Press; Pew Health Professions Commission; Prognostic importance of emotional support for elderly patients hospitalized with heart failure. Social relationships and health. The power of nonspecific effects in healing implications for pyschosocial and biological treatments. Health Care in America: Can Our Ailing System be Healed?