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Title:Preserving trust in the physician-patient relationship and addressing moral injury of physicians
Authors:ID Buturović-Ponikvar, Jadranka (Author)
Files:.pdf PDF - Presentation file, download (137,14 KB)
MD5: 837CC778031F3CE6CD9DBDFC5FC3020D
 
URL URL - Source URL, visit https://hrcak.srce.hr/331214
 
Language:English
Typology:1.03 - Other scientific articles
Organization:Logo UKC LJ - Ljubljana University Medical Centre
Abstract:In recent decades, which have brought about dramatic changes in medicine, the relationship of trust between patients and doctors has come under severe pressure. In parallel with the increasing needs and complexity of patients who demand more individual time from their physicians (including the explanatory duty required by law), the administrative burden of the latter is increasing. The performance metrics of individual physicians has either already been introduced or is planned to be introduced, forcing physicians into the “production line” of healthcare services. Although physicians represent a small percentage of all employees in the healthcare enterprise, generally less than 10 %, they are the main target of performance metrics in healthcare. The administrative burden and metrics approach are enhanced by the corporatization of healthcare systems, both in private as well as public healthcare organizations. Patients and physicians are no longer the main figures in medical decision making, as many other individuals and entities have since joined, described as “strangers at the bedside” in a book by Professor David Rothman. They include bioethicists, lawyers, court rulings, economists, psychologists, civil society, and activists. The introduction of artificial intelligence into healthcare and its role in medical decision making will be assessed in the near and distant future. Patients do not want to be part of a healthcare production line. They want a human touch from their physician, whom they trust to fight for and protect their best interests, their health, and their lives. Patients need this trustful relationship at least as much as medications and healthcare services. Physicians want and need the same. A trustful relationship between patient and physician has been the core value of medicine for thousands of years, and should be protected and consolidated for the future. Our duty as physicians is the fight to sustain it in the challenging times ahead.
Keywords:moral injury, trust, physicians, physician - patient relationship
Publication status:Published
Publication version:Version of Record
Year of publishing:2023
Number of pages:str. 109-116
Numbering:Vol. 77, br. 2
PID:20.500.12556/DiRROS-24235 New window
UDC:614.2:174
ISSN on article:1848-8897
COBISS.SI-ID:244710147 New window
Note:Nasl. z nasl. zaslona; Opis vira z dne 4. 8. 2025;
Publication date in DiRROS:21.11.2025
Views:150
Downloads:75
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Record is a part of a journal

Title:Acta medica Croatica
Shortened title:Acta med. Croat
Publisher:Akademija medicinskih znanosti Hrvatske
ISSN:1848-8897
COBISS.SI-ID:5780543 New window

Document is financed by a project

Funder:ARIS - Slovenian Research and Innovation Agency
Project number:P3-0323-2022
Name:Ledvične bolezni in nadomestna zdravljenja

Funder:Other - Other funder or multiple funders
Funding programme:Univerzitetni klinični center Ljubljana
Project number:20220008
Name:Enota za bioetiko UKC Ljubljana

Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

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