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Psychotherapy | 4 min read | 2024-08-19 | 76 Views

Treat the patient, not the disease

Highlights a holistic approach that prioritizes the individual’s overall well-being over just addressing symptoms.

Nazca Health Post

Treat the patient, not the disease 


Doctor-patient relationships have recently attained more importance and have become an interesting area of study when it comes to patients’ outcomes. The idea of a patient centered care system has grown in popularity as it emphasized the preferences, values, and concerns of the patient in an effort to improve the overall experience4. 


For instance, the time spend with the patient as well as the effort put into the interactions can lead to improved health outcomes. This idea was tested by documented improvements due to self-efficacy. This is one’s belief in their ability to overcome challenges or accomplish certain tasks5. In a patient centered care approach, connecting with the patient and listening to their concerns before undergoing a major procedure leads to increased self-efficacy. Therefore, leading to a motivated recovery and better overall outcome. Moreover, the quality of communication during history-taking and management also affects outcomes connected to emotional health and symptom resolution1. 


Furthermore, a study testing the implementation of a relationship-focused training for young doctors on patient’s outcomes showed a statistical significant effect on specific health outcomes for patients with obesity, diabetes, asthma and osteoarthritis2. Relationship-focused training reflects a patient centered care approach in which medical treatment is balanced and accompanied by good bedside manners, leading to a joint effort to achieve recovery. 


In addition, attentive and empathetic listening from the physician has showed to play an important role in the healing process. A study focused on the importance of physician listening reflected that patients witnessing or experiencing their doctor listening attentively offers relief from stress and anxiety, which have been proven detrimental for the recovery process. Even so, patients have also mentioned that attentive physician listening provides empowerment and ownership over their own health. Hence, feelings of motivation and resilience arise to combat those of depression and anxiety, commonly found in patients undergoing long recovery processes3. To the contrary, disrespectful doctor-patient communication results in mistrust and increased anxiety levels, which impairs quality care and results in negative clinical outcomes. 


Overall, doctor-patient relationships are able to affect healthcare outcomes. It is important for physicians to recognize when this connection is being challenged in order to open an effective communication pathway. On the other hand, it is also important for the patient to expect and demand patient oriented care, as it can benefit their recovery. Sir William Osler, one of the founders of modern medicine, mentioned: “The good physician treats the disease; the great physician treats the patient who has the disease”. 

 


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