Рroblem of establishing a doctor and patient partnership: bioethical approach

The article discussed the problem of establishing a partnership between the physician and the patient with a chronic disease as an optimal model of their interaction. The urgency of the problem stems from the need to improve the quality of care, particularly for patients with a chronic pathology, making up the majority of the patient groups. The article drew upon the author's medical and sociological research of interaction between professional physicians and patients with bronchial asthma. The selection of the nosology group was due to the chronic course of the disease, as well as significant stratification of the patients’ sampling which made it possible to use a multifactor approach to its assessment (age, sex, social status, etc.). As a tool for establishing a partnership between doctors and patients with asthma we planned to use the basic principles of bioethics set forth in the Universal Declaration on Bioethics and Human Rights (UNESCO. 2005). The article showed the features of the physician-patient interaction taking into account their age, cultural values, religious affiliation. The author showed the role of ethics committees for the prevention and resolution of conflicts between doctors and patients with a chronic pathology beyond the scope of the legal field.

principles of bioethics, patient with a chronic disease, professional group of doctors, vulnerability, autonomy, informed consent, medical service, ethical committees