Maintaining trust in the surgeon-patient relationship - Challenges for the new millennium

被引:76
作者
Axelrod, DA
Goold, SD
机构
[1] Univ Michigan, Sch Med, Dept Med, Robert Wood Johnson Fdn Clin Scholars Program, Ann Arbor, MI 48104 USA
[2] Univ Michigan, Sch Med, Dept Surg, Sect Gen Surg, Ann Arbor, MI 48104 USA
[3] Vet Affairs Med Ctr, Div Gen Med, Ann Arbor, MI USA
关键词
D O I
10.1001/archsurg.135.1.55
中图分类号
R61 [外科手术学];
学科分类号
摘要
Changes in the structure of the health care system have placed unprecedented stress on the surgeon-patient relationship. The essential trust placed in the surgeon by her patients has been weakened by changes in the structure and financing of the health care system. This article considers the historical and ethical foundation of the surgeon-patient relationship and proposes that the primary moral obligation of surgeons is to strengthen and earn patient trust. By improving communication skills, enhancing ethical education, serving as consistent advocates for patients, and conducting patient-focused outcome research, the surgical community can meet its moral obligation by increasing trust in the surgeon-patient relationship.
引用
收藏
页码:55 / 61
页数:7
相关论文
共 28 条
[1]  
*AM COLL SURG BOAR, 1999, STAT PRINC
[2]  
Beauchamp TL, 1986, PRINCIPLES BIOMEDICA
[3]   Variation profiles of common surgical procedures [J].
Birkmeyer, JD ;
Sharp, SM ;
Finlayson, SRG ;
Fisher, ES ;
Wennberg, JE .
SURGERY, 1998, 124 (05) :917-923
[4]  
BOSK C, 1979, FORGIVE REMEMBER
[5]   Surgeon-patient communication in the treatment of pancreatic cancer [J].
D'Angelica, M ;
Hirsch, K ;
Ross, H ;
Passik, S ;
Brennan, MF .
ARCHIVES OF SURGERY, 1998, 133 (09) :962-966
[6]   Results of a national survey on ethics education in general surgery residency programs [J].
Downing, MT ;
Way, DP ;
Caniano, DA .
AMERICAN JOURNAL OF SURGERY, 1997, 174 (03) :364-368
[7]  
Eichenwald Kurt, 1999, N Y Times Web, P34
[8]   4 MODELS OF THE PHYSICIAN-PATIENT RELATIONSHIP [J].
EMANUEL, EJ ;
EMANUEL, LL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (16) :2221-2226
[9]   POWER, PROFESSIONALISM, AND PATIENT ADVOCACY [J].
FLYNN, MB .
AMERICAN JOURNAL OF SURGERY, 1995, 170 (05) :407-409
[10]  
Goold SD, 1998, J HEALTH POLIT POLIC, V23, P687