Two simple models on doctor patient relationship.One is doctor as an expert adviser and the other is doctor in partnership.
Doctor as an expert adviser
- Docotor defines the patient's needs
- Doctor advises the patient what to do
- Doctor solves problems for the patient
- Doctor decide how much information to be given to the patient
Doctor in partnership
- Doctor elicit the patient's problems & needs
- Doctor explains the options to the patient
- Doctor and the patient explore the solutions to gether
- Doctor ask what information the patient wants
What is your style ?
Emanuel and Emanuel ( JAMA. 1992 Apr 22-29;267(16):2221-6.) elaborated four models of doctor patient relationships:
- Paternalistic: physician makes decisions for the patient’s benefit independent of the patients values or desires
- Informative: physician provides information, patient applies values and decides.
- Interpretive: patient is uncertain about values, physician, as counselor, assists the patient in elucidating his or her values.
- Deliberative: Patient is open to development, physician teaches desirable values
Interestingly another article,Physician-Patient Relations: No More Models, argues that one model doesn't fit all.Based on my experience,I agree with this article.What do you think?
