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Physician-centered

Describing a healthcare system, approach, or interaction that prioritizes the expertise, preferences, and decisions of the physician above other stakeholders, particularly the patient. It often emphasizes diagnostic and treatment interventions chosen by the physician, with less emphasis on patient autonomy, shared decision-making, or patient-reported outcomes. A physician-centered approach may lead to efficient processes from a provider's viewpoint but can inadvertently neglect the patient's individual needs, values, and understanding of their own health condition, potentially leading to suboptimal patient satisfaction and adherence to treatment plans. The emphasis is on the physician's expertise as the primary driver of care.

Physician-centered meaning with examples

  • The hospital's policies leaned heavily towards a physician-centered model, streamlining processes to enhance doctor efficiency but sometimes leaving patients feeling unheard. Many treatment plans were decided without consulting patients on lifestyle changes or their understanding of the medications. This approach valued physician’s judgement, potentially missing important aspects of the patient’s experience and preferences.
  • Critiques of the current healthcare system often point to its inherent physician-centered structure, where specialists often dictate care paths with limited time dedicated to patient education or shared decision-making. This lack of patient engagement can lead to a disconnect between treatment plans and patient adherence, creating significant gaps in managing chronic conditions and preventative care strategies.
  • While advancements in medical technology improved diagnostics, the focus remained firmly physician-centered. Consultations often centered on clinical findings and treatments the doctor prescribed, rather than on understanding the patient's daily struggles and individual life circumstances or seeking their input. Patient perspectives were given less weight than clinical assessments.
  • Medical school curricula historically emphasized a physician-centered approach, prioritizing the acquisition of medical knowledge and technical skills. This sometimes resulted in a reduced focus on communication skills, empathy, and shared decision-making, important aspects for effectively working with patients. Curriculum revisions aim to balance this with more patient-focused training.

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