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Confidence vanished or impaired until distrust in the doctor-patient relationship because of COVID-19

Authors :
Camille Roubille
Pierre Fesler
Jean Ribstein
Eric Fiat
Gerard Hurpin
François Roubille
Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp)
Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)
Source :
La Revue De Médecine Interne, La Revue De Médecine Interne, Elsevier, 2020, ⟨10.1016/j.revmed.2020.10.007⟩, La Revue De Medecine Interne, La Revue de Médecine Interne
Publication Year :
2020
Publisher :
HAL CCSD, 2020.

Abstract

Since Hippocrates, the cornerstone of medical practice has been the doctor-patient relationship. The question here is whether these basic principles are still compatible with this unusual COVID-period. This pandemic represents a serious threat to human health, leading to profound changes in behavior in daily life but also in health care. Because of limited resources, health-managers must choose well-balanced solutions able to protect patients and citizens on the one hand and to provide maximal benefit for the society on the other hand. We are going through a moment of rupture that we must acknowledge. Here, we discussed how the doctor-patient relationship could be compromised. Doctors are focused on cares whereas patients are focused on scare. Profound changes occur presently, from the way we present ourselves to each other (including the masks), the poor conditions for physical examination, the mental suffering of both patient and caregiver until sometimes terrible end-of-life conditions. The historical point-of-view helps us to keep in mind previous experiences, and the philosophical perspective helps to contextualize this unedited situation. We should stop briefly our daily rush to put these considerations into perspective to overcome these challenges. Nothing is as effective as trust: let's rebuild it.

Details

Language :
English
ISSN :
02488663 and 17683122
Database :
OpenAIRE
Journal :
La Revue De Médecine Interne, La Revue De Médecine Interne, Elsevier, 2020, ⟨10.1016/j.revmed.2020.10.007⟩, La Revue De Medecine Interne, La Revue de Médecine Interne
Accession number :
edsair.doi.dedup.....a87bd3ec2beab0df38d033e01beae285
Full Text :
https://doi.org/10.1016/j.revmed.2020.10.007⟩