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The researchers found that 55% of doctors said that in the last year they had been more positive about a patient's prognosis than his medical history warranted. And 10% said they had told patients something that wasn't true.
About a third of the MDs said they did not completely agree that they should disclose medical errors to patients, and 40% said they didn't feel the need to disclose financial ties to drug or device companies.
Really? The study's lead author, Dr. Lisa Iezzoni, a professor medicine at Harvard Medical School and director of the Mongan Institute for Health Policy at Massachusetts General Hospital, was surprised to learn how mendacious her colleagues were. "Some of the numbers were larger than I expected they might be,"she says.
Why the white lies? In some cases, Iezzoni says it was for self-protection. Nearly 20% of the doctors admitted that they didn't disclose a medical error to their patients because they were afraid of being sued for malpractice.
In other cases, it may have been for the patient's benefit. MDs might spare an anxious patient from hearing about the slightly abnormal results of a lab test, for example, if it has no impact on the patient's health. Conversely, the doctor might exaggerate a health result in hopes of motivating a patient to take better care of himself.
"The doctor-patient relationship is a human interaction, and physicians are human too," says Iezzoni.
"They don't want to upset their patients, they don't want their patients to look unhappy or burst into tears.
But they also need to be professionals, so they need to tell themselves that if there is a difficult truth they need to tell their patient, they need to figure out a way of communicating that effectively. "
That's critical for doctors to appreciate, because as well-intentioned as their fibs may be, other studies consistently show that patients prefer the truth, and would rather hear harsh news than remain ignorant about a dire medical condition. Being fully informed is a way that patients can cope and prepare for whatever might occur.
As for the failure to disclose medical errors, Iezzoni says doctors' fear of malpractice suits may often be misplaced. Studies suggest that in cases where physicians are open about their mistakes, patients are more likely to be understanding and refrain from suing.
So how can doctors learn to be more honest with their patients? More training about how to communi cate with people about their health is critical--especially when it comes to delivering bad news. Patients al-
so need to be clear and firm about how honest they want their doctors to be. Communication is a two-way street, after all, even in the doctor's office.
According to the new survey in Health Affairs, about two fifths of the doctors
A.were more positive on predicting the patients' disease
B.admitted to telling lies to their patients
C.were unwilling to reveal malpractice to patients
D.felt unnecessary to reveal the economic relation with drug companies
58、 According to the passage, why do the doctors tell the white lies?
A.Because they want to defend themselves.
B.Because want to keep the patients nervous.
C.Because they are ignorant about the patients' situations.
D.Because they want the patients to spend more money.
59、 What is the result of other studies on patients' attitude towards truth?
A.They want to know the truth instead of lies.
B.They prefer those lies which intend to be kind.
C.They would rather remain uninformed about bad news.
D.They feel it unimportant whether to tell the truth or not.
60、 According to studies, which of the following might be the reaction of patients if their doctors disclose their medical errors?
A.Losing confidence in them.
B.Expressing understanding.
C.Becoming worried.
D.Accusing them of malpractice.
61、 What's the main topic of the passage?
A.The honesty of your doctor.
B.The doctor-patient relationship.
C.The training in communication.
D.The reasons for telling white lies.
62、Questions62-71are based on the following passage.
The latest research delves into a relatively unexplored area of the parent-child dynamic: how mothers'friendships affect their adolescent kids' same-sex friendships and overall well-being.The study, to be published in the Journal of Research on Adolescence, examined whether the positive or negative qualities of mothers' friendships ( not enough fathers agreed to participate) had an effect on their adolescent kids' friendships.The investigators accomplished this by giving school kids in fifth, eighth and eleventh grades and their mothers questionnaires that explored the quality of their most important friendships.They also gave the parents and kids tests of emotional health.When mothers reported high levels of negative quality with a good friend (such as getting on each others' nerves, getting upset or mad at each other often), kids were likely to report similar verbal antagonism and heated arguments with a close friend. 精品小說推薦: 昔日落魄少年被逐出家族,福禍相依得神秘老者相助,從此人生路上一片青雲! 我行我瀟灑,彰顯我性格! 彆罵小爺拽,媳婦多了用車載! 妹紙一聲好歐巴,轉手就是摸摸大! “不要嘛!” 完整內容請點擊辣手仙醫
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