Table 2 Models on doctor-patient relation suitable for caring for dying patients
From: The death of a patient: a model for reflection in GP training
| Model | Context | Components |
|---|---|---|
| Leget 2007 | Spiritual care in palliative medicine; philosophical view | Five themes of dying well approached from an inner space: |
| 1. autonomy and the self | ||
| 2. pain control and medical intervention | ||
| 3. attachment and relations | ||
| 4. life balance and guilt | ||
| 5. death and afterlife | ||
| Meier 2001 | Palliative care | Psychological model of doctor's emotions that may affect patient care; |
| Description of high risk situations. Goal is self-awareness | ||
| Redinbaugh 2001 |
Palliative care Viewpoint of occupational medicine | Model for health care professionals coping with grief reactions |
| Emanuel and Emanuel 1992 | Physician-patient relation in general | Four models of physician-patient relation characterized by four variables (goal of physician-patient interaction, physician's obligations, role of patient's values, patient autonomy): |
| 1. paternalistic model | ||
| 2. informative model | ||
| 3. interpretive model | ||
| 4. deliberative model | ||
| Steinmetz 1992 | Family physician's role in care for the dying; aimed at research and education | Three dimensions: |
| - care for patient and family | ||
| - self care | ||
| - cooperation with other health care professionals | ||
| Each dimension has three levels in relation to complexity and intimacy of relations. | ||
| Spreeuwenberg 1981 |
General practice; care for the dying | Norms, values, beliefs of GP as well as patients; fundamental attitude of GPs to dying patients |