Paternalism in positive way
Szasz and Hollender in 1956 explained two different models of paternalism that exist in the health care one is activity –passivity and other is guidance co –operated. Szasz and Hollender (1956) correlated the physician- patient relationship in activity –passivity model with the relationship between an infant and a parent and guidance co –operated model correlated with a parent and an adolescent child model. That is in activity- passivity model the physician took decision for the patient, who is completely inactive and in guidance co-operative physician will tell the patient what to do and later the patient will comply or obey. Here in this study the identified positive form of paternalism is somewhat similar …show more content…
The studies that conducted in the rehabilitation context of Korea found that a cognitive empathetic style of communication has a significant correlation with patient satisfaction and compliance (). The Parry (2009) study identified a timely explanation from the practitioners side is necessary to avoid the issues related to patient expectation. In this study the therapist provided the information to the patient, which found not fully enough to satisfy the patient. In chapter 6 the therapist conducted a patient centred way of clinical reasoning by using the interactional strategy propositional act of assumptions to handle the patient concerns and to create the mutual therapeutic relationship. However, in this particular situation the effectiveness of this particular approach is questionable. So, may be further research needed in this …show more content…
One of the possible way is to introduction of a patient rated outcome measure, which is rarely found in the Indian physiotherapy context. However, the different types of out-come measures been widely used internationally in many developed countries for decades and are now slowly making their way into routine clinical practice all over the world. There are certain barriers to introduce outcome measure in Indian context, in which time and language as considered as the main barrier is language (Mehta and Grafton 2014). Because of most of the formed outcome measure were in English language. So, a validation should needed when it transfer to Indian local languages. Most of the physiotherapist took part in Mehta and Grafton (2014) study identified are confusing to patients, difficult for patients to complete and too
Szasz and Hollender in 1956 explained two different models of paternalism that exist in the health care one is activity –passivity and other is guidance co –operated. Szasz and Hollender (1956) correlated the physician- patient relationship in activity –passivity model with the relationship between an infant and a parent and guidance co –operated model correlated with a parent and an adolescent child model. That is in activity- passivity model the physician took decision for the patient, who is completely inactive and in guidance co-operative physician will tell the patient what to do and later the patient will comply or obey. Here in this study the identified positive form of paternalism is somewhat similar …show more content…
The studies that conducted in the rehabilitation context of Korea found that a cognitive empathetic style of communication has a significant correlation with patient satisfaction and compliance (). The Parry (2009) study identified a timely explanation from the practitioners side is necessary to avoid the issues related to patient expectation. In this study the therapist provided the information to the patient, which found not fully enough to satisfy the patient. In chapter 6 the therapist conducted a patient centred way of clinical reasoning by using the interactional strategy propositional act of assumptions to handle the patient concerns and to create the mutual therapeutic relationship. However, in this particular situation the effectiveness of this particular approach is questionable. So, may be further research needed in this …show more content…
One of the possible way is to introduction of a patient rated outcome measure, which is rarely found in the Indian physiotherapy context. However, the different types of out-come measures been widely used internationally in many developed countries for decades and are now slowly making their way into routine clinical practice all over the world. There are certain barriers to introduce outcome measure in Indian context, in which time and language as considered as the main barrier is language (Mehta and Grafton 2014). Because of most of the formed outcome measure were in English language. So, a validation should needed when it transfer to Indian local languages. Most of the physiotherapist took part in Mehta and Grafton (2014) study identified are confusing to patients, difficult for patients to complete and too