One of the most baffling and difficult potential causes for ethical issues in the healthcare system is the doctor-patient relationship. Let’s take for example a fictitious healthcare center. In any case the issue of doctor-patient relationship can extend much more in reality and can indulge even the healthcare personnel – nurses, caregivers and medical assistants. We can discover multi-layer ethical issues arising on the grounds of giver-receiver relation. This relationship is radically distinctive in the sense that one has the advantage of possessing certain knowledge and the other is exposed, vulnerable and intimidated to trust. In order to prevent misuse of the giver (medical personnel and doctors) and imposing his dominance over the receiver (the patient) ethic codes and value must be solidly instilled.
There are several causes for ethical issues in the doctor – patient model. The first cause is the information availability. We can look at two examples. On one hand due to the nature of the healthcare institution, the personnel is able to extract details from the patient which is any other situation would be considered invasive. Thus, the healthcare institution is obliged to keep high confidentiality to preserve the patients’ rights and privacy. On the other hand, possessing the knowledge allows doctors to withhold sensitive information in order to protect the patient. A fine line needs to be created and ethical codes in healthcare centers try to achieve the ethical violations.
Klugman and Dalinis (2008) give a distinctive commentary on the healthcare issues and practices in the rural areas and how they differ from the urban settings. They comment that rural practitioners are physically placed in small, closed communities where socializing with their patients is necessary outside of the healthcare center. Residents in the rural areas have different