The doctor-patient connection is key to this comprehensive approach and can impact the success of treatment.

Trust in their provider has been shown to be a key factor in peoplegetting vaccines.

This can have real impact for people facing a poor prognosis and contemplatingend-of-life care.

Doctor talking with male patient

Martin Barraud / OJO Images / Getty Images

Instrumental and Expressive Components

The doctor-patient relationship crosses two dimensions called the instrumental and the expressive.

Common Doctor-Patient Relationship Models

There are a number of models for developing the doctor-patient relationship.

The patient seeks information and technical assistance, and the doctor formulates decisions which the patient must accept.

Guidance-Cooperation Model

The guidance-cooperation model is the most prevalent in current medical practice.

In this model, the doctor recommends a treatment and the patient cooperates.

The patient, having lesser power, is expected to follow the recommendations of the physician.

The patient and doctor are respectful of each other’s expectations, point of view, and values.

The changes in the course of chronic conditions require a doctor and patient to haveopen communication.

What if Patient and Provider are Both Powerless?

“Its importance is based on trust, knowledge, regard, and loyalty.

2015 Oct 22;17(5):10.4088/PCC.15f01840.

An in-depth examination of patient experience in four Australian hospitals.BMC Health Serv Res.

American Medical Association.Patient-physician relationships.

Kaur S, Lum CMRedefining doctor-patient relationship and professional ethics in elderly care.

In: Ageing with Dignity in Hong Kong and Asia.

Quality of Life in Asia, vol 16.

  1. doi:10.1007/978-981-19-3061-4_27

Shutzberg M.The doctor as parent, partner, provider… or comrade?

Distribution of power in past and present models of the doctor-patient relationship.Health Care Anal.

2023 Jun;326:115924. doi:10.1016/j.socscimed.2023