Physician,Primary Care Clarifying the Implicit Agreement between Physicians and Patients

Clarifying the Implicit Agreement between Physicians and Patients

Clarifying the Implicit Agreement between Physicians and Patients


We frequently engage in important contracts across various facets of life, including mortgages, vehicle loans, or employment offers, each supported by comprehensive agreements that delineate duties and expectations. However, within the doctor-patient dynamic, these expectations often go unarticulated and are merely presumed, which can result in misinterpretations and strain.

In the medicolegal context, although HIPAA documents and office procedures are recognized, a genuine mutual comprehension between patients and healthcare providers is seldom attained. The regulations overseeing the medical profession, as outlined in the Arizona Revised Statutes, specify extensive obligations for physicians, encompassing everything from diagnosis to treatment and ethical behavior. These legal structures are designed to safeguard patients and ensure ethical medical practices.

While the expectations for healthcare providers are clearly set forth, those for patients are less defined but equally crucial for effective healthcare delivery. As indicated, patients do bear responsibilities within the collaborative therapeutic relationship. The American Medical Association emphasizes these duties in its ethical code, portraying the active partnership essential for effective medical care.

Patients are encouraged to be honest, furnish complete medical histories, comply with treatment protocols, and fulfill financial responsibilities. They are also inspired to adopt healthy lifestyles and be conscious of actions that may risk the wellbeing of others. Participating in medical education, being open to advice, and avoiding disruptive behavior also form a part of their obligations. Additionally, patients should report any unethical or illegal practices occurring within healthcare environments.

Consequently, while physicians navigate a myriad of responsibilities under legal and ethical standards, patients are pivotal in ensuring the prosperity of the doctor-patient relationship, transforming it into a genuinely collaborative endeavor. This shared understanding and joint responsibility can avert misunderstandings and enhance a more effective healthcare experience for both parties involved.

Matthew G. Checketts, an internal medicine physician, underscores the significance of acknowledging these shared obligations to alleviate tension and strengthen the therapeutic alliance.