Topic 8: doctor patient relationship Flashcards
(12 cards)
Define doctor’s duty to patient
- 1st duty = care of patient
- Owe duty of care = legal duty once assume responsibility
Give GMCs fitness to practice
- Practice safely
- Doctors must be competent
- Attributes = essential but not enough
Describe cooperative model of decision-making
- Replaced authoritarian model
- Patient centered + whole person care
Compare paternalistic approach vs patient centered approach
PATERNALISTIC:
- Doctor = guardian relationship
- Doctor’s decisions = little discussion with patient
- Decisions made = in patient’s best interest from medical facts alone
PATIENT CENTERED:
- Recognition of patient’s right to make own decisions
- Into account = pateint’s health + values = gather info about life
- Treatment = tailored to patient’s preferences
Give the 4 models of doctor patient relationship
1) Paternalistic
2) Informative
3) Interpretative
4) Deliberative
Define paternalistic
- Doctor decides most appropriate treatment
- Gives patient selective info
Define informative
- Provided relevant factual info
- Patient’s selected interventions
Defone interpretative
- Provide info + clarify
- Interpret patient values
Define deliberative
- Provide info + clarify
- Emphasize patient values
- Dialogue with patient about best course of action
Describe disadvantages of paternalistic
- Too narrow meaning of wellbeing + interest of patient
- Patient = suffers illness
- Doctir = diagnoses + treat disease
- Doesn’t integrate scientific + social concepts of disease + illness
- No emphasis on patient autonomy
- Unequal power dynamics
Describe advantages of patient-centered
- Holistic understanding of problem
- More accurate diagnosis
- Increased adherence to treatment
- Patient’s control + excercise choice
- Doctor-patient shared decision making
- Morale + efficiency of healthcare providers
Give core components of a patient-centered
1) D-P communication: explore concerns + requirements
2) D-P partner: negotiating common ground
3) Health promotion: overall health + well-being perspective
