Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia
In this article we will review the benefits of a system built on partnership of physicians and their patients, highlight some of the factors which impede this transition, and propose ways to address these factors. Also, we are going to analyze the educational environment in Bosnia and Herzegovina an...
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| Format: | Article |
| Language: | English |
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Academy of Sciences and Arts of Bosnia and Herzegovina
2016-05-01
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| Series: | Acta Medica Academica |
| Subjects: | |
| Online Access: | http://ama.ba/index.php/ama/article/view/272/pdf |
| _version_ | 1811341053925523456 |
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| author | Marta Vučemilović Mersiha Mahmić-Kaknjo Ivančica Pavličević |
| author_facet | Marta Vučemilović Mersiha Mahmić-Kaknjo Ivančica Pavličević |
| author_sort | Marta Vučemilović |
| collection | DOAJ |
| description | In this article we will review the benefits of a system built on partnership of physicians and their patients, highlight some of the factors which impede this transition, and propose ways to address these factors. Also, we are going to analyze the educational environment in Bosnia and Herzegovina and Croatia concerning ethics and communication skills. Personal responsibility of patients for their health should be reflected in their joint involvement in health decisions with their physicians. Patients, insecure about their individual competence surrounding their health decisions, tend to shy away from responsibility, whereas physicians, pressured by the responsibilities of the profession, do not always show sensitivity to all of the patient’s concerns. They often treat illnesses instead of patients. A more open and collaborative relationship between the patient and the physician through shared decision making would be a better alternative. In the end, the patient ultimately decides whether a health intervention was satisfactory in fulfilling his or her specific needs. Transition from a paternalistic to a mutual relationship between doctors and patients has already begun. In an era of intense information sharing, shared decision making is a sensitive, ethical, legal, and political concept which needs empathic doctors with well-developed communication skills to integrate their clinical knowledge with patient-centered care. Conclusion. Transition from paternalistic to partner relation between physicians and patients is moving slowly ahead in Croatia and Bosnia and Herzegovina. Educational environment is improving but needs intense efforts to develop further. |
| first_indexed | 2024-04-13T18:51:05Z |
| format | Article |
| id | doaj.art-8a5da1bb18fd4d48a0834a2ba72b8835 |
| institution | Directory Open Access Journal |
| issn | 1840-1848 1840-2879 |
| language | English |
| last_indexed | 2024-04-13T18:51:05Z |
| publishDate | 2016-05-01 |
| publisher | Academy of Sciences and Arts of Bosnia and Herzegovina |
| record_format | Article |
| series | Acta Medica Academica |
| spelling | doaj.art-8a5da1bb18fd4d48a0834a2ba72b88352022-12-22T02:34:25ZengAcademy of Sciences and Arts of Bosnia and HerzegovinaActa Medica Academica1840-18481840-28792016-05-01451616910.5644/ama2006-124.157Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and CroatiaMarta Vučemilović0Mersiha Mahmić-Kaknjo1Ivančica Pavličević2School of Medicine, University of Split, Croatia.Department of Clinical Pharmacology, Zenica Cantonal Hospital Zenica, Bosnia and Herzegovina. mmahmickaknjo@gmail.comDepartment of Family Medicine, School of Medicine, University of Split, Split, Croatia.In this article we will review the benefits of a system built on partnership of physicians and their patients, highlight some of the factors which impede this transition, and propose ways to address these factors. Also, we are going to analyze the educational environment in Bosnia and Herzegovina and Croatia concerning ethics and communication skills. Personal responsibility of patients for their health should be reflected in their joint involvement in health decisions with their physicians. Patients, insecure about their individual competence surrounding their health decisions, tend to shy away from responsibility, whereas physicians, pressured by the responsibilities of the profession, do not always show sensitivity to all of the patient’s concerns. They often treat illnesses instead of patients. A more open and collaborative relationship between the patient and the physician through shared decision making would be a better alternative. In the end, the patient ultimately decides whether a health intervention was satisfactory in fulfilling his or her specific needs. Transition from a paternalistic to a mutual relationship between doctors and patients has already begun. In an era of intense information sharing, shared decision making is a sensitive, ethical, legal, and political concept which needs empathic doctors with well-developed communication skills to integrate their clinical knowledge with patient-centered care. Conclusion. Transition from paternalistic to partner relation between physicians and patients is moving slowly ahead in Croatia and Bosnia and Herzegovina. Educational environment is improving but needs intense efforts to develop further.http://ama.ba/index.php/ama/article/view/272/pdfShared decision makingEthicsCommunication skillsMedical schools |
| spellingShingle | Marta Vučemilović Mersiha Mahmić-Kaknjo Ivančica Pavličević Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia Acta Medica Academica Shared decision making Ethics Communication skills Medical schools |
| title | Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia |
| title_full | Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia |
| title_fullStr | Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia |
| title_full_unstemmed | Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia |
| title_short | Transition from paternalism to shared decision making – a review of the educational environment in Bosnia and Herzegovina and Croatia |
| title_sort | transition from paternalism to shared decision making a review of the educational environment in bosnia and herzegovina and croatia |
| topic | Shared decision making Ethics Communication skills Medical schools |
| url | http://ama.ba/index.php/ama/article/view/272/pdf |
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