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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]
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 ...
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 ...
The Patient: Patient-Centered Outcomes Research is a quarterly peer-reviewed medical journal dedicated to presenting solely the patient's perspective. The journal was published by Adis in collaboration with the Department of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health .
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.
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]