Doctor/Patient elationship
Talcott Parsons was the first social scientist to put forward the doctor-patient relationship. His functionalist, role-based advance defined examination of the doctor-patient relationship for some time to come. He began with the supposition that sickness was an appearance of dysfunctional deviance that necessitated reintegration with the social organism. Sickness, or contrived sickness, excused people from work and other tasks, and therefore was potentially harmful to the social order if uncontrolled. Upholding the social order necessitated the advance of a legitimized sick role to manage this deviance, and make sickness a midway state back to regular role presentation (Hughes, 1994).
According to Parsons, the doctor's role is to symbolize and communicate these norms to the patient in order to manage their deviance. Doctors demonstrate for Parsons the move to affect-neutral associations in modern society, with doctor and patient being protected by emotional detachment. Medical education and social role expectations convey normative…...
mlaReferences
Hughes, J. (1994). Chapter One: The Doctor-Patient Relationship: A Review. Retreived from http://www.changesurfer.com/Hlth/DPReview.html
Parker-Pope, T. (2008). Doctor and Patient, Now at Odds. Retrieved from http://www.nytimes.com/2008/07/29/health/29well.html
Quinlan, J. (2011). Doctor/patient relationship in flux today. Retreived from http://www.siouxcityjournal.com/lifestyles/health-med-fit/article_d9b4d146-e9ca-50c7-b0c0-c3e039ccb3c8.html
The Doctor-Patient Relationship in the Internet Age. (2011). Retrieved from http://triplehelixblog.com/2011/09/the-doctor-patient-relationship-in-the-internet-age/
Besides the growth of health consumerism has demanded more contractual and conflicting relations between patient and doctor. A growing well-educated population has started to challenge medical authority, and treat the doctor-patient relationships as another supplier-consumer relationship instead of a sacred trust based on awe and deference. A general tendency has been seen in steadily reducing trust in physicians and also American medical system as a whole. (The Doctor-Patient elationship: A eview)
Such trends have interested many symbolic interactionists and discourse analysts to start detailed analyses of doctor-patient communication to counteract the imposition of power and authority within them. The study performed by Howard Waizkin has drawn peculiar attention to the path that American medical communication strengthens individualistic, bio-medical interpretations of problems along with social origins and social remedies and thus represents and regenerates social inequality and disenfranchisement. The studies have also revealed that various kinds of communication influence differently the…...
mlaReferences
Hughes, J. 1994. The Doctor-Patient Relationship: A Review. Retrieved October 18, 2005, from the World Wide Web:http://www.changesurfer.com/Hlth/DPReview.html .
Medicine. October 20, 2005, from the World Wide Web:http://en.wikipedia.org/wiki/MedicineRetrieved
Mgebroff, Earl. A. The Physician-Patient Relationship -- Perspectives after 40 Years of Family Practice. October 18, 2005, from the World Wide Web:http://www.medscape.com/viewarticle/417816Retrieved
Nagel, Rollin W; McGrady, Angele; Lynch, Denis J; Wahl, Elmer F. Patient-Physician Relationship and Service Utilization: Preliminary Findings. October 20, 2005, from the World Wide Web:http://www.psychiatrist.com/pcc/pccpdf/v05n01/v05n0104.pdfRetrieved
Doctor-Patient Relationship Canada v. Ireland
Canada and Ireland both have nationalized health care plans. While these plans are different and alike in many ways, there are major concerns over the doctor-patient relationship and methods involved therein. Most countries will agree the doctor-patient relationship is important, and maintenance or destruction of that that relationship can have a major impact on a patient's health.
Ireland has made vast changes to their health care system over the years. In Irish healthcare, everyone has the option of free health care, if needed. Irish are also given the option to pay for private health insurance also. Many wealthier families will pay their own medical bills, instead of using a medical card. The system is based on income and scales down to no co pays, etc. For the underserved population.
In Irish studies of doctor-patient relationships it has been shown that, although the Irish tend to have higher wait…...
To wit, power is a huge influence in any social interaction, and in a study reported by the University of California Press (est, 2008, p. 87), men often interrupt women during conversations because men are generally viewed as the power in any male-female interaction. "Physicians interrupt patients disproportionately" in doctor-patient interactions, est writes, "except when the doctor is a 'lady'; then, "patients interrupt as much or more than physicians, and their interruptions seem to subvert physicians' authority" (est, p. 87). In other words, the stratification of male doctors having the power to interrupt is reversed when a woman is the doctor.
orks Cited
Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:
Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).
Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care
Units. Journal of General Internal Medicine, 16(5), 283-289.
Donovan, Jenny L., and Blake, David R. (2002). Patient non-compliance:…...
mlaWorks Cited
Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:
Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).
Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care
Units. Journal of General Internal Medicine, 16(5), 283-289.
