Abstract

The doctor-patient relationship is keystone of care. This article shows “how it is done” according to the psychosocial aspects of diseases: 1) Doctor-patient Relationship (DPR) in cardiovascular diseases (Is required control of verbal and non-verbal manifestations to transmit security); 2) DPR in arterial hypertension (Focusing on the persuasion that seeks to guarantee therapeutic compliance); 3) DPR in asthma and COPD (Ventilating the patient conflicts); 4) DPR in digestive diseases (The patient usually has feelings of dependence); 5) DPR in psychiatric diseases (Maximizing quiet listening skills); 6) DPR in endocrinological problems (Requires detailed explanations at the cultural level of the pathophysiological mechanisms); 7) DPR in hematological diseases (Take into account the mental stability of the patient during chemotherapy); 8) DPR in cancer (Maintain a clear and permanent communication with the patient); 9) DPR in SIDA (Knowledge of diagnosis and confidentiality); 10) DPR in rheumatic diseases (Being seen as an individual and not as a mere diagnosis, and being believed in regard to pain and suffering); 11) DPR in dermatological diseases (Explanations about the probable cause of the disease and its duration); 12) DPR in neurological diseases (the patient has to know his diagnosis and the evolution of the disease, foreseeing possible emotional reactions, and the doctor-patient relationship is extended to the family environment). Contextualization of the doctor-patient relationship according to the psychosocial aspects of diseases has as much to do with “what is done”, with “how much is done”, and with “how it is done”.

Keywords: Physician-patient communication; Physician-Patient Relations; Psychological Factors; Disease; General Practice; Framework