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Rev Esp Salud Publica. 2011 Oct;85(5):459-68. doi: 10.1590/S1135-57272011000500005.

[Without reciprocal recognition there is not quality of care].

[Article in Spanish]

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  • 1Servicio de Pediatría, Hospital Lluís Alcanyís, Xàtiva, Valencia, España.


Understanding the classic doctor-patient relationship has entered a crisis in medicine today. Communication difficulties, underestimation of empathy, or bringing economic criteria are leading to care styles that facilitate the objectification of patients, contempt for doctors, and indifference of both to collective measures of health. Basic principles of this relationship such as quality, justice, patient autonomy and beneficence may appear weak content. We intend to apply the concept of "reciprocal recognition" from philosophy to "recharge" content different aspects of the clinical relationship: a look "inside", dealing with the identity of the protagonists seek to promote it by using reciprocal recognition of both patient and the professional. In one aspect "external", focusing on the quality of care, a key objective of the clinical relationship. With reciprocal recognition, issues of justice and equity are reinforced through public health, building an identity of citizens with rights.

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