The Patient-Physician Relationship

In recent years there has been a clear evolution in the respective roles of patient and physician. Thus, the patient, overall, now has a higher cultural level, greater access to medical information (Internet) and a greater ability to understand and choose among alternatives diagnostic and / or therapeutic. book-report/’>Caldwell Esselstyn Jr. says on the issue. Therefore, increasing the doctor is not going to decide and implement without more that, in his view, is best for the patient (medical paternalism) but should be stated as clearly and understand the advantages and disadvantages of different treatment options and what is your recommendation, where the patient takes the final decision (patient autonomy). This has been reflected in a change of nomenclature, with a tendency to avoid the term patient (with clear connotations passive) and use the user, customer or consumer.

User is perhaps the better term, since customers implies: 1) choice of services 2) User participation in the evaluation of services rendered, 3) give priority to the subjective view of the medical necessity and 4) the adoption of a model of relationship between professionals and users more symmetrical. The first three characteristics are given very limited and possibly not even desirable-in a public health system. Partners does not necessarily agree. 2. The doctor and the care team: In general, the care team must be multidisciplinary to meet the needs of patients. The composition is adapted to the peculiarities of each specialty or level of care.