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It may be further beneficial for the doctor–patient relationship to have a form of shared care with patient empowerment to take a major degree of responsibility for her or his care.
Those who go to a doctor typically do not know exact medical reasons of why they are there, which is why they go to a doctor in the first place.
A patient must have confidence in the competence of their physician and must feel that they can confide in him or her.
For most physicians, the establishment of good rapport with a patient is important.
Shared decision making is the idea that as a patient gives informed consent to treatment, that patient also is given an opportunity to choose among the treatment options provided by the physician that is responsible for their healthcare.
This means the doctor does not recommend what the patient should do, rather the patient's autonomy is respected and they choose what medical treatment they want to have done.
Furthermore, there are ethical concerns regarding the use of placebo.Some medical specialties, such as psychiatry and family medicine, emphasize the physician–patient relationship more than others, such as pathology or radiology, which have very little contact with patients.The quality of the patient–physician relationship is important to both parties.Does giving a sugar pill lead to an undermining of trust between doctor and patient?Is deceiving a patient for his or her own good compatible with a respectful and consent-based doctor–patient relationship?
The physician may be viewed as superior to the patient simply because physicians tend to use big words and concepts to put him or herself in a position above the patient.