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7 Cards in this Set
- Front
- Back
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What internal factors affect the DP relationship?
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- Social class and education
- Age/generation - Ethnicity/culture/language barrier - Reason for consultation - Previous experience |
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What are the external factors affecting DP relationship?
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- Nature of system (time restraints)
- Cultrural ideas about health and illness - Reputation and status of medical profession - Whether service treats you like patient of customer - Alternative sources (internet) |
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What are the 5 models of the DP relationship?
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1. Paternalistic
2. Conflict 3. Mutualistic 4. Default 5. Consumerist |
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What are the advantages and disadvantages of the paternalistic approach?
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+ more focussed/quicker
+ some patients prefer/expect + showing authority instills trust - things may not be brought up - some feel its patrionising - overlooks patients knowledge and experiences |
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What are the advantages and disadvantages of the mutualistic approach?
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+ patients contributes preferences, goals and values
+ more information is disclosed + greater likelihood of clarification being sought + increased satisfaction + better concordance and therefore adherance + fewer repeat consultations - some patients are scared or have complex health problems and want the doctor to make the decision - shared decision making is harder when patient faced with serious/life threatening condition |
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What type of conflicts can there be in in consultation?
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Potential (latent) includes complaints and non adherence
Real (observed) included arguing, raising voices |
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What is the default approach to consultation?
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Patient and doctor control is low. There is lack of engagement on both sides.
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