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The relationship between a patient and a physician is based on trust, which gives rise to physicians ethical responsibility to place patients welfare above the physicians own self-interest or obligations to others, to use sound medical judgment on patients behalf, and to advocate for their patients welfare.
In their seminal article from 1956, Szasz and Hollender3 outlined 3 basic models of the doctor-patient relationship. Active-Passive Model. The active-passive model is the oldest of the 3 models. Guidance-Cooperation Model. Mutual Participation Model.
This unique relationship encompasses 4 key elements: mutual knowledge, trust, loyalty, and regard. Knowledge refers to the doctors knowledge of the patient as well as the patients knowledge of the doctor.
Trust is a fundamental characteristic of the physician-patient relationship. Patients must trust that their physicians will work in their best interests to achieve optimal health outcomes.
The relationship is seen as fiduciary, meaning that it is based on trust. The patient trusts the provider with his or her healthcare and the provider is expected to fulfill certain duties toward the patient. Obligations toward patients include: Technical competence in the providers area of expertise.
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These documents contain statements to help ensure patients understand their role and responsibilities regarding their treatment (e.g., how to obtain refills, conditions of medication use), the conditions under which their treatment may be terminated, and the responsibilities of the health care provider.
Practice strong communication skills Providers who clearly communicate medical instructions, patient education, and other important clinical information will tend to have better relationships than those with poor communication skills.
The relationship is seen as fiduciary, meaning that it is based on trust. The patient trusts the provider with his or her healthcare and the provider is expected to fulfill certain duties toward the patient. Obligations toward patients include: Technical competence in the providers area of expertise.

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