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Next in LineLowered Care Expectations in the Age of Retail- and Value-Based Health$
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Timothy J. Hoff

Print publication date: 2017

Print ISBN-13: 9780190626341

Published to Oxford Scholarship Online: October 2017

DOI: 10.1093/oso/9780190626341.001.0001

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All Roads Lead to Trust

All Roads Lead to Trust

How Doctors See the Relationship and Our Expectations

(p.67) Chapter 4 All Roads Lead to Trust
Next in Line

Timothy J. Hoff

Oxford University Press

Doctors view the best relationship with patients in highly personal and idealistic terms, admitting through discussion of their own experiences that sustained interpersonal relationships with many patients are difficult to establish. For doctors, interpersonal trust with their patients looms as the central feature of strong, effective relationships. The ability to relate to patients on deeper psychological and emotional levels was the key focus for them in their work. They also cited other roles, such as friend and expert advisor, as important in gaining patient trust. Doctors’ views and their best patient relationship experiences emphasized the benefits of dyadic care delivery, even as the notion of the relational dyad finds less support within health care, given over instead to higher volume, transactionally oriented care relationships between organizations and patients.

Keywords:   doctor-patient relationship, dyads, trust, accountability, relational care

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