Paternalistic Model - ANS -traditional model:
Provider is an expert authority
Role of parent (follow blindly)
Informative model - ANS -opposite of paternalistic model
Provider is a technical expert who provides
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Paternalistic Model - ANS -traditional model:
Provider is an expert authority
Role of parent (follow blindly)
Informative model - ANS -opposite of paternalistic model
Provider is a technical expert who provides patient with information
Role: hairdresser (patient give directions and MD can execute with their skills)
Interpretive and deliberative models - ANS -patient doesn't know what matter most to him/her
role of friend
Interpretive model: elicits patient's values
Deliberative model: slightly more assertive but helps patient understand their values
Role of a coach and player
What is the relationship between provider and the patient? - ANS -hierarchical
What does "compliance" come from - ANS -stems from doctors orders think paternalistic
Who creates health care? - ANS -the patient
What does Dr. Don Berwick fear about as a patient - ANS -loss of control
Why isn't paternalistic model always the best choice - ANS --Chronic conditions are increasing: patients have more control than doctors
-Patients always have choice to take medical advice: the patient does not have to follow doctor’s orders
-Patient contribute to their care: patients know themselves and their resources if a provider doesn't involve the patient they lose these assets
-social condition place limits on what patient can do for their health: poverty, discrimination and family (if patient can't afford an elective surgery her plans to match the provider's plans)
Why are chronic conditions increasing - ANS -patient have more control than doctors
Does the patient have to be compliant with the doctor's order - ANS -the patient does not have to follow doctor’s orders
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