What is paternalism in healthcare?

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Paternalism in healthcare refers to the practice of making decisions for a patient without their participation or input, based on the belief that the healthcare provider knows what is best for the patient. This approach can manifest in various ways, such as a physician deciding on treatment options without thoroughly discussing them with the patient or considering the patient's preferences and values.

This practice contrasts with more collaborative approaches, where the patient's autonomy, preferences, and input are valued and considered in the decision-making process. While paternalistic practices can sometimes arise from a desire to protect patients, especially in situations where they may be unable to make informed decisions for themselves, this dynamic can undermine patient autonomy and lead to tension in the provider-patient relationship.

In contrast, the other options reflect more democratic practices in healthcare, where patient involvement and consent are prioritized. Collaborative decision-making and consulting patients respect their rights and promote a shared responsibility for health outcomes.

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