Doctors and Ethics
Is there currently a lack of sustainable ethical behavior in the physicians' profession? Do doctors care enough and are their ethical behaviors adequate for the trust that people must put in them? hat should doctors be doing that would make their practice more ethical and would help them to provide more real care to their patients? These questions and others will be reviewed and critiqued in this paper.
"Harm in the absence of care: Towards a medical ethics that cares"
A summary of the main points
The article that will be used as the feature article was researched and written by Elin Martinsen. It is titled, "Harm in the absence of care: Towards a medical ethics that cares." In this article the writer, who is a professor in the Faculty of Medicine at the University of Oslo in Norway, argues that in contemporary medicine and "medical ethics suffer from the lack…...
mlaWorks Cited
Carrese, Joseph A., McDonald, Erin L., Moon, Margaret, Taylor, Holly A., Khaira, Kiran,
Beach, Mary Catherine, and Hughes, Mark T. (2011). Everyday ethics in internal medicine resident clinic: an opportunity to teach. Medical Education, 45(7), 712-721.
Daniels, Katy. (2012). Integration of ethics teaching within GP training. Education for Primary
Care, 23(2), 75-78.
These studies demonstrate that there are several factors associated with patient noncompliance, regardless of the disease being treated. Medication side effects represent only one of these issues. Nurse practitioners could help to resolve many of these issues by being proactive and asking questions about side effects in patients at risk for becoming noncompliant. They may also be able to predict noncompliance in patients that are prescribed medications with known side effects. By informing the patient of the side effects and giving them practical ways to cope with them, the nurse practitioner can play an active role in helping to eliminate patient noncompliance.
Education was found to play an important role in patient noncompliance. The overall educational level of the patient was found to be important. The nurse practitioner can take positive action by being aware of the patient's overall educational background. Extra care must be taken with those of low educational…...
mlaReferences
Barber, N., Parsons, J., Clifford, S., Darracott, R., & Horne, R. (2004). Patients' problems with new medication for chronic conditions. Quality and Safety in Healthcare. 13(3): 172-175.
Chatterjee, J. (2006). From compliance to concordance in diabetes. Journal of Medical Ethics. 32(9): 507-510.
Chisholm, M., Lance, C. & Mulloy, L. (2005). Patient factors associated with adherence to immunosuppressant therapy in renal transplant recipients. American Journal of Health- System Pharmacy. 62 (17): 1775-1781.
Eastern, J. "Dismissing Patients Properly." 1 Jun 2006. OB/GYN News. Accessed 11 Sept. 2008. http://findarticles.com/p/articles/mi_m0CYD/is_/ai_n26906768 .
Doctor
The film The Doctor illustrates both sides of the doctor-patient relationship. Played by illiam Hurt, Jack McKee is a head surgeon who exudes arrogance until he is diagnosed with throat cancer. Not only does a brush with death change his outlook on life, but also his experience as a patient at his own hospital alters the way he treats his patients. hen Jack is forced to wait in lengthy lines, fill out tedious forms, and deal with impersonal physicians, he realizes how dehumanizing, humiliating, and frustrating it can be on the other end of the doctor-patient spectrum. McKee's behavior transforms considerably from the beginning of the film to the end, but he still manages to retain his witty sense of humor throughout. The Doctor provides a cinematic example of why doctors and other professionals caught up in the modern medical system need to respect their patients more, by including…...
mlaWorks Cited
The Doctor. Dir. Randa Haines. Perf. William Hurt, Christine Lahti, Mandy Patinkin, Elizabeth Perkins. Touchstone, 1991.
The ole of Empathy in Enhancing Trust and Efficiency in Healthcare: A Patient-Doctor PerspectiveIntroductionEmpathy, an integral part of human interaction, has been demonstrated to significantly impact various aspects of healthcare delivery (Decety & Fotopoulou, 2015). An empathetic approach is not only a crucial element in fostering trust between doctors and patients but it also results in substantial economic benefits and improved health outcomes (Halpern, 2003). This paper explores the idea that empathy in healthcare saves lives, time, and money, reinforcing the importance of a humanistic approach to medicine.Trust as the Foundation of the Doctor-Patient elationshipEmpathy in the context of healthcare involves understanding patients\\\' experiences, concerns, and perspectives, and communicating this understanding to them (Halpern, 2003). When doctors demonstrate empathy, it signals to patients that their feelings and experiences are acknowledged and validated. This fosters a sense of trust and connection between the patient and doctor. The psychological safety created through…...
mlaReferencesBensing, J. (2000). Bridging the gap: The separate worlds of evidence-based medicine and patient-centered medicine. Patient Education and Counseling, 39(1), 17-25.Decety, J., & Fotopoulou, A. (2015). Why empathy has a beneficial impact on others in medicine: unifying theories. Frontiers in Behavioral Neuroscience, 8, 457.Flickinger, T. E., et al. (2016). Higher quality communication and relationships are associated with improved patient engagement in HIV care. Journal of Acquired Immune Deficiency Syndromes (JAIDS), 72(2), e23-e31.Halpern, J. (2003). What is clinical empathy? Journal of General Internal Medicine, 18(8), 670–674.Weng, H. C., Steed, J. F., Yu, S. W., Liu, Y. T., Hsu, C. C., Yu, T. J., & Chen, W. (2011). The effect of surgeon empathy and emotional intelligence on patient satisfaction. Advances in health sciences education, 16, 591-600.
