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Physician-patient Relationship In Clinical Practice
Dr. N. Yasemin OĞUZa
aDeontoloji AD, Ankara Üniversitesi Tıp Fakültesi, ANKARA
From an ethical point of view, the relationship between physicians and patients in clinical practice, using this expression in a comprehensive sense, is largely determined by their identities and roles. These roles and identities have produced three main models of this relationship in medical evolution. These are activity-passivity, guidance-cooperation and mutual participation. In our time, mutual participation has become the main model in physician-patient relationship thanks to the efforts of patients rights defenders and the related organisations. The relationship in individual psychotherapy can be given as an example for this kind of model. One of the main reasons for the recent change has been the transformation on the basis of confidence, one of the basic components of physician-patient relationship. Today, patients trust physicians because they expect that physicians will provide them with adequate information in order to make decisions on their best interest (Informed consent), rather than because they will do the best for them (Hippocratic confidence).
To be sure, this sort of relationship forces both the physician and the patient to develop new skills, above all communication skills. Besides the acquisition of communication skills, however there appear to be other topics to be considered in this matter, such as the places where health care facilities exist, informing the society about how to use their rights to be healthy and making organisations in order to protect these rights.Keywords: Medical ethics, clinical practice and physician, physician-patient relationship, confidenceTurkiye Klinikleri J Med Ethics 1995,2-3:59-65
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