Doctor-patient relationship

Tasman, A. (2000). Lost in the DSM-IV checklist empathy, meaning, and the doctor-patient relationship. Presidential address, Proceedings of the 153rd Annual Meeting of the American Psychiatric Association, Chicago, IL. 

The defendants motion to dismiss the complaint essentially alleges that the duty to disclose is limited to the doctor-patient relationship and was never meant to govern the researcher-subject relationship. As a consequence, the defendants have asked the court to rule on whether physicians/scientists engaging in genetic research have a duty to disclose their intentions to patent their discovery to those who volunteer to be human subjects. The plaintiffs must get past this motion to dismiss to explain to the court what they mean by the "Tay-Sachs model."... 

Tasman, A., Riba, M., and Silk, K. (2000) The doctor-patient relationship in pharmacotherapy. New York Guilford Press. 

Trainee professional outcomes Measures of doctor-patient relationships Patient satisfaction surveys Incidences of falling asleep on the job... 

Complementarity. Information should support, not replace, the doctor-patient relationship. The information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his or her existing physician. 

The doctor-patient relationship has traditionally entailed the right of the patient to complete confidentiality Enrollment in a clinical trial should not compromise this right. Just as the staff in a physician s office is trained to understand that they must not breach a patient s right to confidentiality, any additional staff working with files of patients enrolled in clinical trials must also respect this confidentiality. Procedures by which patients can be numbered or identified by their initials and site number should be spelled out to ensure that there is no unnecessary disclosure of the identity of the participants in the study. 

A thirty-second spot for cereal is just a commercial. Other than the occasional complaint that it encourages children to eat sugared foods or demand some tie-in toy, there s not much dispute about commercials for cereals. An ad for an allergy or arthritis drug, on the other hand, is a window into medical ethics, the role of government, the cost of health care, self-medication, and the doctor-patient relationship. 

The duty to adhere to a reasonable standard of care is established by the doctor-patient relationship. Proof of the duty is rarely a problem for plaintiff-patients, because in the great majority of cases patients are examined by optometrists in an office or under circumstances that make the relationship apparent. The lack of formal surroundings, or even feilure of the optometrist to charge... 

There is an intuitive abreaction by physicians to pay patients (compared with healthy voltmteers), because they feel the accusation of inducement or persuasion could be levelled at them, and because they assuage any feeling of taking advantage of the doctor-patient relationship by the hope that the medicines under test may be of benefif to the individual. This is not an entirely comfortable position. 

Successful postmarket data collection, like premarket clinical trials, relies on physicians and patients to follow prescribed social norms. Each of the institutions described here tried to structure the doctor-patient relationship to produce objective and interpretable reports about drugs outside of the controlled clinical setting. In both countries, government authorities and the medical profession expected patients to recognize adverse reactions, assist physicians in reporting them to central authorities, and then continue to take other prescription drugs. However difficult it may be to discipline patients to report adverse reactions, physicians too must be trained to complete and submit forms. A standardized product requires a standardized producer. Authorities... 

The refusal of the patient to participate in a study must never interfere with the doctor-patient relationship. 

---