Doctor Patient Relationship

Omnia M. KoraniIntern at Kasr Ala-Aini Hospitals

Peer to peer program July 2014

Our Agenda

What’s Dr Pt relationship? Why it’s important It’s aspectsExamples

Is the CENTER of medical practice and is essential for the delivery of high-quality health care in the diagnosis and treatment of disease.

Doctor–patient relationship

The quality of the patient-physician relationship is important to both parties.

The better the relationship in terms of:* Mutual respect, knowledge, trust, *Shared values about disease and life. ( رشا مدام ).. ( والعفاريتاسراء

Win win game _ The more the patient knows the more I know enhancing accuracy of diagnosis and improving pt outcome. )blood transfusion)(rifampicin side effect)

* Patient is the center of the care * A patient must have confidence in the competence of their physician and must feel that they can confide in him or her.

Radiology Vs Family medicine

1)Do no Harm2) Do good

3) Informed consent4) Shared decision making

5) Physician superiority6) Formal or casual7)Confidentiality

Aspects of relationship

Do no Harm

Do good

Informed consent

Verbal or written

Types of consent

Patient is given an opportunity to choose among the treatment options according to their own treatment goals and wishes.

Shared decision making

ماما يا اقراص بيبلع بيعرف ابنك ؟؟ تانى اطفال عايزة؟ وظيفتك تغير تقدر

The physician may be viewed as superior to the patient, because the physician has

the knowledge and credentials, and is most often the one that is on home ground.

انه يعنى ال هذا به ولكن مفعول :/

Physician superiority

Patients share with physicians the responsibility for their own health care.

Equal Vs. Superior

Formal or casualFormal or casual

There may be differences in opinion between the doctor and patient in how formal or casual the doctor-patient relationship should be.

For instance, according to a Scottish study, first name (223) did not mind (175)Only 77 disliked it (aged over 65).

On the other hand, most patients don't want to call the doctor by his or her first name.

pt name

1st name

pt

don't care

1)Do no Harm2) Do good

3) Informed consent4) Shared decision making

5) Physician superiority6) Formal or casual

7)Confidentiality

Aspects of relationship

العمارة .. صاحب ابن والدكتور العمارة ?بواب

7)Confidentiality

Dr. Gregory House (of the show House) has a caustic, callous bedside manner. However, this is an extension of his normal personality.

Examples in fiction

Take home message

Do it from the heart

Home work

Thank you