Initial diagnosis f) Investigations g) Initial treatment h) Diagnosis i) Prognosis j) Treatment 4. Clinical types of relationships: There are many classifications. One of the most used is that of Mark Siegler, that in view of historical development, distinguishes three types of relationships: A) Paternalism. The doctor decides what is best for the patient to the submissive and passive attitude of this. B) Autonomy. The patient should receive adequate information so you can decide autonomously on further treatment.
Peaked between 70 and 90, especially in the USA. C) Bureaucratic (or taxpayers). Here are the managers who decide what services and under what conditions are provided. The latter is characterized as a series of obligations: 1. Contain costs and efficiently manage health resources, 2. Analyze the risks and potential benefits of each intervention clinic. 3.
Balancing the needs and wishes of the patient's social justice community. 5. Bases of the doctor-patient relationship: 5.1 Principles of Bioethics: The three basic principles are as follows: a) Beneficence / nonmaleficence. We are obliged aa) what is best for the patient b) do anything that harms b) Autonomy: respect for patient autonomy and willingness c) Justice. We are required to achieve the best for the greatest number of patients. 5.2 The informed consent: It started as a direct application of the principle of autonomy. It is based on the fact that can not be performed any exploration or treatment to any patient who does not freely and voluntarily access to it, once informed of the advantages and possible complications.