The physician–patient relationship arises from state statutes and common law 
rules  and is the model for the legal rules governing the relationship between 
other  medical care practitioners and patients. The courts recognize some form 
of special  relationship between midlevel practitioners and patients, and even 
between  hospitals and patients, but the legal dimensions of these relationships 
are usually  less extensive than those of the physician–patient relationship. The 
doctrine of  informed consent and the patient’s rights movement have increased 
the rights of  patients in the practitioner–patient relationship. At the same time, 
the special  nature of the relationship is under pressure from medical 
businesses and third-party  payers who seek to influence the decisions of 
medical care practitioners.