Paternalism and autonomy: views of patients and providers in a transitional (post-communist) country

摘要: Patient autonomy is a fundamental, yet challenging, principle of professional medical ethics. The idea that individual patients should have the freedom to make choices about their lives, including matters, has become increasingly prominent in current literature. However, this not always been case, especially communist countries where paternalistic attitudes interwoven into all relationships ones. Patients’ expectations and role doctor patient-physician relationship are changing. Croatia, as transitional country, currently undergoing particular process. Qualitative research was conducted by means six focus group discussions held years 2012 2013 Croatia. Focus groups were separately with each following: first year final (6th) students, physicians engaged ethics education, practicing clinical hospital, family medicine residents individuals representing chronic disease. This specifically addresses issues related patient autonomy, particular, principles truth telling, confidentiality, informed consent. All audio taped then transcribed verbatim systematized according acknowledged qualitative analysis methods. much more than simple notion defined patient’s right treatment decisions independently. It be understood context broader socio-cultural setting. At present, both doctors Croatia appreciating importance promoting decision-making. views reveal inconsistencies. Knowing how respect various facets patients’ part physician’s duties, also reflected his or her core competencies. For reason greater dedicated education