Paulo Freire's contributions to improving the doctor-patient relationship

Bibliographic Data

ID5335939
AuthorsBraulino Alexandre Carmes (0000-0002-2595-9539, Universidade Federal de Santa Catarina), Charles Tesser (0000-0003-0650-8289, Universidade Federal de Santa Catarina), Luiz Roberto Agea Cutolo (0000-0003-3102-3195, Universidade Federal de Santa Catarina)
Year2024
Volume48
Issue142
Publication date2024-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSaúde em Debate (JOURNAL)
Journal identifiersISSN: 0103-1104 • E-ISSN: 2358-2898
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/2358-289820241428790i
OpenAlexW4404245189
SCIELO_PIDS0103-11042024000300301
LanguageEN
References cited24

A 'good' doctor-patient relationship is essential for effective clinical practice in the Unified Health System. Communication problems, authoritarianism and a certain disregard for the patients' existential situation and agenda are common in clinical practice. Paulo Freire addressed similar issues in education, and his ideas were less used for teaching and practice of conducting medical care. This essay aimed to synthesize the contributions of Freire's ideas for building/improving the doctor-patient relationship in an outpatient clinical context. Methodologically, a literature review was performed coordinating doctor-patient relationship aspects and Freire's ideas. The analysis consisted of reading and free synthesis of selected works on the clinical relationship and the ideas contained in Freire's main books, considered relevant to this theme (first and second topics of the article), was followed by a synthesis of Freire's contributions, organized into five themes: reinforcing the challenge of avoiding patient objectification; emancipatory, critical and participatory conception of the doctor-patient relationship and its educational aspects; importance of the patient's lifeworld; centrality of opening and maintaining dialogue; handling power dynamics well. Freirean ideas are still very relevant and contribute to the teaching and improvement of outpatient clinical practice

Epistemology · Sociology · Empathy and Medical Education · Ethics in medical practice · Innovations in Medical Education · Philosophy · Psychology

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Open DOIOpen Access