Lack of patient participation in medical decision-making
Disregard of patient's personal needs
The doctor-patient relationship is not a therapeutic alliance in which the doctor and the patient decide together the best treatment, but usually the doctor alone decides the medically best treatment. Some argue that the lack of personalized care and involvement of patients in medical decision-making may further aggravate a patient's physical and psychological condition.
A 1992 UK survey found 1 in 4 patients complained about feeling as if they were on a medical "production line". One third of 39 UK hospital wards surveyed were waking patients at 6.30am and frequently keeping them waiting for another 2 hours for breakfast.