The Doctor-Patient Relationship, Partnership Theory, and the Patient as Partner: Finding a Balance Between Domination and Partnership

IF 1.8 3区哲学 Q2 ETHICS

Health Care Analysis Pub Date : 2024-01-20 DOI:10.1007/s10728-023-00473-9

Charles J. Kowalski, Richard W. Redman, Adam J. Mrdjenovich

引用次数: 0

Abstract

It is perhaps most useful to approach the Doctor-Patient relationship (DPR) by admitting that it’s complicated. We review some of the strategies that have been employed to mitigate this complexity, zeroing in on one that promises to capture the main features of the DPR without eliminating some of its more important, existential components; pieces of the puzzle that must be retained if we are to avoid oversimplification and the errors that can arise by ignoring important foundational properties. We believe that a useful way to look at the DPR and to capture essential features that must be balanced in the process is provided by Partnership Theory and its definition in terms of the so-called domination and partnership systems. We apply this theory to the DPR and investigate the implications of this application to health care. We see that in the absence of mitigating circumstances, adoption of the patient-as-partner model serves healthcare well and is flexible enough to accommodate circumstances that dictate modifications.

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医患关系、伙伴关系理论和作为合作伙伴的患者：在支配与合作之间寻求平衡

在处理医患关系（DPR）时，承认它的复杂性也许是最有用的方法。我们回顾了为缓解这种复杂性而采用的一些策略，其中有一种策略有望抓住医患关系的主要特征，同时又不会忽略其中一些更重要的存在要素；如果我们要避免过度简化和因忽略重要的基础属性而可能产生的错误，就必须保留拼图的一部分。我们认为，"伙伴关系理论"（Partnership Theory）及其所谓的 "支配与伙伴关系体系"（dominination and partnership systems）的定义，为我们提供了一种审视 DPR 的有用方法，并抓住了在这一过程中必须加以平衡的基本特征。我们将这一理论应用于 DPR，并研究其对医疗保健的影响。我们发现，在没有不利因素的情况下，采用 "患者即伙伴 "模式能够很好地服务于医疗保健，并且具有足够的灵活性，能够适应需要修改的情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Care Analysis Multiple-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Health Care Analysis is a journal that promotes dialogue and debate about conceptual and normative issues related to health and health care, including health systems, healthcare provision, health law, public policy and health, professional health practice, health services organization and decision-making, and health-related education at all levels of clinical medicine, public health and global health. Health Care Analysis seeks to support the conversation between philosophy and policy, in particular illustrating the importance of conceptual and normative analysis to health policy, practice and research. As such, papers accepted for publication are likely to analyse philosophical questions related to health, health care or health policy that focus on one or more of the following: aims or ends, theories, frameworks, concepts, principles, values or ideology. All styles of theoretical analysis are welcome providing that they illuminate conceptual or normative issues and encourage debate between those interested in health, philosophy and policy. Papers must be rigorous, but should strive for accessibility – with care being taken to ensure that their arguments and implications are plain to a broad academic and international audience. In addition to purely theoretical papers, papers grounded in empirical research or case-studies are very welcome so long as they explore the conceptual or normative implications of such work. Authors are encouraged, where possible, to have regard to the social contexts of the issues they are discussing, and all authors should ensure that they indicate the ‘real world’ implications of their work. Health Care Analysis publishes contributions from philosophers, lawyers, social scientists, healthcare educators, healthcare professionals and administrators, and other health-related academics and policy analysts.