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…...
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…...
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:…...
mla
Works 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…...
mla
Works 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
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…...
mla
References
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.
Essay Topic Examples
1. The Evolution of the hysician-atient Relationship:
Explore how the physician-patient relationship has changed over time, influenced by factors such as technology, patient autonomy, and changing social attitudes. Discuss historical perspectives, current trends, and potential future developments in the dynamic between physicians and their patients.
2. The Role of Trust and Communication in Effective Healthcare:
Analyze the importance of trust and effective communication in the physician-patient relationship. Examine barriers that can inhibit these elements and strategies that can enhance trust and understanding. Discuss the impact on patient outcomes and satisfaction when these factors are prioritized.
3. The Impact of Cultural Competence on atient Care:
Examine the significance of cultural competence in healthcare and its effects on the physician-patient relationship. Discuss the challenges physicians face when encountering patients with diverse backgrounds and beliefs, and how cultural competence can lead to improved healthcare…...
mla
Primary Sources
Peabody, Francis W. \"The Care of the Patient.\" Journal of the American Medical Association, vol. 88, no. 12, 1927, pp. 877-882.
Beckman, Howard B., and Richard M. Frankel. \"The Effect of Physician Behavior on the Collection of Data.\" Annals of Internal Medicine, vol. 101, no. 5, 1984, pp. 692-696.Charon, Rita. \"Narrative Medicine: A Model for Empathy, Reflection, Profession, and Trust.\" The Journal of the American Medical Association, vol. 286, no. 15, 2001, pp. 1897-1902.Stewart, Moira A. \"Effective Physician-Patient Communication and Health Outcomes: A Review.\" Canadian Medical Association Journal, vol. 152, no. 9, 1995, pp. 1423-1433.Stange, Kurt C. \"The Problem of Fragmentation and the Need for Integrative Solutions.\" Annals of Family Medicine, vol. 7, no. 2, 2009, pp. 100-103.
Essay Topic Examples
1. The Ethical illars of atient Confidentiality:
Explore the ethical principles that underpin the concept of patient confidentiality, such as respect for autonomy, beneficence, non-maleficence, and justice. Discuss the role these principles play in establishing the trust necessary for an effective patient-provider relationship and the implications when confidentiality is breached.
2. The Evolution of atient Confidentiality Laws:
Examine the historical development of laws and regulations related to patient confidentiality, from early professional oaths to modern legislation such as HIAA in the United States. Analyze how societal changes, technological advancements, and evolving expectations have shaped current confidentiality standards.
3. Balancing Confidentiality with ublic Health Concerns:
Delve into the challenges of maintaining patient confidentiality in the context of public health issues, such as infectious disease outbreaks or bioterrorism. Discuss how policies might differ in times of public health emergencies and the criteria…...
mla
Primary Sources
American Medical Association. \"AMA Code of Medical Ethics\' Opinions on Confidentiality.\" JAMA, vol. 317, no. 17, 2017, pp. 1768–1769.
United States. Dept. of Health and Human Services. \"Standards for Privacy of Individually Identifiable Health Information.\" Federal Register, vol. 65, no. 250, 2000. 45 CFR Parts 160 and 164.Gostin, Lawrence O., and James G. Hodge. \"Personal Privacy and Common Goods: A Framework for Balancing Under the National Health Information Privacy Rule.\" Minnesota Law Review, vol. 86, no. 6, 2002, pp. 1439–1479.British Medical Association. \"Medical Ethics Today: The BMA\'s Handbook of Ethics and Law.\" 3rd edition, BMJ Books, 2012.Hendrick, Judith. \"Law and Ethics in Children\'s Nursing.\" Wiley-Blackwell, 2010.
Essay Topic Examples
1. Ethical Foundations of atient Confidentiality:
Explore the moral and ethical principles that underpin the concept of patient confidentiality. Discuss the importance of trust in the doctor-patient relationship and how confidentiality serves as a critical component to providing high-quality healthcare. Examine the arguments for and against strict adherence to patient confidentiality in different scenarios.
2. Legal Aspects and Challenges of atient Confidentiality:
Analyze the legal framework that governs patient confidentiality, including notable legislation such as HIAA in the United States. Address the legal consequences healthcare professionals may face for breaches of confidentiality. Additionally, investigate real-world cases where violations have occurred and the resulting legal and professional outcomes.
