THINKING PATIENT AFFAIRS 

Dual Roles in the Care Relationship

Di Laura Patrucco - Patient Affairs & Advocacy Lead

“There is no single point of view: there are perspectives that complete one another.”

What happens when a doctor becomes a patient?

A shift in perspective emerges, offering a complementary and often overlooked angle on care. A healthcare professional who enters the care pathway as a patient experiences dynamics, timelines, communications, and interactions that they usually observe from the outside. This transition does not diminish clinical competence; rather, it places it within a lived experience of vulnerability that expands the understanding of the care relationship.

In this context, the concept of patient engagement naturally evolves into care engagement: a broader perspective that recognizes the value of involving all actors in the care pathway, not only the patient. The physician patient gains a deeper appreciation for the importance of clarity, continuity, listening, and the quality of clinical time. These elements are well known in theory, but direct experience makes them truly indispensable.

Empowerment also takes on a more concrete dimension. Facing illness means navigating complex decisions, dense information, and moments of uncertainty. The doctor, equipped with technical knowledge, perceives even more clearly the challenges of understanding and the importance of a care relationship that guides and supports. From this emerges a renewed attention to the informed patient—not as a voice to be managed, but as an active partner in the care journey.

The Role of the Physician Patient

The figure of the physician patient serves as a privileged observatory for identifying opportunities to improve care processes. This dual lens—both professional and experiential—highlights communication gaps, organizational challenges, and areas where simplification is possible. It is not a hybrid role but an evolutionary contribution that the healthcare system can meaningfully leverage.

The physician patient can help foster a more integrated approach, promote more accessible communication, and provide insights capable of informing models and practices that place greater emphasis on person centred care. When seen from both perspectives, the care relationship becomes a co constructed process, grounded in transparency, collaboration, and shared responsibility.

In this balance between competence and lived experience, true engagement is no longer a stated objective: it becomes a continuous practice, built each time the roles meet and complement one another.