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ARTICLE |

Models of the Physician-Patient Relationship FREE

Corinne Devereux, MD
[+] Author Affiliations

Edited by Drummond Rennie, MD, Deputy Editor (West), and Bruce B. Dan, MD, Senior Editor.


JAMA. 1992;268(11):1410-1410. doi:10.1001/jama.1992.03490110048017
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To the Editor.  —Emanuel and Emanuel1 describe four prototypic physician-patient relationship models and ask which is ideal. They conclude that the "deliberative model" embodies the optimal physician-patient interaction and that medical education should instruct students in this approach to patients. However, their conclusion that a single model is optimal may not be true for all patients.As a practicing oncologist, the single rule that I follow is to take the cue from the patient. If one listens to and observes the nonverbal communication from oncology patients, they will let the physician know fairly quickly their hopes regarding the treatment outcome and fears about the diagnosis, as well as their specific expectations of the physician. Some patients will articulate clearly what they want from their physician. Other patients are less explicit, but the attentive, observant physician can discern how much control and knowledge they wish to have and how much

REFERENCES

Emanuel EJ, Emanuel LL.  Four models of the physician-patient relationship. JAMA . 1992;;267:2221-1226.

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Emanuel EJ, Emanuel LL.  Four models of the physician-patient relationship. JAMA . 1992;;267:2221-1226.
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