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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.
A medical doctor explaining an X-ray to a patient. Several factors help increase patient participation, including understandable and individual adapted information, education for the patient and healthcare provider, sufficient time for the interaction, processes that provide the opportunity for the patient to be involved in decision-making, a positive attitude from the healthcare provider ...
Generally, physicians engage in more patient-centered communication when they are speaking with high-participation patients rather than with low-participation patients. [38] Also, when a patient consults with a physician of the same race, the patient perceives that physician as involving them more than a physician of a different race. [30]
Paternalism is action that limits a person's or group's liberty or autonomy and is intended to promote their own good. [1] Paternalism can also imply that the behavior is against or regardless of the will of a person, or also that the behavior expresses an attitude of superiority. [2]
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.
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 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 ...