Even though at first glance medical ethic seems to be a topic of inapplicable philosophical theories, we face its direct consequences during every visit to doctor’s office. The way our doctor is representing themselves and what role they give to us in the decision-making is the result of these theories in action. The modern ethical code recognizes four basic models of doctor-patient relations: informative, paternal, interpretative, and deliberative. Each model has its own peculiarities and has proven the varying level of effectiveness in different situations. However, the key feature of a successful doctor is an ability to combine and adjust all four models together depending on patient’s health condition, personality, and the system of beliefs.
Establishing a connection and model of communication with the doctor is the very first thing that patient does stepping into doctor’s office. Patients tend to believe that doctor has to remain impartial in order to demonstrate his or her professionalism. However, we in Aryana Heath Care Foundation know that the key component for successful treatment is the empathy and compassion that are the pillars of the professionalism in the medical industry. That is why only those doctors who fully understand the patient’s emotional and physical needs have a chance to win the patient’s trust.
Searching for a doctor who would be capable of fully addressing all patient's necessities is a challenging and exhausting endeavor. Though only such doctor, who meets all the requirements, can elaborate the successful treatment plan. The fundament for the efficient treatment is a professionalism of the doctor, effectiveness of the applied medical technology, and the patient's engagement in the own treatment process. However, it is also utterly important the atmosphere of complete crystal clear understanding between doctor and patient. The physician has to be able to encourage a patient to the active involvement in his or her own rehabilitation path. A person who came seeking for help is inherently is the vulnerable position, so this encouragement has to be gentle and caring. Thus, the doctor's primal responsibility would be to create the environment of care and understanding. The patients who feel themselves comfortable face-to-face to their doctor are more willing to share health-related personal information that can be crucial in diagnosis establishing. If the patient feels that doctor is ready to help, he or she will be more eager to cooperate in the recovery. Therefore, in order to get this type of relations, a doctor has to demonstrate the readiness to listen and, what is more important, to understand. The patient has to feel respected as an individual, and only this can be a basis for the strong connection that can benefit in further treatment.
The current ethical paradigm offers doctors four types of relations that can be formed with the patient. The first one, informative model, relies more on the facts than on patient's personal values. According to this model, the clear thing that patient lacks is facts. That is why the first goal of a doctor is to eliminate the lack of factual information for the patient. The physician plays the role of an expert in the field that offers a solution that is more relevant in the industry, though he or she does not take into account patient's personal values. Here patient has the complete autonomy in the decision-making process and the doctor is not supposed to interfere.
The paternal model relies mostly on what doctor believes to be the best treatment for the patients. According to this model, the doctor provides the patient with all the necessary information about the state of patient's health, discusses treatment alternatives, while encouraging a patient to choose a treatment that doctor is considering to be the most effective. This model is built on the basement of complete trust on doctor's decisions. Thus, even though the patient makes the final decision about the treatment plan, the whole communicative pattern used presumes the delegation of responsibility for the decision-making process to the doctor.
Interpretative model is one of the most discussed today. Using this model the doctor is estimating the needs and values of patients and tries to offer the solution that matches these values the best. The physician gives the patients all the information about the possible risks and benefits of the particular treatment plan. The whole decision making is based on the doctor’s reconstruction of the complete psychological portrait of the patient. Thus, in this model, the final offer belongs to doctors and their best knowledge.
Deliberative model is based on the physician understanding of the patient's health-related values. Unlike other models, a deliberative model does not consider a patient as a whole with all their system of beliefs and takes into account only those values that are connected to the medical sphere. Here, the doctor is supposed to suggest the patients follow some particular values that are more beneficial than others. In other words, the doctor provides patient with the guidance of what values have more worthiness and importance in this particular case. However, while adjusting treatment course according to patient values, the doctor has also promoted healthy habits for the patient, especially if the current state of affairs can be harmful to patient's life. Thus, the physician has to alert the patient about all the possible threat that current values may pose to his or her health. Though such approach might seem paternalistic, it is inevitable in the situations when patients lack a scientific evidence base.
Aryana Health Care Foundation professionals embrace the approach that combines all four mentioned models. We understand that every patient is a carrier of a unique life experience and moral values, that is why methods that proved to be effective with one person, can ultimately fail with someone else. That is why our doctors adhere to the individual approach that fulfills all the patients' needs and take into account the background of every person.
Aryana Health Care Foundation staff will make sure that all your requirements are met, and you receive the best possible treatment. Julia Hashemieh, Bobby Sarnevesht, and Javad Zolfagahri are deeply convinced that every patient of Aryana Health Care Foundation is under their personal responsibility and that is why you can trust us with your life.