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Document Typology: Research
Methodology addressed by the publication:Narrative medicine
Title of document: An analytical study of doctor-patient relationship (2nd part)
Name of author(s): Liviu Oprea
Name of publisher: Bioethics Romanian Magazine
Language of the publication: Romanian
Language of the review: English
Summary:
This is part two of the analytical study of the ethical doctor-patient relationship (DPR). In the first part, there have been described and analyzed the objectives and the processes of different bioethical models of doctor patient relationship. In this part of the study, there are analyzed different clinical models of doctor-patient relationship in order to understand the connection between the theoretical and philosophical arguments, bringing empirical proofs on the effectiveness of these models in achieving their objectives if they will be implemented in the health system. The process involved in DPR underlies the DPR clinical models, namely the model focused on patient care (PCR) and the model of care focused on the relationship (CCR). Thanks to Balint`s and Engel`s early works, after more than fifty years, DPR clinical models have gained importance in general practice and they are considered a main feature of quality practice. In this section, there are analyzed in terms of ethics, the concepts and the ideas related to DPR clinical models presented in the most common and empirically studied in the literature. It will be argued that clinical models of DPR are normative and prescriptive in nature, similar to bioethical models of DPR. Firstly, it will be presented and analyzed ethically the DPR model focused on patient care (PCR). It will show that certain ways of multiple ethical dimensions of this model were not clarified by their promoters. Secondly, it will be described and emphasized the DPR model of care focused on the relationship with the associated empirical study of the DPR process. There are described the communication features of CCR and it will focus on the empirical research to promote their ability to bring benefits and autonomy to patient. It will bring some arguments showing that the process of DPR which has these features of communication can promote both benefits and patient`s autonomy. Thirdly, it will make a comparison between clinical and bioethical models of the doctor patient relationship. It will be argued that similarities between Brody's relational model and the model of doctor-patient relationship CCR suggests that implementation of this model in medical care can be effective both in terms of patient benefits, as well as in his autonomy.
Reviewer's comments on the document:
This is part two of the analytical study of the ethical doctor-patient relationship (DPR. In this part of the study, there are analyzed different clinical models of doctor-patient relationship in order to understand the connection between the theoretical and philosophical arguments, bringing empirical proofs on the effectiveness of these models in achieving their objectives if they will be implemented in the health system.)
Where to find it: http://www.bioetica.ro/bioetica/ie2/info.jsp?item=10549&node=1835
Pdf of the publication: www_bioetica_ro - Vol_ 7, nr_ 3

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