Retina Today - Informed Consent and the Physician-Patient Relationship (April )
models in their application to the doctor-patient relationship: the communication model, the socio-cultural model, the model of medical transference and the. In the informative model of the physician-patient relationship, physicians provide patients with all information relevant to their condition and leave the. Rev Med Chir Soc Med Nat Iasi. Apr-Jun;(2) ETHICAL MODELS OF PHYSICIAN--PATIENT RELATIONSHIP REVISITED WITH REGARD TO.
Sometimes, this has been done by engaging the patients in therapeutic decision-making.
Four models of the physician-patient relationship.
This begins with the explanation and translation of medical terminology into a comprehensible language for the patient and educating them to follow the care tasks.
Because it is my verbal communication that will assure the patients; and in this method I will educate my patients. The doctor should have the skills to convey his message.
For example, one participant mentioned: Commitment The common feature of physicians participating in this study was working in one place for years.
This leads to constant communication with the patients. This form of communication between a physician and patients, in turn, creates an intimacy that it is called a sense of family relationship. Doctors show their commitment to their patients through care activities.
Some of these activities, in our current medical context, are extraordinary, like home visiting or phone calls. Others fit in the context of routine daily actions; however, in their opinion these activities are signs of respect for the patient. For example, one participant noted: This results in them trusting me. This self-confidence is an important component of the healing relationship. In this regard, one of the participants stated: Finally, expert knowledge is important in building an effective communication.
Trust Trust will form as a result of the process of valuation and commitment over time. One of the participants stated: This does not always mean that cure is possible, but sometimes it means that there is hope of a few more good days, and provides opportunity for gratitude and forgiveness. In difficult situations, physicians act differently.
They do not seek false hope; however, the patient will have a pleasant experience unless there was no effective treatment.
Four Models of the Physician-Patient Relationship | Physician-Patient Relationship
They could understand where they were going and what was going on. In this regard, a physician stated: Accordingly, in the Iranian society, mentioning the Islamic concepts of human relationship can improve the quantity of health relationship and can enrich the components of the physician-patient relationship. In this context, a basic element and a prerequisite to respecting human dignity is viewing every human being as a creation of God. This means that it is your intent that shapes the relationship].
These components will form the three relational elements of trust, peace and hope, and being acknowledged. The present study tried to propose a model for therapeutic relationship based on the experiences of the research participants.The importance of the physician-patient relationship
In order to determine the effect of this model in the current situation of medical practice, we can evaluate it at three levels. Mutual trust, peace, and being acknowledged as the results of this relationship are equally important for both patients and physicians.
Third, the healing relationship affects both parties patients and physicians. A number of physicians who participated in this study had experienced working in difficult situations such as the battlefield or severely deprived areas and they were satisfied with memorizing them. This indicates that such an enriched experience and relationship left its positive impact on their life and work.
Four models of the physician-patient relationship. - Semantic Scholar
It could be proposed that the solution to some health system problems could be found in redefining the physician-patient healing relationship. Conclusion It can be concluded that the structure of the physician-patient healing relationships is comprehensible and may lead to valuable patient-centered outcomes. However, despite our best efforts, few patients really comprehend what we are saying. We cannot expect them to understand terms such as high pressure and corneal swelling, let alone realize the long-term significance of these complications, or know the treatment options and variable outcomes should complications occur.
It is also sometimes challenging for patients to understand statistical outcomes. Furthermore, most patients are unaware that when we are explaining their situations we are also building their legal informed consent.
Over the past several decades, many retina specialists have adopted the informative model of the physician-patient relationship described above. We might find ourselves using it when selecting an anti-VEGF treatment or when deciding whether to remove an epiretinal membrane. Although the informative model provides patients with all of the facts and the physician with a legal document, it lacks a caring touch.
A new piece of information does not float freely in our heads; it is assigned to some category or frame of reference that already exists within the mind. In the sick, feelings such as fear greatly influence this process. They want a partner, teacher, and friend who understands their values and will help guide them through their illness.
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I have dealt with this condition numerous times, and, given what I know about you, this is the course of action I would recommend. It is the same treatment I would recommend if you were my mother. The physician not only indicates what the patient can do, but, knowing the patient and wishing what is best, the physician can and should indicate what the patient should do. Unfortunately, with limited time, we must be careful not to unwittingly impose our own values on patients who may be overwhelmed by their medical conditions or uncertain of their own views, making them too easily accepting of this imposition, which would fall in line with the paternalistic model.
This, in turn, allows them to listen better to us, which ultimately benefits both parties.