Ten keys to better doctor-patient relations

1989 ◽  
pp. 285
Author(s):  
Arthur G. Lensgraf
Keyword(s):  
Patient Relations ◽  
Doctor Patient Relations

Following the algorithm: How epidemiological risk-scores do accountability

2019 ◽  
Vol 49 (4) ◽  
pp. 476-502 ◽  
Author(s):  
Katrin Amelang ◽  
Susanne Bauer
Keyword(s):  
Risk Score ◽  
Knowledge Production ◽  
General Medicine ◽  
Risk Scores ◽  
Healthcare Provision ◽  
Clinical Encounters ◽  
Patient Relations ◽  
Cardiovascular Risk Score ◽  
Epidemiological Risk ◽  
Doctor Patient Relations

Epidemiological risk scores are calculative devices that mediate and enact versions of accountability in public health and preventive medicine. This article focuses on practices of accountability by following a cardiovascular risk score widely used in medical counselling in Germany. We follow the risk score in the making, in action, and in circulation to explore how the score performs in doctor-patient relations, how it recombines epidemiological results, and how it shapes knowledge production and healthcare provision. In this way, we follow the risk score’s various trajectories – from its development at the intersection of epidemiology, general medicine and software engineering, to its usage in general practitioners’ offices, and its validation infrastructures. Exploring the translations from population to individual and back that are at work in the risk score and in the primary prevention of cardiovascular disease, we examine how versions and distributions of accountability are invoked and practiced as the score is developed and put to use. The case of a simple risk score used in everyday counselling brings into relief some key shifts in configurations of accountability with emerging versions of ‘health by the algorithm’. While there is an increasing authority of algorithmic tools in the fabric of clinical encounters, risk scores are interwoven with local specificities of the healthcare system and continue to be in the making.

Repeat Prescription Patients: Are They an Identifiable Group?

1970 ◽  
Vol 1 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Michael Balint
Keyword(s):  
Statistical Study ◽  
Life Experiences ◽  
Patient Centered ◽  
Medical Practitioners ◽  
Repeat Prescription ◽  
Patient Relations ◽  
Patient Centered Medicine ◽  
The Relationship ◽  
Negative Relationships ◽  
Doctor Patient Relations

In this article, Dr. Balint examines the use of repeat prescriptions in medical practice as a way of dealing with patients' personal emotional problems and as an attempt to diminish conflicts in doctor-patient relations. A clinical and statistical study of 1,000 patients of 10 medical practitioners suggests that repeat prescription patients need and seek a reliable, continuing, but non-threatening relationship with a physician as a substitute gratification for frustrations in certain life experiences. This search can lead to frequent contacts with doctors. resulting in tense or negative relationships which tend to be superficially relieved by introduction of the “repeat prescription regime.” Illness-centered medicine (“traditional diagnosis”) is contrasted with patient-centered medicine (“overall diagnosis”) in terms of their respective influence on the patient, his illness, and on the development of the relationship to his doctor.

scholarly journals To trust or not to trust? Faith issues in psychopharmacological prescribing

2008 ◽  
Vol 32 (5) ◽  
pp. 179-182 ◽  
Author(s):  
Waqqas Ahmad Khokhar ◽  
Imran Hameed ◽  
Mohammed Mubashir Ali ◽  
Javaria Sadiq ◽  
Peter Bowie
Keyword(s):  
Therapeutic Relationship ◽  
Diversity Training ◽  
Postal Survey ◽  
Clinical Implications ◽  
Cross Sectional ◽  
South West ◽  
Patient Relations ◽  
Dietary Requirements ◽  
Health Trust ◽  
Doctor Patient Relations

Aims and MethodTo ascertain attitudes, awareness, knowledge and variations in prescribing habits of psychiatrists when addressing issues of faith, culture and dietary requirements (in keeping with the General Medical Council's and the Royal College of Psychiatrists' guidelines), and how these may affect the trust in doctor–patient relations. We undertook a cross-sectional postal survey aimed at clinicians in South West Yorkshire Mental Health Trust.ResultsWe obtained 38 responses (40% of the total number of questionnaires sent out) from two mailshots. Although the majority of respondents indicated that they were aware of the presence of potentially forbidden animal-derived ingredients in medication, only half expressed the view that a discussion regarding the above should take place prior to prescribing such medication.Clinical ImplicationsDiversity training combined with taking a genuine interest in patients' wishes will not only minimise ‘mistrust’ but also facilitate prescribing in a therapeutic relationship.

Publishing and Paternalism in the Grenfell Mission: Wilfred Grenfell’s Accounts of a Boy Patient and Doctor-Patient Relations in Northern Newfoundland and Labrador, 1900–14

2021 ◽  
pp. e515022021
Author(s):  
John Matchim
Keyword(s):  
Newfoundland And Labrador ◽  
Living Conditions ◽  
Public Image ◽  
Short Article ◽  
Case Record ◽  
Medical Mission ◽  
Medical Case ◽  
Patient Relations ◽  
Patient Consent ◽  
Doctor Patient Relations

In 1906 Dr. Wilfred Grenfell, founder and head of the Grenfell medical mission of northern Newfoundland and southeastern Labrador, published a short article in Putnam’s Monthly about a nine-year-old boy named Clem Richards, who had shot himself in the knee while hunting seabirds. The boy’s identity was disclosed in full, with Grenfell including his name and image as well as a detailed description of his living conditions. The “story” of the boy’s injury and recovery became a favourite of Grenfell’s, and it was modified and republished in a number of magazines and books between 1906 and 1923. This article explores the appeal that Richards’ accident held for Grenfell and argues that his dramatic mid-winter rescue of the boy helped Grenfell promote his mission and construct a public image of himself that would appeal to American readers and donors. By comparing published accounts with Richards’ medical case record, however, we also see how much Grenfell distorted the incident to heighten its drama and reader appeal. The article also considers how the mission’s dominance over northern Newfoundland and southeastern Labrador enabled Grenfell to use Richards’ name and image for mission publicity with no consideration of patient consent.

Miscellaneous Public Authority Functions

2019 ◽  
Author(s):  
Duncan Fairgrieve ◽  
Dan Squires QC
Keyword(s):  
Medical Profession ◽  
Public Authority ◽  
Duty Of Care ◽  
Public Sector Employee ◽  
Patient Relations ◽  
Individual Doctor ◽  
Sector Employee ◽  
Medical Policy ◽  
Doctor Patient Relations

Doctors owe a duty of care to their patients, and this duty will be owed regardless of whether the doctor is a public sector employee operating within a statutory framework or is providing health care privately. Medical negligence claims in relation to the care which doctors provide to individual patients are outside the scope of this book. Cases arise, however, that do not involve individual doctor-patient relations and raise broader questions of medical policy. In such instances, the fact that the defendant is a public authority exercising public powers is likely to be material to a determination of whether a duty of care should be imposed, and it is such cases we consider in this section. It should be noted that the potential liabilities in negligence of the bodies that regulate the medical profession are not considered in this chapter, but are examined in Chapter 14, where we consider professional regulators.

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