Unmet expectations for care and the patient-physician relationship

Managed care and the physician/patient relationship.

Relationship-centered Care and the Patient-Physician Relationship

I recently observed a third-year medicine resident interview a 77-year-old established clinic patient with diabetes, hypertension, and mild degenerative joint disease, all well controlled. For the first 19 minutes, of a visit scheduled for 20, the patient focused on reconfirming that her symptoms, unchanged for months, were related to her diagnoses. She also talked animatedly about her granddau...

Health care reform and the patient-physician relationship.

Refusal of care: the physician-patient relationship and decisionmaking capacity.

Problems of refusal of care, among the most common ethical dilemmas in the emergency department, are also often the most difficult to resolve, pitting 2 conflicting duties, that of helping patients and that of respecting their autonomy, against each other. Using a case presentation as a backdrop, this article offers a practical approach to patients who refuse treatment, including assessment of ...

Managed care and the geriatric patient-physician relationship.

As managed care proliferates in the United States and other countries, its structure has patterned changes in patient-doctor relationships, including those between older patients and their physicians. The physician as gatekeeper now limits the access of the patient to information and services. Patient trust in the physician, essential to an effective patient-doctor relationship, will be damaged...