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Medical paternalism is a set of attitudes and practices in medicine in which a physician determines that a patient's wishes or choices should not be honored. These practices were current through the early to mid 20th century, and were characterised by a paternalistic attitude, surrogate decision-making and a lack of respect for patient autonomy. [1]
Patient-centered care has sprung out of resistance against the paternalistic and biomedical approach to medicine. [ 19 ] People-centered care is an umbrella term, articulated by WHO among others, [ 21 ] which entails the right and duty for people to actively participate in decisions at all levels of the health care systems.
Another related measure scores patient-doctor encounters using three components of patient-centered communication: the physician's ability to conceptualize illness and disease in relation to a patient's life; to explore the full context of the patient's life setting (e.g. work, social supports, family) and personal development; and to reach ...
Scores ranged from 1.85 to 2.49, with an average of 2.0, compared with the average score of 2.2 given by staff members. The difference was statistically significant. There were also statistically significant differences in the scores across the various dimensions of patient-centered care, according to the patients' socioeconomic background.
Patient-centered outcomes focus attention on a patient's beliefs, opinions, and needs in conjunction with a physician's medical expertise and assessment. [1] In the United States , the growth of the healthcare industry has put pressure on providers to see more patients in less time, fill out paperwork in a timely manner, and stay current on the ...
The clinical methods used to help patients clarify and achieve their health-related goals are different for each goal type though the categories are inter-related. [13] The uniting factor of this conceptual framework is that the goal is formed in a discussion involving both the patient and the health care providers prior to the development of a plan of care that is based upon the patient's ...
The doctor–patient relationship is a central part of health care and the practice of medicine. A doctor–patient relationship is formed when a doctor attends to a patient's medical needs and is usually through consent. [1] This relationship is built on trust, respect, communication, and a common understanding of both the doctor and patients ...
The medical home, [1] also known as the patient-centered medical home or primary care medical home (PCMH), is a team-based health care delivery model led by a health care provider [2] to provide comprehensive and continuous medical care to patients with a goal to obtain maximal health outcomes.