Physician role | Guardian | Expert | Advisor | Teacher |
Physician obligation | Promoting well-being independent of current patient preferences | Providing factual information and implementing interventions | Interpreting patient values, providing factual information and implementing interventions | Articulating and persuading the patients about values, providing factual information and implementing interventions |
Patient/parental values | Objective and shared by patient/parents and physician | Defined and known to the patients/parents | Conflicting, requiring elucidation | Open to development and revision through discussion |
Patient/parental autonomy | Assenting to objective values | Self-rule | Self-understanding | Self-development |
Patient/parental responsibility | Limited responsibility | Causal responsibility | Capacity responsibility | Role responsibility |
Function of responsibility | – | Explanatory | Ontological | Normative evaluative |