Doctors as fiduciaries: a legal construct of the patient-physician relationship.

نویسنده

  • E C Hui
چکیده

Fidelity is the most fundamental ethical principle regulating the medical profession, and it requires medical professionals (MPs) to put their patients’ interests ahead of all others, including their own. The MPs who contracted and/or died of severe acute respiratory syndrome in the 2003 epidemic clearly illustrated both the glory and cost of living with this principle. Yet, if we look at the four classic models of the patient-physician relationship (PPR): ‘contractual’, ‘paternalistic’, ‘collegial’, and ‘mentoring’, none appears to mandate this level of fidelity from the MP, legally or ethically, because these models of the PPR have been narrowly construed to provide a normative evaluation of patient autonomy rather than professionalism and professional obligations. This may be why medical fidelity has not been given its proper place in modern bioethics. We need a PPR model that is more commensurate with this core value of the medical profession; the legal fiduciary model may be best suited the task.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

P-171: A Review of The Patient Consent Satisfaction) in Medical Procedures and The Legal Responsibility of Physicians Toward Patients

s:6941:"Background: Consent (satisfaction) of patient is effective in criminal responsibility of physician and his/her compurgation. Consent in word means agreement or permission. Before discussion about the effect of patient consent or his/her parents in medical responsibility, there is a question that “if victim (patient) accepted crime against himself with free will all its consequences, is ...

متن کامل

مسؤولیت مدنی پزشک در قبال بیماران اورژانسی (با مطالعه تطبیقی حقوق ایران و انگلستان)

This research has tried to scrutinize an important issue that is Civil liability of physicians for emergency patients (under its comparative form) for the first time in our legal literature. To achieve this the civil liability of physicians for emergency patients is examined from two perspectives A)civil liability for doctors who refuse to treat or leave emergency rescue. B)Civil responsibility...

متن کامل

نقش و پیامد‌های اعتماد در رابطه‌ی پزشک و بیمار

Trust is a key element in the physician-patient relationship. Imam Jafar Sadiq (A.S.) stated that the proficient and trusted physician is in equal level of a just jurisprudent. Ancient ethical texts put much emphasis on physicians to be trusted. Nowadays, trust is a component of social health we believe that in the physician-patient relationship, trust has a significant impact on the practice, ...

متن کامل

رابطه‌ی علل شکایت بیماران علیه پزشکان با رأی صادره از سوی سازمان نظام پزشکی در بیمارستان‌های کرمان 88-1383

Evaluation of the factors related to the patients;apos complaints against medical staff, especially doctors and efforts towards its reduction affects patients;apos satisfaction of health care system.  The main purpose of the present study was to determine the factors related to the patient`s complaint against doctors with the verdict of Medical Council of Kerman.This study was a descriptive, an...

متن کامل

الگوهای ارتباطی پزشک و بیمار: مطالعه موردی در بیمارستان شهید صدوقی یزد

Background: Appropriate relationship between physician and patient can increase patients' trust and prevent from their confusion and repeated visits to different doctors. Therefore, the purpose of this study was to determine the dominant pattern of physician-patient relationship among outpatients referring to Shahid Sadoughi Hospital. Methods: This research was an analytical and correlationa...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Hong Kong medical journal = Xianggang yi xue za zhi

دوره 11 6  شماره 

صفحات  -

تاریخ انتشار 2005