scholarly journals The Role of Empathy in Therapy and the Physician-Patient Relationship

2012 ◽  
Vol 19 (5) ◽  
pp. 252-257 ◽  
Author(s):  
Bhautesh Dinesh Jani ◽  
David N. Blane ◽  
Stewart W. Mercer
Keyword(s):  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Physician Patient

Crisis and Informed Consent: Analysis of a Law-Medicine Malocclusion

1987 ◽  
Vol 12 (1) ◽  
pp. 55-97 ◽  
Author(s):  
Fran Carnerie
Keyword(s):  
Informed Consent ◽  
Medical Treatment ◽  
Clinical Setting ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Catastrophic Illness ◽  
Physician Patient ◽  
Emotional Impairment

AbstractMany individuals develop a temporary state of cognitive and emotional impairment after being diagnosed with catastrophic illness. Thus, when crucial decisions about medical treatment are required, they are unable to assimilate information; or worse, the legal need to be informed can rival a psychological desire to not be informed. The Canadian informed consent doctrine is unresponsive to crisis and clinically impracticable, and so paradoxically compromises the integrity and autonomy it was designed to protect. Many aspects of the physician-patient relationship and clinical setting also undermine the philosophical values enshrined in this doctrine. This further jeopardizes the individual's integrity. The Article explores proposals for change such as delaying the informing and consenting, improving the concept of consent, and improving the role of the physician.

scholarly journals What Role Does Patient Gratitude Play in the Relationship Between Relationship Quality and Patient Loyalty?

2019 ◽  
Vol 56 ◽  
pp. 004695801986832
Author(s):  
Chih-Hsuan Huang ◽  
Hsin-Hung Wu ◽  
Yii-Ching Lee ◽  
Li Li
Keyword(s):  
Health Care ◽  
Relationship Quality ◽  
Medical Service ◽  
Health Care Organizations ◽  
Service Industry ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Patient Loyalty ◽  
Physician Patient

The environment in health care organizations is becoming increasingly competitive. Therefore, to improve patient return rates, health care organizations need to examine how to enhance the physician-patient relationship. In particular, the role of patient gratitude on the physician-patient relationship in health care organizations is still ambiguous. The specific role of patient gratitude in the medical service industry needs to be identified. Therefore, this study aimed to investigate physician-patient interactions with reference to relationship marketing and to further understand the relationships among relationship quality, patient gratitude, and patient loyalty. The potential effects of patient gratitude on the physician-patient relationship were examined by testing mediation effect. The results demonstrated that patient gratitude had a notable effect on the association between relationship quality and patient loyalty. To improve the physician-patient relationship in the medical service industry, health care managements should not ignore the 3 relationship quality tactics perceived by patients, specially the role of the potential effect of patient gratitude on relational building.

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 “扁鵲見蔡桓公”——對一則古代案例的倫理學回顧

2012 ◽  
Vol 10 (2) ◽  
pp. 73-91
Author(s):  
Jianguang WANG
Keyword(s):  
Informed Consent ◽  
Patient Relationship ◽  
Ancient China ◽  
Physician Patient Relationship ◽  
Ethical Implications ◽  
Digital Commons ◽  
Serious Disease ◽  
Physician Patient ◽  
Chinese Physician

LANGUAGE NOTE | Document text in Chinese; abstract also in English.扁鵲是中國先秦時期著名的醫生，同時也是中國傳統醫學和醫學倫理的奠基者和實踐者之一。他在與蔡桓公的幾次會面中作出的對話，有著豐富的道德內涵，展示了傳統醫患之間的一種具有特色的醫學倫理。中國傳統的醫學倫理和職業精神並不把醫生僅僅看成是一個純粹的技術性職業，而是賦與其中豐富的人生道德內涵和家國天下的思想，所以在西方醫患關係中被認為是十分重要的知情同意問題，在中國傳統的醫患關係中雖然也存在，但並沒有成為中國傳統醫患關係的主體。與之相反，中國傳統的醫患關係因為是建立在“上醫醫國”的文化土壤中的，醫患之間的關係也是在綱常倫理的維度中加以調適的，所以這種關係不僅僅是今天意義上的權利和義務、知情和同意等法律屬性的關係。Bian Que is the earliest known Chinese physician of the Pre-Qin era (ca. 700 B.C.E), whose name is often associated with physicians of the highest medical caliber. One legend tells of how when Bian Que was in the feudal state of Cai, he visited the Lord Huan and told him that he had a serious disease. The Lord Huan thought Bian Que was trying to profit from the fears of his patients and declined the offer for treatment. Eventually, Lord Huan’s condition got worse. The last time Bian Que went to see Lord Huan, he knew that the lord would soon die and escaped from the state. This essay considers the ethical implications of the legend, such as the moral duty of the physician and the nature of the physician-patient relationship. Did Bian Que violate informed consent when he failed to tell the lord he would die of the disease if not treated immediately? The author concludes that the role of physician in ancient China was quite different from what one sees today. Thus, modern ideas and concepts such as informed consent and the language of rights cannot be applied to the case of Bian Que.DOWNLOAD HISTORY | This article has been downloaded 182 times in Digital Commons before migrating into this platform.

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.

Law, Religion, and the Physician-Patient Relationship

2017 ◽  
Author(s):  
O. Carter Snead ◽  
Michael P. Moreland
Keyword(s):  
Legal Issues ◽  
Alasdair Macintyre ◽  
Patient Relationship ◽  
Religious Expression ◽  
Physician Patient Relationship ◽  
Moral Issues ◽  
Moral Beliefs ◽  
Refusal To Participate ◽  
Physician Patient

This essay explores a range of legal and moral issues regarding the role of conscience in medicine. In Part One, we survey some of the leading recent contributions to the debate over physician conscience, both those arguing against such claims of conscience by physicians and those arguing for a broad protection for a physician’s refusal to participate in or perform certain procedures. Second, we address the legal issues surrounding claims based on a physician’s conscientious objection or other forms of religious expression in medical practice. Such claims are at the intersection of two lines of cases, statutes, and regulations in current law: informed consent in medicine and freedom of religion. In the final part of this essay, we briefly argue for a broad space for a physician’s religious or moral beliefs in the clinical setting by drawing on the work of Alasdair MacIntyre on moral fragmentation.

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