How does the doctor-patient relationship in chronic illness differ from the doctor-patient relationship in cases of acute illness?
The doctor-patient relationship in chronic illness is critical in managing the disease. Going back to the example of a broken leg, it doesn’t much matter whether you have a relationship with that doctor; you just want the leg set.
People with chronic illness see their doctors often, sometimes monthly, and so establishing a good working relationship is essential. Good relationships are based on openness, trust, and good communication.
Doctor and patient must both be open with one another. The relationship will not work if the patient is hiding vital information. That information might be alternative therapies the patient is trying, being honest about not taking medications or following the treatment regimen, disclosing all vitamins and supplements, or engaging in high-risk behaviors.
The relationship will not work if the doctor is hiding information about the seriousness of the disease and what the patient can likely expect in the future. Be honest and open with your doctor. Part of being honest and open is making sure that your doctor understands that you expect the same honesty and openness in return.
Trust is essential in any relationship but especially as it applies to doctor and patient. The patient trusts the doctor to have his or her best interest at heart. The patient also trusts the doctor’s training and expertise.
With the amount of information and misinformation available on the Internet, patients often try to second-guess doctors. Open discussion is good. Believing that the doctor is engaged in a conspiracy to keep you from miracle cures is not. The doctor trusts the patient to report symptoms and changes accurately. The doctor trusts the patient to follow the treatment plan. Without this kind of trust there is no doctor-patient relationship.
Communication is as much about listening as it is about talking. Both the patient and doctor must listen attentively to one another. If you are unsure about what the doctor told you, repeat it back, and ask if you are correct. Ask for a clearer explanation if you need it. In a good relationship, the doctor will do the same for you.
You have the right to a clear explanation so that you can manage your health. The doctor has a right to have clear communication from you in order to help you manage your illness.