A quem interessa a relação médico paciente ?

Abstract

The relationship between doctors and their patients is part of everyday life for thousands of professionals. In order to avoid an idealistic or merely emotional approach to this question, it is necessary to investigate how it is related to medical science and to the overall relationship between medicine and society. Indeed, far from being aleatory, the doctor-patient relationship as it has been practiced can be understood as a tool for maintaining the power of both the medical establishment and the state over society. To change this practice, the author proposes two different approaches to specific fields of medical practice: the hospital and non-hospital fields. In the field outside hospitals, the humanization of medical practice depends basically on broadened training for professionals in order to prepare them to deal with this work's inherent demands, where a physiopathological approach is often insufficient. Inside hospitals, a more humanistic relationship depends more directly on the action of a multiprofessional health team.

Avaliação de intervenções de Gestão da Clínica na qualificação do cuidado e na oferta de leitos em um hospital público de grande porte

“…Pela atuação da equipe multiprofissional, na visão de diferentes profissões e suas variadas abordagens ao processo da doença e do cuidado, podemos ampliar o espaço subjetivo do paciente, contribuindo para sua humanização [25]. A equipe multiprofissional e o funcionamento em rounds multidisciplinares de fato ampliaram o olhar aos pacientes e qualificaram a assistência na unidade de retaguarda, em especial quando observamos a diminuição das taxas de mortalidade e o aumento no número de altas hospitalares no período.…”

Governo da população: relação médico-paciente na perícia médica da previdência social

“…The doctor-patient relationship has been the theme of several studies with different focuses [16][17][18][19] . In this paper, we understand it in the perspective of the approach to the medical worker in relation to his/her object, the ill body, and in the perspective of health practices as organized around two large axes: control of the occurrence of the disease and patients' recovery 20 .…”

As LER/DORT no contexto do encontro simbólico entre pacientes e médicos peritos do INSS/SP

“…Since it is an intersubjective meeting, the medical consultation takes place in an environment promoting the expression of feelings, even when it involves a context where the professional is detached from the patient (Fernandes, 1993). In this study, however, the perceptions involving feelings, opinions, and attitudes of both (patients and medical experts ) have not been accessed through the observation of expert medical consultations, but by means of the narratives of medical experts and patients with RSI/WMSD who experienced concrete situations of INSS medical consultation for defining their diagnosis.…”