Casey Hammett
Faculty Sponsor: Dr. Sean McKeever
There have been many different approaches to doctor-patient relationships throughout the history of medicine. In western medicine, there has been a very recent shift from paternalistic doctor centered doctor-patient relationships to non-paternalistic patient centered doctor-patient partnerships. The doctor-patient partnership, designated mutual participation, contains many attractive characteristics that some consider an ideal for doctor-patient relationships. While mutual participation may be ideal in many cases, there are some cases where it would be inappropriate or difficult to establish in a timely and robust manner. In order to address the gap that is created when mutual participation cannot be established, I propose an evolving doctor-patient relationship model. I describe how this evolving model could promote patient autonomy. Finally, I outline the respective responsibilities of both the doctor and the patient under this evolving model at various stages of the doctor-patient relationship.