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Document Typology: Web Article
Methodology addressed by the publication:Narrative medicine
Title of document: Doctor - patient relationship
Name of author(s): Psychology and Mental Health Department of "Iuliu Hațieganu" University of Medical Sciences and Pharmacy
Name of publisher: http://psychiatry-psychology.ro/
Language of the publication: Romanian
Language of the review: English
Summary:
The course defines the doctor-patient relationship as part of the medical act which can be considered as social, psychological or cultural relationships. The course presents the social status (a collection of rights and obligations) and the social role (way of putting into effect the rights and duties conferred by social status of individuals) of both the doctor and the patient. Conflicts of role in doctor-patient relationship can be generated by psychological resistance of patients to medical authority or by the refusal or inability to communicate of some patients.
In this tutorial there are illustrated the models of doctor-patient relationship: the paternalistic model reserved for emergency medicine, informative model proper for circumstances where the patient is consulted for a minor illness, the interpretative model proper for situations where the patient is consulted for diseases with long development and deliberative model used especially in institutions with public health.
Also there are presented particular types of doctor-patient relationship (eg. obsessed, depressed), types of errors frequently encountered in the establishment and conduct of the doctor-patient relationship (doctor inappropriate attitudinal traits: haste, impatience, fatigue, boredom, cold , high tone, acceptance of a poor communication with patient) and deficiencies in doctor-patient communication.
Ethical, moral, professional reasons, oblige the doctor to provide relevant information to patients on their disease. Announcement of bad news must be done with professionalism, taking into account age, level of schooling, and the survey of the patient: "Do you want to know something about your illness? Do you want to discuss the test results?, watching the patient's attitude and reaction to disease. It is recommended informing patients about the diagnosis and prognosis, even if it is reserved and must allow states such as anger, silence, and shock. Still in its infancy, the doctor should know how much the patient knows which are the priorities and plans.
Doctor should never say "I can’t do anything". There is always something to do to alleviate suffering.
Reviewer's comments on the document:
The article focuses on the doctor- patient relationship that needs to take into account the social, psychological or cultural aspects of the relationship. Conflicts can emerge at any time therefore it is needed to focus on the errors or misunderstandings that can occur at any time.
There are several attitudes that doctor have that need to be restrained because they lead to a poor communication. Also it is important how the doctor gives the bad news to patients.
Where to find it: http://psychiatry-psychology.ro/file/Psihologie%20Medicala%202010%202011/CURS_10_RELATIA_MEDIC_PACIENT.pdf
Pdf of the publication: CURS_10_RELATIA_MEDIC_PACIENT

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