Power Issues in the Doctor-Patient Relationship

Health Care Analysis 9 (4):449-462 (2001)
  Copy   BIBTEX

Abstract

Power is an inescapable aspect of all socialrelationships, and inherently is neither goodnor evil. Doctors need power to fulfil theirprofessional obligations to multipleconstituencies including patients, thecommunity and themselves. Patients need powerto formulate their values, articulate andachieve health needs, and fulfil theirresponsibilities. However, both parties canuse or misuse power. The ethical effectivenessof a health system is maximised by empoweringdoctors and patients to develop `adult-adult'rather than `adult-child' relationships thatrespect and enable autonomy, accountability,fidelity and humanity. Even in adult-adultrelationships, conflicts and complexitiesarise. Lack of concordance between doctors andpatients can encourage paternalism but may bebest resolved through negotiated care. Afurther area of conflict involves the `doubleagency' of doctors for both patients and thecommunity. Empowerment of all players is notalways possible but is most likely where eachparty considers and acknowledges power issues

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 93,031

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Doctors and patients: Partners or adversaries?Eugene J. Stein - 1980 - Journal of Medical Humanities 2 (2):118-122.
Patient Autonomy Investigation Under the Technology-Based Health Care System.Yi Yang - 2012 - Bulletin of Science, Technology and Society 32 (2):163-170.

Analytics

Added to PP
2010-09-02

Downloads
67 (#248,958)

6 months
9 (#355,594)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

References found in this work

The Healer's Power.Howard Brody - 1992 - Yale University Press.
The Doctor as Double Agent.Marcia Angell - 1993 - Kennedy Institute of Ethics Journal 3 (3):279-286.

View all 11 references / Add more references