The evolution of the doctor-patient relationship.
The evolution of the doctor-patient relationship.
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DOI：
10.1016/j.ijsu.2006.01.005
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发表时间：
2007-02-01
期刊：
影响因子：
--
通讯作者：
Sooriakumaran, P
中科院分区：
文献类型：
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作者：
Kaba, R;Sooriakumaran, P
医患关系历来经历了一个过渡期。在过去20年之前，这种关系主要发生在寻求帮助的患者和医生之间，医生的决定被患者默默地遵守。在这种医患关系的家长式模式中，医生利用自己的技能选择最有可能恢复患者健康或减轻患者痛苦的必要干预和治疗。提供给患者的任何信息都是为了鼓励他们同意医生的决定。这种对医生和病人之间不对称或不平衡的互动的描述[帕森斯T。社会制度。自由新闻，纽约，1951年。](1)在过去的20年里一直受到挑战。批评人士建议患者扮演更积极、更自主的角色，从而以患者为中心，他们主张更好地控制患者，减少医生的主导地位，并更多地相互参与。这种以患者为中心的方法被描述为“医生试图进入患者的世界，通过患者的眼睛来看待疾病”[McWhinney I.需要一种转变的临床方法。在：斯图尔特·M，罗特·D，与内科患者交流。伦敦：Sage，1989.](2)，并已成为当今临床实践中的主要模式。
The doctor-patient relationship has undergone a transition throughout the ages. Prior to the last two decades, the relationship was predominantly between a patient seeking help and a doctor whose decisions were silently complied with by the patient. In this paternalistic model of the doctor-patient relationship, the doctor utilises his skills to choose the necessary interventions and treatments most likely to restore the patient's health or ameliorate his pain. Any information given to the patient is selected to encourage them to consent to the doctor's decisions. This description of the asymmetrical or imbalanced interaction between doctor and patient [Parsons T. The social system. Free Press, New York, 1951.](1) has been challenged during the last 20 years. Critics have proposed a more active, autonomous and thus patient-centred role for the patient who advocates greater patient control, reduced physician dominance, and more mutual participation. This patient-centred approach has been described as one where "the physician tries to enter the patient's world, to see the illness through the patient's eyes" [McWhinney I. The need for a transformed clinical method. In: Stewart M, Roter D, Communicating with medical patients. London: Sage, 1989.](2), and has become the predominant model in clinical practice today.