The physician–patient relationship: the impact of patient-obtained medical information

2006 ◽  
Vol 15 (8) ◽  
pp. 813-833 ◽  
Author(s):  
Bin Xie ◽  
David M. Dilts ◽  
Mikhael Shor
Keyword(s):  
Medical Information ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Physician Patient ◽  
The Impact

The Ethics of Medical AI and the Physician-Patient Relationship

2019 ◽  
Vol 29 (1) ◽  
pp. 115-121 ◽  
Author(s):  
SALLY DALTON-BROWN
Keyword(s):  
Healthcare Workers ◽  
Data Privacy ◽  
Medical Information ◽  
Ethical Issues ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Positive Shift ◽  
Physician Relationship ◽  
Physician Patient

Abstract:This article considers recent ethical topics relating to medical AI. After a general discussion of recent medical AI innovations, and a more analytic look at related ethical issues such as data privacy, physician dependency on poorly understood AI helpware, bias in data used to create algorithms post-GDPR, and changes to the patient–physician relationship, the article examines the issue of so-called robot doctors. Whereas the so-called democratization of healthcare due to health wearables and increased access to medical information might suggest a positive shift in the patient-physician relationship, the physician’s ‘need to care’ might be irreplaceable, and robot healthcare workers (‘robot carers’) might be seen as contributing to dehumanized healthcare practices.

The physician's disease: The impact of medical knowledge on personal illness

2007 ◽  
Vol 5 (1) ◽  
pp. 71-76 ◽  
Author(s):  
JEFFREY P. TUTTLE
Keyword(s):  
Treatment Plan ◽  
Medical Knowledge ◽  
Sick Role ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Consultation Room ◽  
Patients Experience ◽  
Physician Patient ◽  
The Impact

Objective: When physicians confront a personal illness of a serious nature, they may discover that the transition to the sick role is challenging, and the inability to relinquish their stethoscope may cause undo anxiety. The physician–patient relationship is intrinsically asymmetrical, and the role of the physician is to regulate the amount of information patients need in order to become educated about their illness and to make informed decisions about their treatment plan. This article explores the challenges in the physician–patient relationship when the patient is also a physician.Methods: This article is a literature review of publications involving the unique challenges physician–patients experience when suffering from serious personal illness.Results: The medical knowledge physician–patients harbor has the potential to complicate their ability to cope with difficult or terminal diagnoses. Paradoxically, knowledge about a condition may fuel anxiety instead of alleviating the fear associated with the unknown. Medical knowledge therefore may entail a certain loss of innocence, and physicians are often unable to revert to being “mere” patients. Furthermore, managing this anxiety in physician–patients may prove to be challenging to the treating physician.Significance of results: From a medical perspective, physician–patients need to be addressed like any other patient. Psychologically, however, these patients are unique, and the specific challenges their education and experience bring into the consultation room needs to be explicitly addressed.

scholarly journals Medical Diagnoses for Sale or for Political Reasons: We are all Victims

2019 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Omobola Awosika Oyeleye
Keyword(s):  
Health Care Professionals ◽  
Healthcare Professionals ◽  
News Story ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Unethical Conduct ◽  
Medical Diagnoses ◽  
Potential Impact ◽  
Physician Patient ◽  
The Impact

The article discusses the implications of the actions of health care professionals who engage in unethical conduct for altruistic purposes or for pecuniary gain. It analyzes the highly publicized news story where parents allegedly paid a lot of money to get their children admitted to colleges, including engaging the services of psychologists who created fake diagnoses of learning disabilities. It explores earlier unethical acts by healthcare professionals like physicians in Wisconsin who wrote work excuse notes for Wisconsin teachers, without any physician/patient relationship or assessments, and dentists and nurses who violated their professional ethical principles. Also discussed, is the impact of such acts on the respective professions and the potential impact on unseen victims like individuals with disabilities. The universality of the impact and the need for communal vigilance are highlighted.

Oncologists' Experiences and Attitudes About Their Role in Philanthropy and Soliciting Donations From Grateful Patients

2015 ◽  
Vol 33 (32) ◽  
pp. 3796-3801 ◽  
Author(s):  
Jennifer K. Walter ◽  
Kent A. Griffith ◽  
Reshma Jagsi
Keyword(s):  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Ethical Guidelines ◽  
Cancer Centers ◽  
Physician Participation ◽  
Medical Oncologists ◽  
Ethical Acceptability ◽  
Physician Patient ◽  
The Impact ◽  
Do So

