Social Factors That Influence The Patient Doctor Relationship

Within their paper, Childress and Siegler expand upon five models of physician-patient relationships that are omnipresent within the healthcare setting: Paternalism, Partnership, Friendship, Contract, and Technical Assistance (Childress and Siegler 74). By using these models, physicians often use these social frameworks to “appeal to ethical principles related to informed consent or shared decision-making or, at a deeper level, [the] goal of respecting patient autonomy” (Schwartz 2011). While the substantial purpose of using these models is to help alleviate the excruciating effects of disease, there are drawbacks to these models where efforts to respect patient autonomy may aggravate a patients’ suffering, specifically paternalism. Advocates

Over the span of half a century, the medical profession has witnessed a catastrophic shift in the patient-physician relationship. As the manufacturing of new pharmaceuticals and the number of patients under a physician’s care continue to rise, doctor’s are finding it difficult to employ the time-honored principles listed within the Hippocratic Oath. This oath, written in 430 BC by the Greek Physician, Hippocrates, was the first document to state the responsibilities of a physician to his patient (vadscorner, pg 2). Hippocrates believed that it was the physician’s duty, as a healer, to treat the patient infected with the disease to the best of his ability, and not to treat the disease

The issue of doctor patient relationships has become more and more prevalent in our world today. It is hard to draw a clear line in deciding what the appropriate roles are of both the patient and the medical professional. The claim that the paternalistic

Patients go to doctors to get objective consultations. People want to feel comfortable, particularly when a doctor visit involved bearing parts of one's body. They don't want the possibility of being approached sexually by their treating physician. Changing the professional guidelines of doctor patient relationships could have negative impacts on patients, and leave many with aversive feelings towards having

There will be high dependence on the leader to start the conversation and the individual roles and responsibilities will be unclear. The leader must be ready to answer a lot of questions from the rest of the group about the purpose of the team. In this scenario everyone will be polite to each other and welcome each other happily.

I encountered multiple similar situations over the past summer; I have been shadowing an internist, a gastroenterologist, and a radiation oncologist. In one instance, I met María, a 67-year-old patient who was treated for breast cancer years ago. In July, she had visited the ED because of speech difficulties. Her MRI scan showed multiple brain tumors. Dr. ZZZ briefly informed María of her condition. When her son asked to talk in private, Dr. ZZZ first asked María how much she wanted to be involved in the treatment and if she agreed to let her son make the decisions. This was one of the many encounters that deepened my understanding of the role of culture in healthcare.

If an adolescent male patient is uncomfortable with a female physician examining him, then the physician should ask the medical assistant if a male to assist the situation. The medical assistant will help get the patient comfortable with the situation if a presence of a male is overseeing the examination. Another option can be to have another physician examine the patient. However, as a physician with courtesy, this preparation will set as soon as the patient enters the room. The patient will get a sense of consideration and be comfortable, which allows the physician -patient relationship to start out good.

Classic interactions between patients and doctors rely heavily on medical competence. The doctor, the supposed superior in the arrangement, acts as a symbol for scientific proficiency while the patient exists as a sponge. While extensive knowledge is nonnegotiable in the field, empathy is a key component in ensuring proper diagnoses and sustaining healthy, impartial interactions. Margaret Edson 's play W;t employs dialogue and discontinuous juxtaposition in order to draw attention to the inevitable disconnect between patients and providers, which endangers successful medical engagement and outcomes.

A patient signed an arbitration agreement before he say the doctor for his surgery and the surgery went bad and the patient filed for compensation due to effects from the wrong doings of the doctor. The court ruled that the arbitration agreement could not be upheld. This case shows what could result in someone not being able to read legal papers before they sign or not knowing they have the right to not sign said paperwork. The majority opinion for this case is correct. the wording on the arbitration agreement was one reason as well as the fact that a doctor-patient relationship was present when Mr. King signed said agreement. Also, there are many cases that help to support the majority opinion.

This past’s week’s articles and video’s has shown me the differences between two models of care one being the biomedical model versus the biopsychosocial model (Soupis, 2016). Both of these models have value however, distinctively different in their theoretical frameworks of how they deliver patient care within the underlying roles that exist in the patient physician relationship. As I watched all the video presentations; after having read all the articles already being moved by the writings of Dr. Rita Charon, her video further demonstrated what type of impact a physician can have on their patients when delivering this type of care “as she aptly named narrative medicine”(Charon,2009, p.119). This week’s lesson on narrative medicine struck a nerve into the depth of my inner being, totally awed me, this developing field rather evolving branch of medicine.

In this qualitative research, Cerimagic aims at determining whether a patient’s culture, language, and race affect the quality of the patient-doctor relationship and communication. The researcher used a secondary analysis methodology in order to conduct a systematic review of existing literature and past research findings. Thease recent and past researches produced the complications that resulted from cultural differences and its effects on health care provider-patient communication and relationships. The qualifications for sampling frame included studies in English language and those

Specifically Eric Kaplan, wrote an article about the three key ways to building a relationship. In the article “A Doctor of Selling Three Keys to Building Relationships” the author discusses the main points he focuses on when meeting a new patient. The doctor will introduce themselves and then give a thorough examination. This is where the big first impression comes into play. After the thorough examination the doctor will come up with a diagnoses and talk about the patient’s needs accurately. A doctor’s job is to figure out what is wrong with the patient so this is an important step, but not only should they diagnose the patient the doctor should talk about the test results to the patient. While socializing with the patient it helps the them realize what is going on, it is also building a relationship through communication. To fix the health issue the doctor needs to make the right prescription. After talking to the patient the doctor would then know if they are allergic to any medication and also they would work out a plan together for the healing process. Kaplan explains this method as “Doctors must learn to treat patients with the same ethics and commitment with which they would want to be treated.” Eric Kaplan strongly believes in the idea that communication is what holds a doctor-patient relationship together. Letting the

While examining the interpersonal interactions between doctors and patients it is clear that doctors completely control the talk time. Doctors ask a lot of "yes" or "no" answered questions, not allowing the patient to express very much emotional information. This is one of the ways that doctors, in this type of environment, try to stay emotionally detached from patients. An example of this can also be found in the movie when all the experienced doctors only refer to patients as their certain illnesses. These doctors feel that names, emotions, hobbies, etc. are just distractions that get in the way of their professional duties.

In the study “A Qualitative Study of Sexual Harassment of Female Doctors by Patients”, it covers the issues some doctors experience based on their gender. The issues that this study covers it sexual harassment and inappropriate behavior pointed towards female doctors by their patients. Many female doctors experience harassment when their patients take advantage of the physical and intimate nature of medical exams or diagnostic questions.

Braš, M., V. Đorđević & M. Janjanin (2013) Person-centered pain management - science and art. Croatian Medical Journal, 54, 296-300.