Deontology in medicine : doctors communicate with patients

Deontology in medicine : doctors communicate with patients
The way will be put in contact between the doctor and the patient who came to him, it depends on the success of the forthcoming treatment.And building these relationships, "fine-tuning" of the process of decision-making in the course of communication to the greatest extent it depends on the doctor.This deals with a particular area of ​​knowledge - medical deontology.

In modern medical ethics - a special science, the issue of ethics and morality - are four models of the physician-patient relationship.

Deontology in medicine: model relations

basic models:

  • paternalistic (doctor instructs the patient to do so, and not otherwise);
  • and Liberation (the doctor informs the patient about the disease, leaving the patient the right to choose a particular method of treatment);
  • technology (physician and patient oriented to evidence of diagnostic equipment);
  • interpretive (the doctor talks to the patient, explaining the essence of his illness).

paternalistic model

(from the Latin paternus -. Father) assu

mes that the doctor carefully examining the patient's condition, sets the most appropriate for each situation treatment to complete recovery.

last word in the choice of treatment measures is up to the doctor.It is understood that the patient may not agree with the appointment procedure, but it is not quite competent in this matter, and subsequently understand the correctness of the choice made by a physician, that is, if it conflicts with the objective opinion of the patient medically preferred the latter.

In this model, the physician acts as the guardian (father), providing the most appropriate, from his point of view, treatment.The autonomy of the patient is reduced to its agreement with the doctor's discretion.This model works in those unpleasant moments when the doctor turns to you familiarly as "thou."

Technological model

doctor in this model does not actually communicate with the patient, it is a kind of paternalistic model, as expected, that the patient understands the indications of equipment to the same degree as a doctor, is not true.

If we assume that this is the case, the doctor becomes simply do not need.The fact that the trend of this model exists abroad, due to complex processes of standardization and technological breakthrough, but it does not mean that the doctor is not involved in the diagnosis and treatment processes.

interpretation of the information obtained from a physician requires more knowledge, and explain to the patient that comes with it, it only gets more complicated because of the number of received data.

In any case, in this model, it is unclear who decides - the doctor or the patient, and in the decision-making process to focus on reading equipment and the patient should be (the best of my knowledge and to the best doctor for clarification), and a doctor.

and Liberation model

doctor must provide the patient with all relevant information concerning the disease.The patient self-selects the treatment that the physician should follow, despite the likelihood of a patient bias.

This patient ultimately responsible for the choice of treatment.Thus, the concept of patient autonomy of this model is to control the formation of medical solutions.

interpretation model

This model also assumes the duty of the physician as fully as possible to disclose the (plain language), the patient information on the state of his health, the risks and benefits of possible interventions.

characteristic feature of this model is the active role of the doctor who should not impose his point of view the patient, but to make every effort, to the choice fell on the only reasonable solution.

can be identified and another model - the deliberation.

It has a number of features in common with interpretive.The doctor in the consultation model acts like a friend or a teacher, involving the patient in a dialogue to identify the best course of action.

He explains to the patient all the possible treatment options, and together, they choose one of them, which, according to experts, the most suitable.This model looks most promising, as it implies a voluntary agreement between the physician and patient.

article "Deontology in medicine: doctors communicate with patients," based on the materials provided by Saversky AV, president of the League DEFENDERS OF PATIENTS

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