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Therapiehoheit

English translation: physicians' professional sovereignty


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GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
German term or phrase:Therapiehoheit
English translation:physicians' professional sovereignty
Entered by: lirka
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23:32 Dec 20, 2011
German to English translations [PRO]
Medical - Medical: Health Care
German term or phrase: Therapiehoheit
Context:a post-marketing surveillance study of a drug.

"Die medizinische Entscheidung, therapeutische und diagnostische Maßnahmen zu ergreifen, wird ausschließlich vom behandelnden Arzt im Rahmen seiner Therapiehoheit getroffen."


Can I simply say 'therapeutic autonomy', or do any of you know a spot-on term for it?

Thanks!
lirka
Local time: 04:47
physicians' (doctors') professional sovereignty
Explanation:

"Between the 1890s and December 1931, the Social Democratic labor movement in Germany covered a long distance on the doctor question – in terms of restrictions on doctors’ professional sovereignty (Therapiehoheit) in general, and restraints on overmedication in particular. Its ambitions, in fact, gave rise to the militant union-like organization of the medical profession in 1900, just as its structural objectives of reorganizing the fund system, mentioned above, later gave rise to the organizational mobilization of the big employers’ BKK's in 1907. The most prominent thinker and crusader on the doctor front was the Social Democratic physician Friedrich Landmann."


http://citation.allacademic.com/meta/p_mla_apa_research_cita...
Selected response from:

Johanna Timm, PhD
Canada
Local time: 01:47
Grading comment
Thanks a lot, I'm going with it :)
4 KudoZ points were awarded for this answer



Summary of answers provided
3 +3physicians' (doctors') professional sovereignty
Johanna Timm, PhD
4 +1therapeutic prerogative
de>en
3leave it out
Ramey Rieger
3in his capacity as therapist
David Hollywood
3professional sovereignty
Susan Welsh


Discussion entries: 3





  

Answers


1 hr   confidence: Answerer confidence 3/5Answerer confidence 3/5
in his capacity as therapist


Explanation:
I would say ...

David Hollywood
Local time: 05:47
Native speaker of: Native in EnglishEnglish
PRO pts in category: 78
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1 hr   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +1
therapeutic prerogative


Explanation:
I think "therapeutic prerogative" captures the concept pretty well. It implies a physician's sole responsibility and discretion for making the medical decision (subject of course to informed consent).

"Therapeutic autonomy" is not a bad translation, but patients also have therapeutic autonomy. Therapeutic prerogative belongs specifically to the physician.

A closely related term is "physician's prerogative", which I believe is equivalent to the accepted DEU>RUS Kudos answer for this same term. However, I prefer "therapeutic prerogative" because it's less of a paraphrase.

I would be so literal as to use "therapeutic sovereignty" here, because I believe it carries too much of a negative connotation. At any rate it puts a political connotation on the term which doesn't seem to fit your source text.

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Note added at 1 hr (2011-12-21 01:08:42 GMT)
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Correction: would NOT be so literal as to use "therapeutic sovereignty".

:)

Example sentence(s):
  • In the past, issuing a ‘not for resuscitation’ order was considered as a part of doctor’s ‘therapeutic prerogative’ and was often not formally registered.

    Reference: hhttp://www.google.com/url?sa=t&rct=j&q=in%20the%20past%2C%2...
de>en
Local time: 04:47
Specializes in field
Native speaker of: Native in EnglishEnglish

Peer comments on this answer (and responses from the answerer)
agree  Ioana Claudia Popa, DMD, PhD: I like your translation, it is somehow an intermediate solution between "in his capacity as therapist" and "professional sovereignty" :-)
4 hrs
  -> Thanks! BTW, I just voted "agree" on "professional sovereignty" because I found that it does occur in the context of "post marketing surveillance". Not that I withdraw this answer, but "professional sovereignty" seems to be a good alternative.
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1 hr   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +3
physicians' (doctors') professional sovereignty


Explanation:

"Between the 1890s and December 1931, the Social Democratic labor movement in Germany covered a long distance on the doctor question – in terms of restrictions on doctors’ professional sovereignty (Therapiehoheit) in general, and restraints on overmedication in particular. Its ambitions, in fact, gave rise to the militant union-like organization of the medical profession in 1900, just as its structural objectives of reorganizing the fund system, mentioned above, later gave rise to the organizational mobilization of the big employers’ BKK's in 1907. The most prominent thinker and crusader on the doctor front was the Social Democratic physician Friedrich Landmann."


http://citation.allacademic.com/meta/p_mla_apa_research_cita...

Johanna Timm, PhD
Canada
Local time: 01:47
Native speaker of: Native in GermanGerman
PRO pts in category: 108
Grading comment
Thanks a lot, I'm going with it :)

Peer comments on this answer (and responses from the answerer)
agree  de>en: Good term, good explanation. Here's a reference where "post-marketing surveillance" and "professional sovereignty" occur together: http://dalspace.library.dal.ca/bitstream/handle/10222/13085/...
4 hrs

agree  BrigitteHilgner: Depending on the context: keep the German term and provide this explanation in brackets.
6 hrs

agree  Cetacea
9 hrs
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2 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5
professional sovereignty


Explanation:

From the first reference below, on pharmacists ("chemists"):
ethische Anforderungen
Datenschutz
Apotheker als Berater des Arztes, Therapiehoheit verbleibt beim Arzt
Verpflichtung zur ständigen Fortbildung

From the second reference:
"Between the 1890s and December 1931, the Social Democratic labor movement in Germany covered a long distance on the doctor question – in terms of restrictions on doctors’ professional sovereignty (Therapiehoheit) in general, and restraints on overmedication in particular."


--------------------------------------------------
Note added at 2 hrs (2011-12-21 01:45:12 GMT)
--------------------------------------------------

Ooops! Johanna beat me to it!


    Reference: http://www.pharmazeutische-zeitung.de/index.php?id=5690
    Reference: http://citation.allacademic.com/meta/p_mla_apa_research_cita...
Susan Welsh
United States
Local time: 04:47
Works in field
Native speaker of: Native in EnglishEnglish
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8 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5
leave it out


Explanation:
It has absolutely no necessary function!



Example sentence(s):
  • All decisions regarding medication and therapy......are to made by the attending physician.
Ramey Rieger
Local time: 10:47
Native speaker of: Native in EnglishEnglish
PRO pts in category: 4
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Changes made by editors
Dec 23, 2011 - Changes made by lirka:
Created KOG entryKudoZ term => KOG term


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