"Why? Because of their products. Product development is what interests the consumer" (Blanchard, pg. 7). Perhaps the automakers should take note.
One toy manufacturer does an excellent job of marketing to the consumer. Mattel uses an ongoing tracking program in its efforts to sell more Barbie dolls.
The last decade has seen over 40 differently featured Barbie dolls for sale in approximately 140 countries. ecently Mattel discovered they no longer had to change the features of Barbie (at least in Asian countries) because "market testing led an official from Mattel to proclaim: "Blond Barbie sells just as well in Asia as in the U.S." (Cross, Smits, 2005, pg. 874). Now it is possible for children almost everywhere in the world to be happy with their new Barbie dolls. That is a fine example of consumer-centric activities.
eferences
Blanchard, D.; (2006) Are your best practices getting the job done?, Industry Week, Vol. 255, No.…...
mlaReferences
Blanchard, D.; (2006) Are your best practices getting the job done?, Industry Week, Vol. 255, No. 12, pg. 7
Cross, G.; Smits, G.; (2005) Japan, the U.S. And the globalization of children's consumer culture, Journal of Social History, Vol. 38, No. 4, pp. 873-890
Pettit, M.L.; (2008) an analysis of the doctor-patient relationship using Patch Adams, the Journal of School Health, Vol. 78, No. 4, pp 234-238
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting the patient with as much attention and medical care in order to maximize his/her health outcomes.
Over the years the PCMH model of health care has become widely adopted and preferred. This is because of the philosophy and approach that the model adopts in organizing and delivering the health care initiatives. The PCMH model is based upon delivering medical care and attention to patients with team-based health and medical experts that are focused strongly on the quality and the safety of…...
mlaBibliography
109-432, P.L. (2006, December 20). TAX RELIEF AND HEALTH CARE ACT OF 2006. Public Law 109-432 (109th Congress) .
Backer, L.A. (2009). Building the Case for the Patient-Centered Medical Home. Family Practice Management 16 (1), 14-18.
De Geest, S., Moons, P., Callens, B., Gut, C., Lindpaintner, L., & Spirig, R. (2008). Introducing advanced practice nurses/nurse practitioners in health care systems: a framework for reflection and analysis. Swiss Medical Weekly (138), 621-628.
NASHP. (2013, April). Medical Home & Patient-Centered Care. Retrieved from The National Academy for State Health Policy: http://www.nashp.org/med-home-map
Doctor's Fees
Health care is one of those fundamental rights we should be able to expect as citizens of a country that concerns itself with the well-being of its citizens. Sadly, however, this is the one area that sadly lacks in providing even half of citizens with an adequate basis of health throughout their lives. Many things have been blamed for this state of the situation. At the top of the list of reasons is funding. Government simply does not have sufficient funding to provide all citizens with the health care they need. However, when considering the government's interference in the health care field, critics have increasingly questioned the wisdom and effectiveness of such effectiveness. Doctor's fees, for example, are being regulated by the government. But what are the effects of such regulation on the quality of care received? It appears that doctors whose fees are regulated fail to provide a…...
mlaReferences
Levy, T. (2010, Jul/Aug). Why Doctors Don't Want Free-Market Medicine. The Freeman., vol. 60, Iss. 6. Retrieved from: http://www.thefreemanonline.org/features/why-doctors-don%E2%80%99t-want-free-market-medicine/
McClintock Greenberg, T. (2010, Jan 29). Should the Government Regulate our Health? Huffington Post. Retrieved from: http://www.huffingtonpost.com/tamara-mcclintock-greenberg/should-the-government-reg_b_441493.html
Salter, B. (2000). Change in the Governance of Medicine: The Politics of Self-Regulation. In "Regulating Doctors" The Institute for the Study of Civil Society. Retrieved from: http://www.civitas.org.uk/pdf/cs01.pdf
Most of the literature deals with healthcare issues experienced in the United States or Europe. hat small amount of literature there is available on healthcare in Malaysia seldom has anything to do with the clinic(s) in specific. This study could help, in some small measure, to alleviate that problem.
