Internal or External Physician—Patient Relationships, A Response to Clements

1978 ◽  
pp. 187-189
Author(s):  
Michael D. Bayles
Keyword(s):  
Patient Relationships ◽  
Physician Patient

Integrating social class and privilege in the community medicine curriculum

2017 ◽  
Vol 52 (3) ◽  
pp. 228-235
Author(s):  
Christopher Haymaker ◽  
Amber Cadick ◽  
Allison Seavey
Keyword(s):  
Social Class ◽  
Hidden Variables ◽  
Therapeutic Approaches ◽  
Physician Patient Relationship ◽  
Health Curriculum ◽  
Group Format ◽  
Resident Physicians ◽  
Patient Health ◽  
Patient Relationships ◽  
Physician Patient

Social class and privilege are hidden variables that impact the physician–patient relationship and health outcomes. This article presents a sample of activities from three programs utilized in the community health curriculum to teach resident physicians about patients within context, including how social class and privilege impact physician–patient relationships and patient health. These activities address resident physicians’ resistance to discussion of privilege, social class, and race by emphasizing direct experience and active learning rather than traditional didactic sessions. The group format of these activities fosters flexible discussion and personal engagement that provide opportunities for reflection. Each activity affords opportunities to develop a vocabulary for discussing social class and privilege with compassion and to adopt therapeutic approaches that are more likely to meet patients where they are.

Physician—Patient Relationships

1985 ◽  
Vol 78 (1) ◽  
pp. 15-21
Author(s):  
Robert B. Howard
Keyword(s):  
Patient Relationships ◽  
Physician Patient

scholarly journals Obligations, consent and contracts in Scots law: re-analysing the basis of medical malpractice liability in light of Montgomery v Lanarkshire Health Board

Legal Studies ◽  
2021 ◽  
pp. 1-21
Author(s):  
Jonathan Brown
Keyword(s):  
Informed Consent ◽  
Legal System ◽  
Medical Malpractice ◽  
Health Board ◽  
Medical Negligence ◽  
University Hospitals ◽  
Malpractice Liability ◽  
Patient Relationships ◽  
Physician Patient ◽  
Medical Regime

Abstract Professors MacQueen and Thomson have defined ‘contract’, within Scots law, as denoting ‘an agreement between two or more parties having the capacity to make it, in the form demanded by law, to perform, on one side or both, acts which are not trifling, indeterminate, impossible or illegal’. This definition reflects the fact that Scottish contracts are underpinned by consent, rather than by ‘consideration’. This, naturally, has the potential to be of great significance within the context of physician/patient relationships, particularly since the 2006 case of Dow v Tayside University Hospitals NHS Trust acknowledged that these relationships could be contractual in nature. This observation is of renewed importance since the landmark decision in Montgomery v Lanarkshire Health Board, which found that physicians must ensure that they obtain full and freely given ‘informed consent’ from their patients, prior to providing medical services. In light of the present medical regime which requires ‘doctor and patient [to] reach agreement on what should happen’, the basis of liability for medical negligence, in Scotland, requires reanalysis: ‘To have a contract only when the patient pays is not consistent with a legal system which has no doctrine of consideration in contract’.

Confessional Approach to Disclosure of Medical Error

2021 ◽  
Author(s):  
Jordan Mason
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Recent Literature ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Error Disclosure ◽  
Patient Relationships ◽  
Physician Patient

Abstract Recent literature on the ethics of medical error disclosure acknowledges the feelings of injustice, confusion, and grief patients and their families experience as a result of medical error. Substantially less literature acknowledges the emotional and relational discomfort of the physicians responsible or suggests a meaningful way forward. To address these concerns more fully, I propose a model of medical error disclosure that mirrors the theological and sacramental technique of confession. I use Aquinas’ description of moral acts to show that all medical errors are evil, and some accidental medical errors constitute venial sins; all sin and evil should be confessed. As Aquinas urges confession for sins, here I argue that confession is necessary to restore physicians to the community and to provide a sense of absolution. Even mistakes for which physicians are not morally culpable ought to be confessed in order to heal the physician–patient relationship and to address feelings of professional distress. This paper utilizes an Episcopal theology of confession that affirms verbal admission and responsibility-taking as freeing and relationally restoring acts, arguing that a confessional stance toward medical error both leads to better outcomes in physician–patient relationships and is more compassionate toward physicians who err.

The role of the Internet in physician–patient relationships: The issue of trust

2006 ◽  
Vol 49 (5) ◽  
pp. 387-393 ◽  
Author(s):  
S. Altan Erdem ◽  
L. Jean Harrison-Walker
Keyword(s):  
The Internet ◽  
Patient Relationships ◽  
Physician Patient

Physician–Patient Relationships

2011 ◽  
Vol 30 (5) ◽  
pp. 230-233
Author(s):  
John R. Clark
Keyword(s):  
Patient Relationships ◽  
Physician Patient

scholarly journals Perceptions of Practicing Physicians and Members of the Public on the Attributes of a “Good Doctor”

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 73
Author(s):  
Keren Dopelt ◽  
Yaacov G. Bachner ◽  
Jacob Urkin ◽  
Zehava Yahav ◽  
Nadav Davidovitch ◽  
...  
Keyword(s):  
Health Disparities ◽  
Technical Skills ◽  
Future Research ◽  
Good Doctor ◽  
The Public ◽  
Patient Relationships ◽  
Physician Patient ◽  
Practicing Physicians ◽  
Public Share

