One Dozen Things

The Doctor-Patient Relationship

Overview

Although well respected, doctors in the United States do not have unquestioned authority. Patients expect to be treated with respect, be given appropriate information, have their questions answered, and be given the opportunity to participate in treatment decisions. Patients want clear explanations regarding the cause of their condition, their treatment plan, the risks and benefits of various treatment options, and their prognosis. These expectations should not be seen as a challenge to the physician's expertise or judgment, nor should they suggest any distrust or disrespect. Patients want to be well informed so that they may contribute to, and participate in, the decision-making process. Patients in the United States appreciate physicians who provide information and answer questions in clear, concise terms using as little medical jargon as possible. Patients also have expectations relating to their personal comfort and modesty during physical examinations. Care should be given to proper draping, provision of chaperones for sensitive examinations (e.g., pelvic or breast examinations), and other accommodations to convey an environment of comfort and respect for the patient.

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