uplad7
pdf
keyboard_arrow_up
School
Arizona State University *
*We aren’t endorsed by this school
Course
222
Subject
Medicine
Date
Apr 3, 2024
Type
Pages
4
Uploaded by CoachKouprey5873
Doctor patient relationship
Study online at https://quizlet.com/_eceby7
1.
How has power & access to infor-
mation changed in regards to doc-
tor patient rela-
tionship?
Fundamental change between past & present medicine is access to info- patients now have more access to info and entitled to know more
As people understanding risk & benefits of modern medi-
cine we increasingly desire more info before we are willing to entrust others
2.
What is a pater-
nalistic relation-
ship?
paternalistic relationship- high doctor control low patient control
communication style is instructive perspective
Doctor centred= doctor directs and responsible for deci-
sion making
3.
What is the criti-
cism of the pater-
nalistic relation-
ship?
Patient expected to be passive recipient of care
May be appropriate in some clinical contexts e.g. A&E
Overlooks patients own knowledge and experience
Result in low patient satisfaction and complaint
4.
What is a conflict relationship?
doctor & patient control is high
Disagreement and difference in perspective
5.
What is a clash of perspective a result of in a conflict relation-
ship?
Doctors and patients come from different social worlds
Patients want more information than the doctor is willing to give
Different expectations about the behaviour of each agent e.g., treatment access
Studies show patients may exert control by means of negotiation rather than open conflict
6.
What is a double bind?
Patient receives two or more reciprocally conflicting mes-
sages
Used to display power and gain control over other
Patients expected to have enough knowledge to be able 1 / 4
Doctor patient relationship
Study online at https://quizlet.com/_eceby7
to judge when to seek care but then relinquish all power to professionals
7.
What is a default relationship?
Patient control= low & doctor control= low
Lack of engagement on both sides Lack of sufficient direction in consultation
8.
What is a con-
sumerist rela-
tionship informa-
tive?
Patient control- high
Doctor control- low
Greater levels of patient choice
Patients become more active and demanding
Patient as consumers of health and healthcare- increased choice & participation in decision making
9.
What is a mutual-
istic relationship negotiation?
Patient & doctor relationship- high
Involves mutual respect where patient plays a more active role
Doctor acknowledges patient's beliefs, knowledge and ex-
periences are important Consultation is more patient centred Shared decision making: both parties involved
10.
What are the 4 models of doc-
tor-patient rela-
tionship Reach 2013?
Paternalistic- I decide for you
Informative model- I give you facts
Deliberative model- In addition I tell you my preferences
Interpretative model- I give you facts and help you find preferences
11.
What are the five dimensions of patient cen-
tred care?
Individual as an equal partner in their care
Biopsychosocial perspective
2 / 4
Doctor patient relationship
Study online at https://quizlet.com/_eceby7
Patient as person understanding the personal meaning of the illness for each patient Doctor as person awareness of the influence of the per-
sonal qualities and subjectivity of the doctor Sharing power and responsibility
Therapeutic alliance
12.
What are the ben-
efits of patient centred care?
More may be disclosed
Better handling of ticket of entry consultations
Greater likelihood of clarification being sought
Better concordance and therefore adherence to treatment
Fewer repeat consultations
Increased satisfaction
13.
What is the shared deci-
sion making ap-
proach?
Conversation that happens between patient and health-
care professional to reach healthcare choice together
14.
What does shared decisions making involve?
Sharing info, including uncertainties, about options, and outcomes and using this with the knowledge, views and experiences of the patient to make decisions
15.
What is the meaning model?
What would you most of all want me to do for you today?
What do you yourself think is causing your problem?
What do you think that I should do about your problem?
What have you found so far to be the best way of managing your problem? Basically ICE
16.
What is collab-
orative construc-
tion of stories?
Patients tell stories about their illness, realising that story is a major way we have of assigning meaning in our lives
3 / 4
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
Doctor patient relationship
Study online at https://quizlet.com/_eceby7
17.
What does pa-
tient centred care incorporate and why?
Incorporates meaning model and collaborative story re-
minding us that we should approach medical diagnosis and treatment through our relationship with patients
4 / 4