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The Trust Crisis in HealthcareCauses, Consequences, and Cures$
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David A. Shore

Print publication date: 2006

Print ISBN-13: 9780195176360

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195176360.001.0001

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Trust in the Trenches: Developing the Patient-Physician Dyad in Medical Genetics

Trust in the Trenches: Developing the Patient-Physician Dyad in Medical Genetics

Chapter:
(p.139) 14 Trust in the Trenches: Developing the Patient-Physician Dyad in Medical Genetics
Source:
The Trust Crisis in Healthcare
Author(s):

Susan P. Pauker

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195176360.003.14

Genetic medicine is unique in that it involves the patient, living and deceased relatives, and future generations. Because of this complexity, medical genetics can bring patients and doctors face to face with sudden and painfully difficult decisions. Despite the controversy, the medical genetics specialty has the potential to build trust in the patient-physician relationship in difficult situations. This chapter identifies some of the difficult decisions patients face when meeting with a medical geneticist. These difficulties can be compounded by confidentiality and informed consent issues. Physicians can avoid some of these situations by building trust with sensitive and accurate communications.

Keywords:   medical genetics, genetic medicine, medical confidentiality, informed consent, patient-physician relationship

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