Purpose Physician participation in philanthropy is important to marshal resources that allow hospitals to pursue their missions, but little is known about how physicians participate and their attitudes toward participation. Methods To characterize philanthropic roles physicians play and their attitudes about participation and its ethical acceptability, medical oncologists affiliated with the 40 National Cancer Institute–designated comprehensive cancer centers were randomly sampled and surveyed to evaluate experiences and attitudes regarding participation in philanthropy at their institutions. Responses were tabulated; significant associations by physicians' characteristics were explored. Results A total of 405 (52%) physicians responded; 62% were men, and 72% were white. Most (71%) had been exposed to their institution's fundraising/development staff; 48% of those were taught how to identify patients who would be good donors; 26% received information about ethical guidelines for soliciting donations from their patients; 21% were taught how their institution ensures Health Insurance Portability and Accountability Act compliance. A third (32%) of respondents had been asked to directly solicit a donation from their patients for their institution, of whom half declined to do so. Those who had solicited from their patients had been in practice significantly longer (mean, 19 v 13 years; P < .001). A substantial minority (37%) felt comfortable talking to their patients about donation (men more than women, 43% v 26%; P = .008); however, 74% agreed it could interfere with the physician-patient relationship, and 52% believe conflict of interest exists. Conclusion Institutions are asking physicians to directly solicit their patients for donations with variability in physicians' perceptions of the impact on relationships with patients and responses toward those requests.

scholarly journals The Impact of Health Information on the Internet on the Physician-Patient Relationship

2003 ◽  
Vol 163 (14) ◽  
pp. 1727 ◽  
Author(s):  
Elizabeth Murray ◽  
Bernard Lo ◽  
Lance Pollack ◽  
Karen Donelan ◽  
Joe Catania ◽  
...  
Keyword(s):  
Health Information ◽  
The Internet ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Physician Patient ◽  
The Impact

scholarly journals United States Physician Preferences Regarding Healthcare Financing Options: A Multistate Survey

Pharmacy ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 131
Author(s):  
Shamima Khan ◽  
Joshua Spooner ◽  
Harlan Spotts
Keyword(s):  
United States ◽  
Insurance Coverage ◽  
Professional Autonomy ◽  
Patient Relationship ◽  
Healthcare Financing ◽  
Physician Patient Relationship ◽  
Single Payer ◽  
Physician Patient ◽  
The Impact ◽  
System Orientation

Background: Not much is currently known about United States (US) physicians’ opinions about healthcare financing, specifically subsequent to the creation and implementation of the Affordable Care Act (ACA). Objectives: A four state survey of practicing US based physicians’ opinions about healthcare financing following ACA passage and implementation. Methods: Physician leaders practicing in the state of New York, Texas, Colorado and Mississippi were surveyed. Two factor analyses (FA) were conducted to understand the underlying constructs. Results: We determined the final response rate to be 26.7% after adjusting it for a variety of factors. Most physicians favored either a single payer system (43.8%) or individualized insurance coverage using health savings accounts (33.2%). For the single-payer system, FA revealed two underlying constructs: System orientation (how the physicians perceived the impact on the healthcare system or patients) and individual orientation (how the physicians perceived the impact on individual physicians). Subsequently, we found that physicians who were perceived neutral in their attitudes towards physician-patient relationship and patient conflict were also neutral in reference to system orientation and individual orientation. Physicians who were perceived as stronger on the physician-patient relationship were more supportive of a single-payer system. Conclusion: This study brings attention to the paradox of social responsibility (to provide quality healthcare) and professional autonomy (the potential impact of a healthcare financing structure to negatively affect income and workload). Efforts to further reform healthcare financing and delivery in the US may encounter resistance from healthcare providers (physicians, mid-level prescribers, pharmacists, or nurses) if the proposed reform interferes with their professional autonomy.

scholarly journals The impact of artificial intelligence in medicine on the future role of the physician

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7702 ◽  
Author(s):  
Abhimanyu S. Ahuja
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Computer Processing ◽  
Patient Relationship ◽  
Medical Work ◽  
Physician Patient Relationship ◽  
Practice Of Medicine ◽  
Physician Patient ◽  
The Impact

The practice of medicine is changing with the development of new Artificial Intelligence (AI) methods of machine learning. Coupled with rapid improvements in computer processing, these AI-based systems are already improving the accuracy and efficiency of diagnosis and treatment across various specializations. The increasing focus of AI in radiology has led to some experts suggesting that someday AI may even replace radiologists. These suggestions raise the question of whether AI-based systems will eventually replace physicians in some specializations or will augment the role of physicians without actually replacing them. To assess the impact on physicians this research seeks to better understand this technology and how it is transforming medicine. To that end this paper researches the role of AI-based systems in performing medical work in specializations including radiology, pathology, ophthalmology, and cardiology. It concludes that AI-based systems will augment physicians and are unlikely to replace the traditional physician–patient relationship.

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