Four Models of the

Physician-Patient Relationship
Ezekiel J.Emanuel, MD, PhD, Linda L. Emanuel, MD, PhD

DURING the last twodecades or so, there has been a struggle over the patient's role inmedical decision making that is often characterized as a conflictbetween autonomy and health, between the values of the patient andthe values of the physician. Seeking to curtail physician dominance,many have advocated an ideal of greater patient control.1,2 Othersquestion this ideal because it fails to acknowledge thepotentially imbalanced nature of this interaction when one party is sick andsearching for security, and when judgments entail the [continua]

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