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            <front>

                <journal-meta>
                                                                <journal-id>tjfmpc</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Turkish Journal of Family Medicine and Primary Care</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">1307-2048</issn>
                                                                                            <publisher>
                    <publisher-name>Aile Hekimliği Akademisi Derneği</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.21763/tjfmpc.716051</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>​Internal Diseases</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>İç Hastalıkları</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="en">
                                    <trans-title>A Conceptual Approach to Patient-Physician Relationship</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>Hasta-Hekim İlişkisine Kavramsal Yaklaşım</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-5420-0230</contrib-id>
                                                                <name>
                                    <surname>Görgü</surname>
                                    <given-names>Genco</given-names>
                                </name>
                                                                    <aff>DOKUZ EYLÜL ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-3262-7815</contrib-id>
                                                                <name>
                                    <surname>Tan</surname>
                                    <given-names>Makbule Neslişah</given-names>
                                </name>
                                                                    <aff>DOKUZ EYLÜL ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-3546-9146</contrib-id>
                                                                <name>
                                    <surname>Mevsim</surname>
                                    <given-names>Vildan</given-names>
                                </name>
                                                                    <aff>DOKUZ EYLÜL ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20210309">
                    <day>03</day>
                    <month>09</month>
                    <year>2021</year>
                </pub-date>
                                        <volume>15</volume>
                                        <issue>1</issue>
                                        <fpage>14</fpage>
                                        <lpage>18</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20200407">
                        <day>04</day>
                        <month>07</month>
                        <year>2020</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20210106">
                        <day>01</day>
                        <month>06</month>
                        <year>2021</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2007, Turkish Journal of Family Medicine and Primary Care</copyright-statement>
                    <copyright-year>2007</copyright-year>
                    <copyright-holder>Turkish Journal of Family Medicine and Primary Care</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="en">
                            <p>The quality of the patient-physician relationship affects the patient&#039;s compliance with the treatment and satisfaction with the interview. Szasz and Hollender (1956) described three types of patient-physician relationships. In the relationship based on activity-passivity, the physician is equipped with broad powers, regardless of the patient&#039;s consent. Relationship based on guidance-cooperation defines the relationship between the patient who is ready to apply the commands of the physician and the physician who offers his professional experience. Relationship based on mutual participation is the patient-physician relationship when the physician provides professional support for the individual to contribute to his or her health. Patient-physician relationship was modeled by Emanuel EJ and Emanuel LL (1992) with a four-component classification. The physician who adopts authoritarian attitude in the paternalistic model can ignore his patient&#039;s preferences. In the informative model, all the information about the situation is presented to the patient, the patient makes his own choice and the physician applies the selected medical intervention. In the interpretive model, the physician sets out the patient&#039;s expectation, while doing so, takes the patient&#039;s values as reference and shapes the treatment on this basis. In the deliberative model that encourages shared decision-making between the physician and the patient, the physician and the patient discuss mutually about what options the patient can choose during the treatment process and the path to be followed. It should not be forgotten that the type of relationship to be adopted in the clinical interview may vary depending on the condition of the patient and the nature of the disease.</p></trans-abstract>
                                                                                                                                    <abstract><p>Hasta-hekim ilişkisinin niteliği, hastanın tedaviye gösterdiği uyumu ve görüşmeden memnuniyetini etkilemektedir. Szasz ve Hollender (1956) üç tür hasta-hekim ilişkisi tanımlamışlardır. Etkinlik-edilgenlik temeline dayanan ilişkide hekim hastanın onamından bağımsız olarak, geniş yetkilerle donanmıştır. Yol gösterme-iş birliği etme temeline dayanan ilişki hekimin komutlarını harfiyen uygulamaya hazır hasta ile hastanın karşısında mesleki deneyimini sunan hekim arasındaki ilişkiyi tanımlar. Karşılıklı katılım temeline dayanan ilişki hekimin, bireyin kendi sağlığına katkı sunması için profesyonel destek sağladığı hasta-hekim ilişkisidir. Hasta-hekim ilişkisi Emanuel EJ ve Emanuel LL (1992) tarafından dört bileşenli bir sınıflama ile modellenmiştir. Paternalistik modelde otoriter tutumu benimseyen hekim hastasının tercihlerini görmezden gelebilir. Bilgilendirici modelde durumla ilgili tüm bilgiler hastaya sunulur, hasta kendi seçimini yapar ve doktor seçilen tıbbi müdahaleyi uygular. Yorumlayıcı modelde hekim, hastanın beklentisini ortaya çıkarır, bunu yaparken hastanın değerlerini referans alır ve tedaviyi bu temelde şekillendirir. Hekim ve hasta arasında ortak karar vermeyi teşvik eden uzlaşmacı modelde hekim ve hasta, hastanın tedavi sürecinde ne tür seçenekleri tercih edebileceği ve nihai olarak izlenecek yol konusunda karşılıklı tartışırlar. Unutulmamalıdır ki, klinik görüşmede hangi ilişki türünün benimseneceği hastanın durumuna ve hastalığın özelliğine göre değişebilecektir.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Hasta-hekim ilişkisi</kwd>
                                                    <kwd>   Yol gösterme-işbirliği etme</kwd>
                                                    <kwd>  Paternalistik model</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="en">
                                                    <kwd>Patient-physician relationship</kwd>
                                                    <kwd>  Guidance-cooperation</kwd>
                                                    <kwd>  Paternalistic model</kwd>
                                            </kwd-group>
                                                                                                                                        </article-meta>
    </front>
    <back>
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