Why docs are losing trust in patients; what should be done?
Hi. I'm Art Caplan. I'm at the Division of Medical Ethics at the New York University School of Medicine.. Amanda Zink, Lauren Taylor, and a couple of others wrote a very interesting piece, which I think has significance and importance for all those doing clinical care in American healthcare today.
What if doctors are afraid of violence? What if doctors are fearful that they can't trust patients to listen, pay attention, or do what they're being told? What if they think that patients are coming in with all kinds of disinformation, false information, or things they pick up on the Internet, so that even though you try your best to get across accurate and complete information about what to do about infectious diseases, taking care of a kid with strep throat, or whatever it might be,...
We need more training. We've got to address this as a serious issue. What can we do to defuse situations where the doctor or the nurse rightly thinks that they can't control or they can't trust what the patient is thinking or how the patient might behave? My coauthors are basically saying that it's not a one-way street. Yes, we have to figure out ways to make sure that our patients can trust what we say. Trust is absolutely the lubricant that makes healthcare flow. If patients don't trust their doctors, they're not going to do what they say. They're not going to get their prescriptions filled. They're not going to be compliant. They're not going to try to lose weight or control their diabetes.
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