Solidarity, Trust, and Christian Faith in the Doctor–Patient Relationship

2021 ◽  
Vol 27 (1) ◽  
pp. 14-29
Author(s):  
Christopher Tollefsen ◽  
Farr A Curlin
Keyword(s):  
Christian Faith ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Forthcoming Book ◽  
The Difference ◽  
Normative Account ◽  
Made In

Abstract In this article, we first give a normative account of the doctor–patient relationship as: oriented to the good of the patient’s health; motivated by a vocational commitment; and characterized by solidarity and trust. We then look at the difference that Christianity can, and we believe, should, make to that relationship, so understood. In doing so, we consolidate and expand upon some claims we have made in a forthcoming book, Ethics and the Healing Profession (Curlin and Tollefsen, 2021).1

A comparative study of teleconsultations versus face-to-face consultations

2001 ◽  
Vol 7 (5) ◽  
pp. 257-265 ◽  
Author(s):  
E J Nordal ◽  
D Moseng ◽  
B Kvammen ◽  
M-L Løchen
Keyword(s):  
General Practitioner ◽  
Comparative Study ◽  
Complete Agreement ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Partial Agreement ◽  
Face To Face ◽  
High Degree ◽  
Made In

We compared the diagnoses made by one dermatologist via telemedicine with those of another dermatologist made in a face-to-face consultation. The patients first underwent a teledermatology consultation and then a face-to-face consultation. A general practitioner was present with the patient in the videoconference studio. Videoconferencing equipment connected at 384 kbit/s was used. The doctor-patient relationship and the satisfaction of the patients and dermatologists in the two settings were assessed, as well as technical conditions during the videoconferences. There were 121 patients, with a mean age of 40 years (range 17-82 years). There was a high degree of concordance between the two sets of diagnoses, with 72% complete agreement and 14% partial agreement between the two dermatologists. A total of 116 patients (96% of those included) completed a questionnaire. Both the patients and the dermatologists were in general satisfied with the videoconferences. Videoconferencing with a participating general practitioner may be useful in dermatology, but the technique should be used only for selected patients.

scholarly journals How Doctors Care for Others: Caring, Being with and Making the Difference

2020 ◽  
pp. 15-23
Author(s):  
Mariana Barstad Castro Neves ◽  
Rafaela Oliveira Grillo ◽  
Flavia Sollero-De-Campos
Keyword(s):  
Attachment Style ◽  
Patient Adherence ◽  
Structured Interview ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Internal Working Model ◽  
Attachment Figure ◽  
The Difference ◽  
Compliance To Treatment ◽  
The Individual

Although more frequent and intense on infancy, the attachment system can be triggered across the lifespan, from "the cradle to the grave." In adulthood, whenever the individual's internal working model does not have enough resources to sustain his/her insecurity, one seeks support from an attachment figure. Illness may trigger the attachment system, obliging the individual to pursue the proximity of an attachment figure. In our research on how the doctor's attachment style affects the doctor-patient relationship (Barstad-Castro Neves, 2018), we assessed the doctor's attachment style and correlated with a semi-structured interview script. One of the categories highlighted in our research was how physicians cared for their patients. The present article aims to explore, expand, and clarify the category mentioned. It is essential to discuss how the car ing and concerning doctor acts towards his/her patient, and how the caregiving system, from the lens of attachment theory, has a function in that matter. Our research may contribute to the discussion of strategies to improve the doctor-patient relationship, therefore refining patient adherence and compliance to treatment. Besides, it can also shed light on how to give support to medical professionals, starting from medical school.

scholarly journals Being well and wellbeing: better understanding of patient priorities in primary care

2019 ◽  
Vol 11 (2) ◽  
pp. 89 ◽  
Author(s):  
Andrew Corin
Keyword(s):  
Primary Care ◽  
Health Outcomes ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Therapeutic Goals ◽  
Whole Person ◽  
Collaborative Interaction ◽  
Relationship Assessment ◽  
Question Strategies ◽  
Made In

ABSTRACT INTRODUCTIONAchieving desired health outcomes in primary care can be challenging because of dissonance between the theory and reality of medicine, inadequate understanding of patient perspectives and priorities regarding wellness, wellbeing and goals of treatment, and under-emphasis of the concept of whole-person care in the doctor–patient relationship. ASSESSMENT OF PROBLEMSAnticipated dissonance in the doctor–patient relationship was explored using a self-designed audit, which also functioned as an educational and engagement tool. Over a 12-month period, 282 adult patients (aged 24–94 years) provided responses to a question asking them to describe their best day in the context of their current health status. These responses were then entered into the Classifications field of the practice’s patient management system. RESULTS OF ASSESSMENTMost respondents appreciated the opportunity, with a small number commenting on the challenging nature of the question. STRATEGIES FOR QUALITY IMPROVEMENTEntering audit findings into the patient’s clinical record in a format accessible to all clinical staff enables increased opportunity for patients to be valued and engaged with. Goal setting and therapeutic choices can be made in the light of a better understanding of what matters most to the patient. LESSONS AND MESSAGESThis project provided valuable and, at times surprising, information to clinical consultations that had not previously been obtained from or offered by patients. Such information requires an intentional, engaged and collaborative interaction with the patient, and enhances patient-centric consultations with a focus on whole-person care and wellness in the journey to therapeutic goals and health outcomes.

