title: [From doctor-patient relationship to a collaborative one].
abstract: In the historical development, the relationship between the patient and the doctor has gradually become increasingly objectified. Since then, a patient-centered or holistic way of thinking has become a normative model, towards which attempts have been made to change the patient-doctor relationship. The patient-doctor relationship must, however, be widened to a new type of relationship that links several doctors treating the same patient into collaboration and requires a new kind of working culture. We refer to this new concept as negotiated knotworking. Negotiation aims at an adequate, not complete mutual understanding.
authors.affiliation: Helsingin yliopisto, CRADLE, Käyttäytymistieteiden laitos, PL 9, 00014, HY.
authors.forename: Yrjö
authors.initials: Y
authors.lastname: Engeström
mesh_terms: D003299:Cooperative Behavior; D006694:Holistic Health; D006801:Humans; D018802:Patient-Centered Care; D010817:Physician-Patient Relations