ArticleRambam Maimonides medical journal2012
New dimensions in patient-physician interaction: values, autonomy, and medical information in the patient-centered clinical encounter.
Article in Rambam Maimonides medical journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
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- Inclusion of a computerized test in ADHD diagnosis process can improve trust in the specialists' decision and elevate adherence levels.Scientific reports · 2024Observational
- Psychometric properties analysis of helping relationships skills inventory for Portuguese nurses and doctors.Heliyon · 2024Article
- Ethical issues experienced by persons with rheumatoid arthritis in a wearable-enabled physical activity intervention study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Comparing Surgeon Approaches to Patient-Centered Cancer Care Using Vignette Methodology.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- What is the impact of the Rashomon approach in primary care education?: An educational case report of implementing dialogue and improvisation into medical education.BMC medical education · 2021Article
- The use of information and communication technologies in Latin American dentists: a cross-sectional study from Ecuador.BMC oral health · 2020Article
- Second victims in health care: current perspectives.Advances in medical education and practice · 2019Article
- A Global Year for Pain Education: Progress, Trends, and the Way Forward.Pain medicine (Malden, Mass.) · 2018Article
- Defining and measuring population health quality of outpatient diabetes care in Israel: lessons from the quality indicators in community health program.Israel journal of health policy research · 2018Article
- Differences that matter: developing critical insights into discourses of patient-centeredness.Medicine, health care, and philosophy · 2016Article
- Religious, Ethical and Legal Considerations in End-of-Life Issues: Fundamental Requisites for Medical Decision Making.Journal of religion and health · 2016Review
- eHealth, Participatory Medicine, and Ethical Care: A Focus Group Study of Patients' and Health Care Providers' Use of Health-Related Internet Information.Journal of medical Internet research · 2015Article
- Women's trust in the healthcare system in Serbia: Validation of the Women's Trust and Confidence in Healthcare System scale.Women's health (London, England)Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Patient-physician interactions are increasingly influenced by the extraordinary diversification of populations and rapid expansion of medical knowledge that characterize our modern era. By contrast, the patient-physician interaction models currently used to teach medical trainees have little capacity to address these twin challenges. We developed a new model of patient-physician interaction to explicitly address these problems. Historically, models of patient-physician interaction viewed patient autonomy and the manifestation of clearly defined health care-related values as tightly linked, and it was assumed that patients' medical knowledge was low. Unfortunately, this does not adequately represent patients such as 1) the highly educated non-medical specialist who possesses little familiarity with health-related values but is highly autonomous, and 2) the patient from a non-Western background who may have well-established health care-related values but a low sense of personal independence. In addition, it is evident to us that the assumption that all patients possess little medical knowledge can create alienation between patient and physician, e.g. the well-informed patient with a rare disease. We propose a paradigm that models autonomy, health care-related values formation, and medical knowledge as varying from patient to patient. Four examples of patient types are described within the context of the model based on clinical experience. We believe that adopting this model will have implications for optimizing patient-physician interactions and teaching about patient-centered care. Further research is needed to identify relevant patient types within this framework and to assess the impact on health care outcomes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.