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Where such a relationship is poor the physician's ability to make a full assessment is compromised and the patient is more likely to distrust the diagnosis and proposed treatment, causing decreased compliance to actually follow the medical advice which results in bad health outcomes.
In these circumstances and also in cases where there is genuine divergence of medical opinions, a second opinion from another physician may be sought or the patient may choose to go to another physician that they trust more.
Michael Balint's "The Doctor, His Patient and the Illness" (1957) outlined several case histories in detail and became a seminal text.
and other national Balint societies in other countries.
The spectrum of a physician’s inclusion of a patient into treatment decisions is well represented in Ulrich Beck’s World at Risk.
At one end of this spectrum is Beck’s Negotiated Approach to risk communication, in which the communicator maintains an open dialogue with the patient and settles on a compromise on which both patient and physician agree.
Doc ID=1&Start Doc=1&End Doc=1882&Fx ID=13&offset=7&Session Id=A3F279FQVVFXFSXQ . Staff of the Health Sciences Library developed this guide to provide basic assistance in applying AMA style.
A patient must have confidence in the competence of their physician and must feel that they can confide in him or her.
The doctor and patient's values and perspectives about disease, life, and time available play a role in building up this relationship.A strong relationship between the doctor and patient will lead to frequent, quality information about the patient's disease and better health care for the patient and their family.Enhancing the accuracy of the diagnosis and increasing the patient's knowledge about the disease all come with a good relationship between the doctor and the patient.This means the doctor does not recommend what the patient should do, rather the patient's autonomy is respected and they choose what medical treatment they want to have done.A practice which is an alternative to this is for the doctor to make a person's health decisions without considering that person's treatment goals or having that person's input into the decision-making process is grossly unethical and against the idea of personal autonomy and freedom.
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