Four Models of the Physician-Patient Relationship

Emanuel, Ezekiel J.; Emanuel, Linda L.

doi:10.1001/jama.1992.03480160079038

Cited by 1,785 publications

(1,138 citation statements)

References 23 publications

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“…Still others debate whether any "no return" policy is acceptable in any situation (Zawati et al 2011). In clinical practice, there is a parallel trend, signaling wider adoption of transparency and shared decision making in patient care (Coulter 1997;Delbanco et al 2010;Elwyn et al 2012;Emmanuel and Emmanuel 1992;Kon 2010;Legare et al 2010). The goal in shared decision making, which is the process by which health care decisions are made jointly by the practitioner and the patient/family, is to make decisions in a manner consistent with the patient's/family's wishes.…”

Section: Introductionmentioning

confidence: 99%

The disclosure of incidental genomic findings: an “ethically important moment” in pediatric research and practice

et al. 2013

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Although there are numerous position papers on the issues and challenges surrounding disclosure of incidental genomic findings involving children, there is very little research. To fill this gap, the purpose of this study was to explore the perspectives of multiple professional (N=103) and public (N=63) stakeholders using both interviews and focus groups. Using qualitative analysis, we identified one overarching theme, "It's hard for us; it's hard for them," and three subthemes/questions: "What to disclose?," "Who gets the information?," and "What happens later?" Perspectives differed between professional (Institutional Review Board chairs, clinicians, and researchers) and public stakeholders. While professionals focused on the complexities of what to disclose, the lay public stated that parents should have all information laid out for them. Professionals pondered multiple parent and child situations, while the public identified parents as informational gatekeepers who know their children best. Professionals described the potential requirement for follow-up over time as a logistical "nightmare," while the public believed that parents have the responsibility for managing their children's health information over time.However, the parent role as gatekeeper was seen as time limited and in need of professional support and backup. Our findings present a case for needed dialogue around what we propose as an "ethically important moment," with the goal of protecting and respecting the viewpoints of all stakeholders when policies regarding children are developed.

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Section: Introductionmentioning

confidence: 99%

The disclosure of incidental genomic findings: an “ethically important moment” in pediatric research and practice

et al. 2013

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“…Besides imposing treatment or looking for agreement, some doctors adopt a more democratic approach by incorporating one or more choices (labelled as offers by Stivers et al, (Emanuel & Emanuel, 1992 This encounter takes place in the consulting room. As mentioned in endnote 3, this is where each patient is categorised as a consulting patient, an inpatient or an outpatient.…”

Section: Offering Choicesmentioning

confidence: 99%

Treatment Recommendation in Vietnamese Medical Consultations

Nguyen

Austin

Chau

2018

pijss

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“…En nyere typologi over lege-pasient-relasjonen skiller mellom fire idealtypiske modeller: den paternalistiske, den forhandlende, den informative og den fortolkende (Emanuel og Emanuel 1992). Disse modellene baseres på en ulik forståelse av interaksjonen mellom lege og pasient og de rollene de spiller, og forventningene knyttet til dem.…”

Section: Teoretiske Perspektiverunclassified

Transnasjonale helsepraksiser. Bruk av helsetjenester blant polske arbeidsinnvandrere i Norge

Stachowski¹,

Rye²

2017

NorTidHelse

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Transnational Health Practices Among Polish Labor Migrants in NorwayThe article discusses the use of health-care services among Polish labor migrants in Norway. We apply theories of patient–physician relationship, trust, and transnationalism to analyze a material of qualitative in-depth interviews with eleven Polish labor migrants about their health practices. The material demonstrates how and why many Polish labor migrants evaluate Norwegian primary health care negatively. Their main reason for doing so is the non-paternalistic doctor–patient relationship. They therefore supplement Norwegian health services with health services available in their home country. However, the labor migrants tend to evaluate the Norwegian health system more favorably as time passes. In total, the Poles establish creative, reflexive, competent, and dynamic health practices that go beyond national state borders and combine elements of two health-care systems. We argue that these practices enable migrants to enhance the total quality of their health care.

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Four Models of the Physician-Patient Relationship

Cited by 1,785 publications

References 23 publications

The disclosure of incidental genomic findings: an “ethically important moment” in pediatric research and practice

The disclosure of incidental genomic findings: an “ethically important moment” in pediatric research and practice

Treatment Recommendation in Vietnamese Medical Consultations

Transnasjonale helsepraksiser. Bruk av helsetjenester blant polske arbeidsinnvandrere i Norge

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