Can patients truly be consumers?

I think so in select cases, especially when it comes to elective and some outpatient scenarios.

However, when patients admitted to the hospital or in need of emergency care, the information asymmetry is heightened and patients have much less input in their management course.

This piece likens the relationship between doctors and patients to a parent and teenager:

The teenager is almost a fully functioning adult, able to make their own decisions, but they are not old enough to be independent from the parent. A good parent makes decisions with consultation from the teenager. And ultimately the parent is responsible if anything bad happens to the teenager. There are many adult concepts a teenager cannot understand without extensive explanation. Even after such explanation they still may not understand. Thus it is not feasible to explain the pros/cons of every treatment or medication, the potential side effects, sequelae, the recent literature on outcomes, and the whole volume of information out there on every treatment and drug. Doing so would be unacceptable, and, even if you did do this, the patient may still not understand everything.

topics: patient, consumer

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