By Jerome Groopman
How medical professionals imagine is a window into the brain of the healthcare professional and an insightful exam of the all-important courting among medical professionals and their sufferers. during this myth-shattering paintings, Jerome Groopman explores the forces and proposal approaches at the back of the choices medical professionals make. He pinpints why medical professionals be triumphant and why they err. most crucial, Groopman exhibits while and the way medical professionals can -- with our support -- steer clear of snap judgments, embody uncertainty, converse successfully, and install different talents which may profoundly impression our healthiness.
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Additional resources for How Doctors Think
A failure to take a global view of the situation risks the possibility that the application of the principles will simply promote the current biomedical discourse and further the physician-patient power imbalance. 6 Models of professional-patient relationships Various models (see Veatch (1972)) have been described to try and explain the ideal relationship that should exist between healthcare professional and patient. None of the models are perfect as the relationship probably varies depending on the context.
1 The fiduciary or trustee model In this model the patient places is body and his health ‘in trust’ with the physician. The physician is morally obligated to act in that patient’s best interests. The physician must consider the wishes of the patient but ultimately it is he who must take responsibility for the decision. While there are elements of this model in all professional-patient relationships, it is perhaps best suited to the medical care of an incompetent patient. It also 15 BRIEFCASE on Medical Law applies where the patient requests that the physician (assuming he accepts the responsibility) make the decision for him.
This raises the conceptual problem of what is meant by ‘need’. Relevant factors in assessing need include: • seriousness of illness or disability; • capacity to benefit from the resources available—it would be unjust to give the last dose of an antibiotic to someone with a viral illness rather than to someone with a sensitive bacterial infection because the individual with the viral infection has no capacity to benefit from the antibiotic; • likelihood of further harm or deterioration of the individual’s condition; • rapidity of any deterioration.