Since physician–patient relationships are a central part of the medical practice, it is essential to understand whether physicians and the general public share the same perspective on traits defining a “good doctor”. Our study compared the perceptions of physicians and members of the public on the essential traits of a “good doctor.” We conducted parallel surveys of 1000 practicing specialist-physicians, and 500 members of the public in Israel. Respondents were asked about the two most important attributes of a “good doctor” and whether they thought the physicians’ role was to reduce health disparities. Many physicians (56%) and members of the public (48%) reported that the role of physicians includes helping to reduce health disparities. Physicians emphasized the importance of non-technical skills such as humaneness and concern for patients as important traits of a “good doctor,” while the public emphasized professional and technical skills. Internal medicine physicians were more likely than surgeons to emphasize humaneness, empathy, and professionalism. Future research should focus on actionable approaches to bridge the gap in the perceptions between the groups, and that may support the formation of caring physicians embedded in a complex array of relationships within clinical and community contexts.

scholarly journals Rural Kansas Family Physician Satisfaction with Caring for Spanish-Speaking Only Patients

2019 ◽  
Vol 10 (4) ◽  
pp. 79-83
Author(s):  
Theresia Neill ◽  
Gretchen Irwin ◽  
C. Scott Owings ◽  
William Cathcart-Rake
Keyword(s):  
Response Rate ◽  
Cross Sectional Study ◽  
Language Barrier ◽  
Physician Satisfaction ◽  
Cross Sectional ◽  
Spanish Speaking ◽  
Physician Wellness ◽  
Clinical Encounters ◽  
Patient Relationships ◽  
Physician Patient

Introduction. Patient satisfaction with the care they receive can beinfluenced negatively by a language barrier between the physician andpatient. However, there is a paucity of information regarding the consequencesof a language barrier on physician satisfaction, althoughthis barrier has the potential to decrease physician wellness. Thisstudy sought to determine if a language barrier is a source of professionaldissatisfaction in family medicine physicians in rural Kansas. Methods. In a cross-sectional study, members of the Kansas Academyof Family Physicians who practiced in the rural Kansas countieswith the highest percentage of Hispanic residents were surveyed. Aquestionnaire was developed to determine the demographics of thephysician, details regarding his or her practice, and percentage of Hispanicand Spanish-speaking only (SSO) patients in their practice.Physicians also were queried as to their level of Spanish-speakingability, availability of certified interpreters, and their satisfaction withcaring for their SSO patients. Results. Fifty-two physicians were identified and sent questionnairesby mail. Eighteen questionnaires were completed and returned, resultingin a 34% response rate. Respondents remained anonymous. In thepractices surveyed, 61% of practice settings had a Hispanic-patientpopulation greater than 25%. Only one of the eighteen respondentshad greater than 25% of SSO patients in his or her practice. A certifiedinterpreter was used less than 25% of the time in over 75% ofthe clinical encounters with SSO patients. Seventy-five percent ofphysicians reported no difficulty establishing trust and rapport withtheir SSO patients. Eighty-nine percent of respondents rated theirrelationship with SSO patients as good to excellent, and 83% weresatisfied with the care they were able to provide this group. Seventyeightpercent of respondents reported that their ability to care forSSO patients decreased or had no effect on their professional satisfaction.Seventy-eight percent of physicians also rated their overallprofessional satisfaction in regards to their physician/patient relationshipas good to excellent. However, language barriers affectedphysician-patient relationships, physician satisfaction with care, andprofessional satisfaction. Conclusion. Language barrier affected physician’s relationships withSSO patients, led to decreased physician satisfaction with the carethey provided and to decreased professional satisfaction.KS J Med 2017;10(4):79-83.

scholarly journals Ethical Philanthropy in the era of Patient-Centric, Value-Based Health Care

2020 ◽  
Vol 8 (3) ◽  
pp. 225-229
Author(s):  
Peter Kalina
Keyword(s):  
Health Care ◽  
Ethical Standards ◽  
Patient Centered ◽  
Research Education ◽  
Innovative Strategies ◽  
Patient Relationships ◽  
Physician Patient ◽  
Influence Behavior ◽  
Support Research ◽  
Care Support

Patient-centered, value-based health care implies care that is high-quality, responsive to patient preferences, delivered safely, and at a fair cost.   The future of healthcare portends changes; including less favorable payer mix, decreased reimbursement and alternate compensation models.  Innovative strategies will be required to maintain excellence in care while efficiently maximizing existing capital and human resources.  Successfully implementing a health care institution’s initiatives cannot be achieved entirely from within.  Philanthropy must fill gaps to help support research, education and clinical missions. Strong physician – patient relationships are essential to facilitating philanthropic gifts from grateful patients. While we assume magnanimous intentions and motivations, gifts may potentially influence behavior.  While VIP care for patients who donated (or believed likely to) is a successful strategy; distinctions are needed between development and clinical relationships.  Philanthropy cannot affect care, which must be irrespective of wealth or position. The highest professional and ethical standards and practices must be maintained when accepting grateful patient philanthropy. Developing and promoting a sustainable philanthropic strategy begins with reviewing needs and goals to support the mission;  motivated and inspired by improving outcomes.  Achieving missions in health care requires dedicated philanthropic partnerships.  Pursued with professionalism, thoughtfulness and integrity; philanthropy represents a vital pathway to innovatively advance patient care.   Support allows donors to make an investment and express their values. Realizing the direct and lasting impact of collaboration provides rewarding benefit and meaningful recognition.

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