There are three basic models of the technical doctor-patient relationship.
1. active and passive: the physician is completely active and the patient is completely passive; the authority of the physician is not in any doubt and the patient does not raise any objections.
2. Guided and cooperative: both the physician and the patient are active. The physician's opinion is respected, but the patient may have questions and seek explanations.
3. ***Participatory: The physician and the patient have equal initiative and *** are involved in the decisions and implementation of care. The physician's input at this point often involves adjustments to the patient's habits, lifestyle, and interpersonal relationships, and the patient's cooperation and self-completion of treatment is especially important.
Importance
The technical doctor-patient relationship is guided by the interests of the patient in the medical process and plays an important role in the effectiveness of medical treatment.
Following the principles
In order to establish a good doctor-patient relationship, doctors should be careful to follow the following principles:
①Believe that doctors and patients can build up a relationship of mutual trust, and that the patient is able to communicate and exchange ideas;
②Don't judge the patient's values and attitudes to life based on the doctor's own values, and respect the patient's personality, beliefs and culture;
③Respect the patient's personality, beliefs and culture from the perspective of the doctor's own values;
③From the physiological-psychological-social medical model, fully understand the patient's disease behavior and emotional reactions;
④In the diagnosis and treatment process, the humanistic attitude to give the patient practical medical help;
⑤Understanding that the doctor-patient relationship is a dynamic relationship, the doctor should be adjusted in accordance with the situation in due course;
⑥Doctors and patients relationship is centered around the diagnosis and treatment of diseases. The doctor-patient relationship is formed around the diagnosis and treatment of disease, and should also be limited to the process of seeking and providing medical help, and should not develop any interpersonal relationship beyond that.
Doctor-patient relationship
In psychiatry, it is particularly important to establish a good doctor-patient relationship. Due to the lack of reliable objective diagnostic indicators, the determination of clinical diagnosis in psychiatry relies to a large extent on a complete and truthful history and a comprehensive and effective psychiatric examination from which valuable information can be obtained. Some patients with mental disorders lack full self-awareness of their mental conditions and adopt a rejection or even refusal attitude toward psychiatric treatment. A trusting and supportive doctor-patient relationship helps patients enter and remain in the treatment process. A close, cooperative relationship with the patient's family will also help form a broad therapeutic alliance and improve treatment adherence. Almost all psychiatric disorders impair the patient's interpersonal relationships and cause interpersonal difficulties. A good doctor-patient relationship can provide a good model for patients to learn general guidelines for interpersonal interactions, learn to communicate with others, and develop a sense of trust in their interactions with their doctors. Therefore, a good doctor-patient relationship is also a therapeutic relationship.
Psychiatric disorders are manifested by impairment of mental function and behavioral abnormalities, resulting in mental distress and decreased social functioning. Due to the lack of laboratory tests to qualitatively or quantitatively assess the structural and functional abnormalities of the brain that cause mental disorders, the psychiatrist becomes an indirect feeler of the patient's mental suffering and a direct observer of the behavioral abnormalities. It can be said that the psychiatrist himself is the most reliable diagnostic tool and the most effective therapeutic tool; and to play its diagnostic and therapeutic efficacy is realized through the establishment of a good doctor-patient relationship.
Concept
Doctor-patient relationship refers to the relationship between "doctor" and "patient". The "doctor" includes the medical institution and the medical staff; the "patient" includes the patient, the patient's family, and the patient's guardian in addition to the family (sometimes called the "patient side").
The "medical" here mainly refers to medical institutions and their medical workers. This includes not only hospitals of all levels and types, township and village health centers, sanatoriums and outpatient clinics, but also a variety of clinics, health centers, medical clinics and so on. The term "medical workers" is also used in a broad sense. Among them are mainly doctors of all disciplines at all levels, and medical disputes caused by doctors' service attitude, medical skill level, responsible spirit and other factors are the most common. Secondly, nurses are often involved in medical disputes. They are responsible for the specific operation of treatment and nursing care, and carelessness, operational errors, and unauthorized absence from duty can also easily lead to medical disputes. In addition, the management of the medical unit will sometimes become the "perpetrator" of medical disputes, common management work is not due diligence, so that the medical links out of gear and cause damage to the patient; or the leadership of the medical unit blind command, rigidly require the attending physician to use or not to use a certain medication and diagnostic and therapeutic measures, resulting in undue harm to the consequences.
Here.
The "patient" here refers to the patient receiving treatment. If the treatment and care process does not lead to the death of the patient, the patient must be brought by the patient himself to deal with medical disputes. Of course, in accordance with the provisions of the law, the patient can appoint family members, relatives, friends, lawyers and other people to act as an agent, in the name of the patient, the specific implementation of the settlement of medical disputes. If the patient dies in the course of treatment and care, then his interested parties can replace the patient and become the subject of medical disputes. The deceased's spouse, children, parents, etc. can become interested parties.