Rochaix L
Economics Department and ICI, University of Western Brittany, Brest, France.
Soc Sci Med. 1998 Aug;47(3):355-6. doi: 10.1016/s0277-9536(98)00092-6.
This comment is focused on the nature of the agency relationship between the physician and the patient. Beyond the discussion of the relative merits of the empowered physician versus empowered patient model. it is argued here that two features need to be integrated for an adequate account of this complex interaction: the two stages of the physician's action (the diagnosis and the treatment) and the physician's double agency (to the patient and to the representative of the collective interest).
本评论聚焦于医生与患者之间代理关系的本质。除了对赋权医生模式与赋权患者模式的相对优点进行讨论之外,本文认为,要充分理解这种复杂的互动,需要整合两个特征:医生行为的两个阶段(诊断和治疗)以及医生的双重代理身份(对患者和对集体利益代表)。