The health professional-patient-relationship in conventional versus complementary and alternative medicine. A qualitative study comparing the perceived use of. A virtue based account of professional-patient relationships will be concerned with the character both of the health professional and of the patient. For example . Chapter6 The Professional-Patient Relationship A health-care practitioner is most successful when he or she develops a good “bedside manner.” Important.
Further exploration of this area using observational methods is recommended. Indeed the essential role that trust plays in effective doctor—patient relationships has been long recognized [ 3 ].
Trust has been shown to be a critical factor influencing a variety of important therapeutic processes including patient acceptance of therapeutic recommendations, adherence to recommendations, satisfaction with recommendations, satisfaction with medical care, symptom improvement and patient disenrollment [ 3 ].
In a systematic review of trust research up to [ 5 ], Rowe cautions that evidence to support the claims about the impact of trust on therapeutic outcomes is in short supply. However, the need for mutual trust appears to be important, not least because of the so-called shift in the structure and nature of the clinician—patient relationship away from paternalism towards shared-decision-making with an emphasis on patient involvement and self-care [ 6 ].
Purpose The aim of review was to characterize the evidence base on trust in the health-care provider patient relationship in order to see if, and how, the perspectives and focus of trust research may have changed since Rowe's review [ 5 ] and to identify directions for future research.
It may be further beneficial for the doctor—patient relationship to have a form of shared care with patient empowerment to take a major degree of responsibility for her or his care.
Why the patient/provider relationship is key to better hospital care
Those who go to a doctor typically do not know exact medical reasons of why they are there, which is why they go to a doctor in the first place.
An in depth discussion of lab results and the certainty that the patient can understand them may lead to the patient feeling reassured, and with that may bring positive outcomes in the physician-patient relationship. Benefiting or pleasing[ edit ] A dilemma may arise in situations where determining the most efficient treatment, or encountering avoidance of treatment, creates a disagreement between the physician and the patient, for any number of reasons.
In such cases, the physician needs strategies for presenting unfavorable treatment options or unwelcome information in a way that minimizes strain on the doctor—patient relationship while benefiting the patient's overall physical health and best interests. When the patient either can not or will not do what the physician knows is the correct course of treatment, the patient becomes non-adherent.
Adherence management coaching becomes necessary to provide positive reinforcement of unpleasant options. For example, according to a Scottish study,  patients want to be addressed by their first name more often than is currently the case.
In this study, most of the patients either liked or did not mind being called by their first names. Only 77 individuals disliked being called by their first name, most of whom were aged over Generally, the doctor—patient relationship is facilitated by continuity of care in regard to attending personnel.
Special strategies of integrated care may be required where multiple health care providers are involved, including horizontal integration linking similar levels of care, e. In most scenarios, a doctor will walk into the room in which the patient is being held and will ask a variety of questions involving the patient's history, examination, and diagnosis.
This can go a long way into impacting the future of the relationship throughout the patient's care. All speech acts between individuals seek to accomplish the same goal, sharing and exchanging information and meeting each participants conversational goals. A question that comes to mind considering this is if interruptions hinder or improve the condition of the patient.
Constant interruptions from the patient whilst the doctor is discussing treatment options and diagnoses can be detrimental or lead to less effective efforts in patient treatment. This is extremely important to take note of as it is something that can be addressed in quite a simple manner.
This research conducted on doctor-patient interruptions also indicates that males are much more likely to interject out of turn in a conversation then women.
These may provide psychological support for the patient, but in some cases it may compromise the doctor—patient confidentiality and inhibit the patient from disclosing uncomfortable or intimate subjects. When visiting a health provider about sexual issues, having both partners of a couple present is often necessary, and is typically a good thing, but may also prevent the disclosure of certain subjects, and, according to one report, increases the stress level.
Family members, in addition to the patient needing treatment may disagree on the treatment needing to be done. This can lead to tension and discomfort for the patient and the doctor, putting further strain on the relationship.The Importance of the Nurse Patient Relationship
Bedside manner[ edit ] The medical doctor, with a nurse by his side, is performing a blood test at a hospital in A good bedside manner is typically one that reassures and comforts the patient while remaining honest about a diagnosis. Vocal tones, body languageopenness, presence, honesty, and concealment of attitude may all affect bedside manner.
These ethical policy statements are based on the ancient Hippocratic oath.
Top 100 Health-Care Careers , 3rd Edition by Saul Wischnitzer, Edith Wischnitzer
Legal obligations In the United States and Canada, the legal obligations of health care providers are based on and presuppose the traditional ethical standards of good medical practice.
These legal obligations include accepting federal and state examination and licensure standards; government regulation of medical records; court orders regarding reporting or disclosure of a patient's medical records; and a number of other obligations. The legal obligations and liabilities of health care professionals have become increasingly complex over the last 30 years. This development is partly the result of technological advances that pose new questions to the legal system.
For example, the safe operation of medical lasers depends on proper engineering and maintenance procedures as well as on the surgeon's skill and training in using the laser.
A patient injured by a malfunctioning laser might decide to sue the manufacturer and the hospital administration as well as the surgeon. In addition, however, the growing complexity of health care legislation is part of a larger trend toward resolving social issues through litigation rather than through public debate or other means. Viewpoints Historical background Prior to the second half of the twentieth century, the patient-physician relationship was strictly hierarchical.
The physician was assumed to know what was best for the patient, and the patient was expected to follow "doctor's orders. This change was related to the larger proportion of high-school students going on to college, and to the rapid spread of medical information via television and health care books written for the general public. Patients who were employed in other fields requiring specialized training, or who read widely, were less impressed by the physician's educational credentials and more likely to question his or her advice.
The social context of contemporary health care In addition to the rise in education level among the general population in Europe and North Americaseveral other factors have helped to reshape patient-professional relationships.
The most important factors are the following: The loss of a social consensus regarding moral issues. At one time, health care professionals could be fairly sure that they and their patients agreed on the major moral issues that were likely to arise in health care situations.
Today, however, there is widespread disagreement within the professions as well as in the general population about such questions as abortion, euthanasia, organ donation, limitations on medical research, and others. A patient who disagrees with his or her health care provider on the moral implications of a procedure is now generally allowed to refuse the procedure.
The high-pressure education of health care professionals. Over the past thirty years, the training of physicians, nurses, dentists, pharmacists, and other health care professionals has become much more demanding.
One factor is the sheer accumulation of scientific knowledge; today's medical, dental, or nursing student must master a much larger body of information than students of previous generations.
Doctor–patient relationship - Wikipedia
Another factor is the increased tendency toward professional specialization, which makes it more difficult for health care providers to see patients as whole human beings. Managed care has changed physician-patient relationships by requiring patients to choose their doctor from a list of providers approved by the managed care organization. In many instances patients have left physicians who were trusted and who had cared for them for years.
In other instances managed care organizations have terminated physicians on short notice, thus disrupting continuity of patient care. Some observers have remarked that patients' attitudes toward physicians have become increasingly adversarial because they think doctors are more concerned with pleasing insurance companies than to provide good care.
Changes in communications technology. The widespread use of computers in managed care and health insurance organizations to store databases of patient information has raised questions about preserving confidentiality.