3. atient Confidentiality in the Digital Age:
Discuss the impact of digital technology, electronic health records, and telemedicine on patient confidentiality. What new risks and challenges have emerged? Evaluate the effectiveness of current safeguards to protect sensitive information and propose enhancements to current practices to strengthen…...
mla
Primary Sources
United States. Health Insurance Portability and Accountability Act of 1996. Pub. L. No. 104-191. 104th Congress.
World Health Organization. \"Guidelines on HIV/AIDS and Human Rights.\" United Nations, 2006.American Medical Association. \"AMA Code of Medical Ethics: Opinions on Confidentiality, Advertising, and Communications Media Relations.\" American Medical Association, 2017.General Medical Council. \"Confidentiality: Good Practice in Handling Patient Information.\" GMC, 2017.British Medical Association. \"Confidentiality and Disclosure of Health Information Tool Kit.\" BMA, 2009.
unning Head: IMPOVING NUSE-PATIENT ELATIONSHIP IMPOVING NUSE-PATIENT ELATIONSHIP 13Improving Nurse-Patient elationshipIntroductionThe nurses from the major core health personnel in the health care system with their support being appreciated on different occasions. However, the relationship between the nurses and the patients is essential in every scenario. The relationship forms the comprehensive interaction between the nurses and the patients.This research focuses on how the existing relationship between these individuals can be strengthened by improving the skills necessary to handle every characters patients while striving to achieve the gold standard of treatment.Nurses are charged with the sole responsibility to ensuring the continuity of the communication between them and the patients through literacy acquisition and the spread of impacts and importance of the relationship to the patients that will see the patients served diligently to satisfaction.These relationship cues range from behavioral, technical, better communication skills, building partnerships in the treatment process, adherence to the…...
mla
ReferencesHartley, S., Raphael, J., Lovell, K., & Berry, K. (2020). Effective nurse–patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International journal of nursing studies, 102, 103490.Konlan, K. D., Saah, J. A., Doat, A. R., Amoah, R. M., Abdulai, J. A., Mohammed, I., & Konlan, K. D. (2021). Influence of nurse-patient relationship on hospital attendance. A qualitative study of patients in the Kwahu Government Hospital, Ghana. Heliyon, 7(2), e06319.Feo, R., Conroy, T., Wiechula, R., Rasmussen, P., & Kitson, A. (2020). Instruments measuring behavioural aspects of the nurse–patient relationship: A scoping review. Journal of clinical nursing, 29(11-12), 1808-1821.Gou, L., Wang, G., Feng, L., & Zhang, Y. (2020). A multilevel analysis of the impact of group organisational citizenship behaviour on nurse–patient relationship: The mediating effect of work engagement and the moderating effect of emotional intelligence. Journal of Nursing Management.Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. International journal of environmental research and public health, 17(3), 835.
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…...
mla
Works 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…...
mla
ReferencesBensing, 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.…...
mla
References
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
Essay Topic Examples
1. The Ethical Implications of atient Autonomy in Modern Healthcare:
Explore how patient autonomy is considered a fundamental ethical principle in healthcare and its implications on the decision-making process regarding medical treatments, including the tension between patient rights and the professional judgment of healthcare providers.
2. Balancing atient Autonomy and ublic Health Concerns:
Examine the challenges faced when individual patient autonomy must be weighed against public health interests, such as during vaccination campaigns or infectious disease outbreaks, and propose strategies for achieving a balance between these two imperatives.
3. Informed Consent: The Cornerstone of atient Autonomy:
Analyze the concept of informed consent, its legal and ethical foundation, and its role in ensuring patient autonomy, while considering the complexities of understanding medical information and potential barriers to truly informed decision-making.
4. The Role of Advance Directives in Upholding atient Autonomy:
Discuss the importance of advance directives, such as…...
mla
Primary Sources
Beauchamp, Tom L., and James F. Childress. Principles of Biomedical Ethics. Oxford University Press, 2013.
Entwistle, Vikki A., et al. \"Supporting patient autonomy: The importance of clinician-patient relationships.\" Journal of General Internal Medicine 25.7 (2010): 741-745.Charter of Fundamental Rights of the European Union. 2000/C 364/01. Official Journal of the European Communities, 2000.Faden, Ruth R., and Tom L. Beauchamp. A history and theory of informed consent. Oxford University Press, 1986.Mackenzie, Catriona, and Natalie Stoljar, eds. Relational Autonomy: Feminist Perspectives on Autonomy, Agency, and the Social Self. Oxford University Press, 2000.
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…...
mla
Bibliography
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
Sign Up for Unlimited Study Help
Our semester plans gives you unlimited, unrestricted access to our entire library
of resources —writing tools, guides, example essays, tutorials, class notes, and more.
