The Doctor–Patient Relationship

Fritzsche, Kurt; Monsalve, Sonia Diaz; Abbo, Catherine; Frahm, Gertrud

doi:10.1007/978-1-4614-1022-5_5

Cited by 4 publications

(5 citation statements)

References 3 publications

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“…The extent of a patient’s trust in their surgeon will also affect the degree to which they comply with the surgeon’s judgment, 38 thus making them more likely to agree to a suggested procedure without necessarily weighing up all of the information and making an objective decision. The surgeon–patient relationship will always be asymmetrical as a result of the disparity in roles and the surgeon’s experience and training, 39 and surgeons must be aware when discussing and recommending procedures of the influence this might have on a patient’s decision-making. This is particularly important given that patients have been shown to make assumptions about their surgeon’s competence based on heuristic judgments which form more from the quality of the surgeon–patient interaction (e.g.…”

Section: Shared Decision-making and Obtaining Informed Consentmentioning

confidence: 99%

Legal and psychological considerations for obtaining informed consent for reverse total shoulder arthroplasty

et al. 2016

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This paper seeks to outline recent legal developments and requirements pertinent to obtaining informed consent. We argue that this is of particular relevance to patients considering a reverse total shoulder arthroplasty, due to the high complication rate associated with this procedure. By examining the cognitive processes involved in decision-making, and other clinician-related factors such as delivery of information, gender bias and conflict of interest, we explore some of the barriers that can undermine the processes of shared decision-making and obtaining genuine informed consent. We argue that these issues highlight the importance for surgeons in understanding the cognitive processes and other influential factors involved in patients' comprehension and decision-making. We recommend, based on strong evidence, that decision aids could prove useful in overcoming such challenges and could provide one way of mitigating the ethical, professional and legal consequences of failing to obtain proper informed consent. They are not widely used in orthopaedics at present, although it would be in the interests of both the surgeon and patient for such measures to be explored.

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Section: Shared Decision-making and Obtaining Informed Consentmentioning

confidence: 99%

Legal and psychological considerations for obtaining informed consent for reverse total shoulder arthroplasty

et al. 2016

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“…Paternalism is a description of a particular type of doctor–patient or nurse–patient relationship that implies that the doctor or nurse knows what is best for the patient and enforces that opinion on the patient. 7 The patient in this type of relationship is not equal but in a subordinate position. Modern medicine has rightly argued that this has to change and that the patient not only has to be in an equal position to the doctor but he or she is also the ultimate decision-maker.…”

Section: Shifting the Balance In Doctor–patient Relationshipsmentioning

confidence: 99%

“…Paternalism can only be changed by changes to the doctor–patient relationship that are fundamentally about equality and communication and not autonomy. 7 Balancing autonomy v. other ethical pillars and finding the optimal balance between the patient's wishes and those of other relevant stakeholders such as the patient's family has to be dynamic over time, depending on the course of the patient's mental condition. However, a reasonable first starting point to finding solutions would be an acceptance that the primacy of the immediate expressed wish of autonomy can cause potential problems for the patient's recovery.…”

Section: Shifting the Balance In Doctor–patient Relationshipsmentioning

confidence: 99%

Paternalismv. autonomy – are we barking up the wrong tree?

2016

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“…According to Willes and Allen (2014), "the doctor/patient interaction lies at the heart of the practice of medicine" (p. 9). Accordingly, improving the quality of the interaction between doctors and patients has major benefits for both parties in the treatment process (Fritzsche et al 2014) and in decreasing healthcare delivery impotence (Belasen and Belasen 2018).…”

Section: Introductionmentioning

confidence: 99%

The Role of Gender and Status in Communication between Doctors and Patients in Malaysian Contexts

Mohajer¹,

Endut²

2020

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This study investigates the ways in which gender and status of doctors and patients influence the effectiveness of communication in sustainable health development among Malaysians. In order to conduct this research, we look at the interruption patterns in doctor-patient interaction because interruption provides an opportunity for interactants to dominate the conversation which can have negative effects on the treatment and consultation process. The data consists of 480 minutes of recorded conversations between doctors and patients of both genders during 160 consultation visits. We have used both quantitative and qualitative methods to analyse our data. Conversation analysis has also been used to evaluate the linguistic elements in their talk. The findings indicate that the gender of the interactants has effects on the interruption they make. It appears that male interactants in this study, regardless of their status as a doctor or patient, have the tendency to make intrusive interruptions more than female interactants. In addition, the status of the interactants was a determining factor in the interruption process. Doctors, holding a higher status at the time of consultation, made more intrusive interruptions and patients made more cooperative interruptions. However, based on the analysis, male doctors were more cooperative with their male patients than with their female patients which indicate that male doctors practised discrimination unintentionally. On the other hand, female doctors treated patients of both genders in the same manner. Based on our findings, listening skills and communication training for doctors can minimise miscommunication during consultation visits Leila Mohajer and Noraida Endut 90 and enhance healthcare quality which ultimately assists to achieve sustainable health development goals.

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The Doctor–Patient Relationship

Cited by 4 publications

References 3 publications

Legal and psychological considerations for obtaining informed consent for reverse total shoulder arthroplasty

Legal and psychological considerations for obtaining informed consent for reverse total shoulder arthroplasty

Paternalismv. autonomy – are we barking up the wrong tree?

The Role of Gender and Status in Communication between Doctors and Patients in Malaysian Contexts

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