敌人或朋友:个人和事实上的病人与医生的关系
Frieder Keller1, Ulla Ludwig2, Markus Huber-Lang3
1Institute of Experimental and Clinical Pharmacology, Toxicology and Pharmacology of Natural Products, University Hospital, Ulm, Germany.
Frontiers in medicine
|June 12, 2023
概括
医生应该通过个人关系优先考虑患者的利益,而不是合同关系. 这种方法尊重患者的自主权,同时承认医生.
科学领域:
- 医学伦理 医学伦理
- 医生与患者之间的关系
- 医疗保健政策 医疗保健政策
背景情况:
- 医学在过去50年里发生了显著的进化,新的疾病和治疗方法增加了成本和复杂性.
- 医生与患者的互动已经从个人关系转向正式的合同关系.
- 经济,法律和道德方面的压力越来越大,影响了医生.
研究的目的:
- 分析45年临床经验中医生患者关系的演变.
- 倡导个人医生-病人关系模式.
- 讨论改变医疗实践对患者护理优先级的影响.
主要方法:
- 基于45年的临床经验和教学的概念性意见书.
- 对当前医学辩论和历史陈述的分析.
- 对从个人到事实患者互动的转变进行定性反思.
主要成果:
- 转向事实,合同医生患者关系的转变危及患者利益优先考虑.
- 一个个人关系模式培养了医生存在的承诺,并尊重患者的自主权.
- 医生与病人之间的动态涉及谈判和共同决策,而不仅仅是遵守.
结论:
- 个人医生患者关系对于维护患者利益至关重要.
- 医生必须平衡患者的自主权与自己的专业知识和专业判断.
- 保持信任和有效的沟通至关重要,即使在不同的观点中.
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