Dpr Exam I: Comparing The 4 Models

Front 1

Patient values: Objective & shared by physician and patient

Back 1

paternalistic

Front 2

Patient values: Open to development & revision through moral discussion

Back 2

Deliberative

Front 3

Patient values: Not known or conflicting so requires elucidation

Back 3

Interpretative

Front 4

Patient values: Define, fixed and known to the patient. Physicians job just to give facts. Clear separation btw facts and values. No role for physician's values, understanding of the patient's values, etc.

Back 4

Informative

Front 5

Physician's obligation: Providing relevant factual information & implementing patient's selected intervention

Back 5

Informative

Front 6

Physician's obligation: Elucidating & interpreting relevant patient values as well as informing the patient and implementing the patient's selecting intervention

Back 6

Interpretive

Front 7

Physician's obligation: Articulating and persuading the patient of the most admirable values as well as informing the patient and implementing the patient's selected intervention

Back 7

Deliberative

Front 8

Promoting the patient's well-being independent of the patient's current preferences

Back 8

Paternalistic

Front 9

Conception of patient's autonomy: Self-understanding relevant to medical-care

Back 9

Interpretive

Front 10

Conception of patient's autonomy: Moral self-development relevant to medical care

Back 10

Deliberative

Front 11

Patient's autonomy: Assenting to objective values

Back 11

Paternalistic

Front 12

Patient's autonomy: Choice of, and control over, medical care

Back 12

Informative

Front 13

Physician's role: Guardian

Back 13

Paternalistic

Front 14

Physician's role: Competent technical expert

Back 14

Informative

Front 15

Physician's role: Friend or teacher

Back 15

Deliberative

Front 16

Physician's role in Interpretative

Back 16

Counselor or adviser

Front 17

Model that assumes fairly clear distinction between facts & values

Back 17

Informative

Front 18

Model in which physicians help the patient select the available medical interventions that realize their values.

Back 18

Interpretive

Front 19

Model that ensures that patients receive the interventions that best promote their health and well-being.

Back 19

Paternalistic

Front 20

Limited patient participation

Back 20

Paternalistic

Front 21

Model that assists the patient in articulating his/her values and in determining what medical interventions best realize the specified values

Back 21

Interpretive

Front 22

Model where physician does not dictate, patient ultimately decides best action. The physician is not judging the patient's values

Back 22

Interpretative

Front 23

Model that helps patients determine & choose the best health-related values by both engaging in talk abut what to pursue

Back 23

Deliberative

Front 24

Model where patient's values are irrelevant; the physician aims for some goal independent of the patient, such as the good of society or science.

Back 24

Instrumental model