scholarly journals 危言聳聽還是未雨綢繆？——談ＡＩ醫生與患者關係

2019 ◽  
Vol 17 (2) ◽  
pp. 73-77
Author(s):  
Yonghui MA
Keyword(s):  
Autonomous Agents ◽  
Well Being ◽  
Clinical Settings ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Systematic Analysis ◽  
Target Article ◽  
Digital Commons ◽  
The Difference ◽  
Applications Of Ai

LANGUAGE NOTE | Document text in Chinese; abstract in English only.The last few years have witnessed huge growth in the capabilities and applications of AI. The applications of AI in medical and clinical settings are also expanding at an unprecedented rate. AI is expected to help solve many medical and diagnostic problems and support well-being and health; however, concerns are also growing about the potential for AI doctors to undermine the traditional doctor–patient relationship. The article by Guobin Chen et al. provides a systematic analysis of this issue, to which the current paper is a response. The target article has two main parts. First, it seeks to determine whether the "significance" and "meaning" of the doctor–patient relationship will be eroded, or even eliminated, by AI technologies. Second, it discusses the difference between the Western emphasis on autonomous agents and the Chinese "Dao of completing and perfecting oneself" (cheng-ren zhi dao), and points out that it is very important to recognize this distinction when providing an alternative Chinese approach to the relationship between the AI doctor and patient.DOWNLOAD HISTORY | This article has been downloaded 21 times in Digital Commons before migrating into this platform.

The internet—A useful communication tool but no replacement for the doctor-patient relationship

2001 ◽  
Vol 120 (5) ◽  
pp. A735-A735
Author(s):  
C STREETS ◽  
J PETERS ◽  
D BRUCE ◽  
P TSAI ◽  
N BALAJI ◽  
...  
Keyword(s):  
The Internet ◽  
Patient Relationship ◽  
Communication Tool ◽  
Doctor Patient Relationship

Doctor-Patient Relationship: The Difficult Balance between Patient Psychology and Community Sociology

2019 ◽  
Vol 1 (1) ◽  
pp. 40-50
Author(s):  
Jose Luis Turabian
Keyword(s):  
Social Context ◽  
Interpersonal Relationship ◽  
Real Life ◽  
Community Relations ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Important Place ◽  
Usual Model ◽  
Individual Personality ◽  
Object Of Study

Psychology and sociology share a common object of study, human behaviour, but from different perspectives. Sociologists have focused on macro variables, such as social structure, education, gender, age, race, etc., while psychology has focused on micro variables such as individual personality and behaviours, beliefs, empathy, listening, etc. Despite the importance of interpersonal relationship skills, they depend on the community or social context in which communication takes place, and by themselves may have little relevance in the consultation. The purely psychological analysis of the doctor-patient relationship often leads to an idyllic vision, with the patient-centred consultation as the greatest exponent, which rarely occurs in real life. The purely sociological or community / social analysis of the doctor-patient relationship leads to a negative view of the consultation, which is always shown as problematic. But, the psychological system in the doctor-patient relationship cannot be neglected, and its study is of importance, at least as an intermediate mechanism that is created through socio-community relations. Although the same social causes are behind the doctor-patient relationship, when acting on psychological factors in the consultation, they act as an optical prism scattering socio-community relations that affect the doctor and the patient, giving rise to a beam of different colors of doctor-patient relationship. In doctor-patient relationship there is a modality of psychotherapy, where attitudes, thoughts and behaviour of the patient, can be change, as well as it can be extended on the way of understanding and therefore changing, his social context. Because of the distance between socio-community relations and the form of doctor-patient relations is growing in complex societies, under these conditions, the sociological factor gives the important place to the psychological factor. Given these difficulties of the doctor-patient relationship one may ask how general medical practice can persist with the usual model of doctor-patient relationship. Pain and the desire to relieve them are the basic reasons for the patient and the doctor, and they do not disappear due to the contradictions of the doctor-patient relationship. In this way, the confrontation between sociological and psychological vision is replaced by an alliance of both currents, and each of them takes on meaning only in the general vision.

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