orks Cited
Chowdhury, N., (1999) the Power of Towers, Fortune, Vol. 139, No. 7, pp. 110-112
Kurokawa, I., Takami, M., Cheriex, H., (1999) Futuristic flight plan - the Kuala Lumpur International Airport was designed for the new millennium, Lighting Design + Application, Vol. 29, No. 8, pp. 42-45
Manson, L.A., Baptist, a.J., (2002) Assessing the cost-effectiveness of provider-based status, Healthcare Financial Management, Vol. 56, No. 8, pp. 52-59
Romano, M., (2006) Physicians in pain, Modern Healthcare, Vol. 36, No. 4, p. 40
Shameen, a., (2004) Malaysia: Coining it in Kuala Lumpure - Start-up ECM Libra has capitalized on strong markets, hard work and intelligence to become a…...
mlaWorks Cited
Chowdhury, N., (1999) the Power of Towers, Fortune, Vol. 139, No. 7, pp. 110-112
Kurokawa, I., Takami, M., Cheriex, H., (1999) Futuristic flight plan - the Kuala Lumpur International Airport was designed for the new millennium, Lighting Design + Application, Vol. 29, No. 8, pp. 42-45
Manson, L.A., Baptist, a.J., (2002) Assessing the cost-effectiveness of provider-based status, Healthcare Financial Management, Vol. 56, No. 8, pp. 52-59
Romano, M., (2006) Physicians in pain, Modern Healthcare, Vol. 36, No. 4, p. 40
There is also relevant information for specific sectors of society such as women and seniors. The MedlinePlus Magazine includes several links to asthma information. The bottom of the page includes links that contain information such as disclaimers, copyright, and privacy information. It also contains links that provide information on the contributors of information to the Website. The privacy statement clearly provides visitors and subscribers with the assurance that their information will not be shared. All the information on the site is therefore provided on the basis of full disclosure, both of the information itself and on information providers.
This Website is therefore very reliable, and also includes information on a myriad of other health topics, which will be helpful for Amy if she wants more information on her other conditions as well.
Suspicious Website: http://www.asthmaanswersonline.com/cures-asthma/
This Website indicates that asthma can in fact be cured. Prominently displayed at the top of the…...
elationships and expectations form one of the three main domains of the PEN-3 model. These three factors, perceptions, enablers, and nurturers, refer to the cultural component of health-seeking behaviors. The relationships and expectations domain can inform healthcare workers about how to encourage health-seeking behaviors in patients, and is a culturally sensitive approach. The PEN-3 concept shows how culture is a major determinant of both individual and public health.
Perceptions refer to the individual's perceptions about health, disease, medication, doctors, and healthcare systems. The perceptions are related directly to the cultural values, beliefs, and norms that are already embedded in the community. Individual and collective group health behaviors may be strongly determined by perceptions. For example, is there a perception that heart disease is not a serious problem in the African-American community? Or, is there a perception that healthcare is too expensive, or that doctors are too paternalistic? Perceptions might also impact…...
mlaReferences
Centers for Disease Control and Prevention. (2010) A Closer Look at African-American Men and High Blood Pressure Control: A Review of Psychosocial Factors and Systems-Level Interventions. Atlanta: U.S. Department of Health and Human Services. Retrieved November 1, 2011 from http://www.cdc.gov/bloodpressure/docs/African_American_Executive_Summary.pdf
Perez, M.A. & Luquis, R.R. (2008). Cultural Competence in Health Education and Health Promotion. John Wiley & Sons.
US Department of Health & Human Services [USDHHS], Maternal Child Health Bureau [MCHB] (2009). Core Concepts in Cultural Competence. Retrieved November 1, 2011 from http://support.mchtraining.net/national_ccce/case0/home.html
2).
A Patient's Rights
There are a number of lists to go by when it comes to the patient's "Bill of Rights," including a patient's rights under the Affordable Care Act. In the American Cancer Society "Patient's Bill of Rights" it begins with the right every patient has to "…accurate and easily-understood information about your health plan, health care professionals, and health care facilities' (www.cancer.org). Of course a patient also has the right to choose health care providers and when it comes to emergency services, a patient has a right to be "…screened and stabilized using emergency services" when injured or seriously ill; so that when one's health is in jeopardy, access to emergency services can be a vital and stabilizing experience (www.cancer.org).
A patient also has the right to be part of decisions regarding what treatment is appropriate, and a patient has a right to be respected and treated without discrimination…...
mlaWorks Cited
American Cancer Society. (2011). Patient's Bill of Rights: What is the Patient's Bill of Rights?
Retrieved July 31, 2012, from http://www.cancer.org .
Torrey, Trisha. (2010). Patient's Responsibilities. About.com. Retrieved July 31, 2012, from http://patients.about.com .
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