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Critical Response Paper

1946 words - 8 pages

The doctor-patient relationship is one of many debates and change over the years. The reason it is so debatable, is that many people have different views on what this actual relationship should be, and how certain situations may cause questions in this relationship. Such questions could be, do I really want my doctor to make decisions for me, or I know my body the best, why should I not be able to make these decisions on my own, maybe a mixture of both. Either way this subject can be debatable on how the doctors and patients should go about these relationships. There are two models, in particular, out of four that have been deemed the models that doctors and patients should go by. These two, main models are, the interpretive model and the deliberative model.
The first model is the interpretative model, which in the doctor-patient relationship, is when a doctor reveals all medical information to the patient, then helps find out the patient’s values and desire, and finally the doctor counsels the patient into making a decision based on what is medically available and what the patient has for values and desires. In the article “Four Models of the Physician-Patient Relationship”, by Ezekiel J. Emanuel, MD, PhD, and Linda L. Emanuel, MD, PhD, which is an article stating four models of the patient and doctor relationship, and it describes these models, while also debating which model is best, the authors state that this model is like the Informative model which is when a doctor gives all the information to the patient and lets them decide what is best, except the doctor assist the patient on making a decision base on their values and desires. The authors go on to state that this model is based on the fact that the patient’s values and/or desires, may not always be known, and the physician’s duty is to help the patient find their values or desires, and counsel them into making the choice that best fits their values and/or desires. By doing this, the patient learns more about his or her values and desire. The authors say that by doing this the doctor becomes an adviser or counselor. (Emanuel, Emanuel, 2221-2222)
The second model, or the deliberate model, is similar to the interpretative model, but the Physician has more of a say on happens to the patient based only on their health related values. The deliberative model is the model that Emanuel and Emanuel believe is the most efficient and the best model suited for the relationship between the doctor and their patients. Like the interpretive model, the physician cannot withhold any information from the patient. Emanuel and Emanuel state that this model has the doctor acting as a teacher or a friend. The deliberative model also gives the doctor the ability to tell the patient about how they feel on the matter related on the patient’s medical values and desires. (Emanuel, Emanuel, 2222)
Both of these models have similarities, but they also have some differences that can change the outcome of what...

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