Building an effective doctor-patient relationship: From patient satisfaction to patient participation

1985 ◽  
Vol 21 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Edward J. Speedling ◽  
David N. Rose
Keyword(s):  
Patient Satisfaction ◽  
Patient Participation ◽  
Patient Relationship ◽  
Doctor Patient Relationship

Doctors’ trustworthiness, practice orientation, performance and patient satisfaction

2015 ◽  
Vol 28 (1) ◽  
pp. 82-95 ◽  
Author(s):  
Barend Van Den Assem ◽  
Victor Dulewicz
Keyword(s):  
Patient Satisfaction ◽  
Patient Survey ◽  
The Other ◽  
Professional Relationships ◽  
Hierarchical Regression ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Content Type ◽  
New Model ◽  
And Performance

Purpose – The purpose of this paper is to provide a greater understanding of the general practitioner (GP)-patient relationship for academics and practitioners. A new model for dyadic professional relationships specifically designed for research into the doctor-patient relationship was developed and tested. Various conceptual models of trust and related constructs in the literature were considered and assessed for their relevance as were various related scales. Design/methodology/approach – The model was designed and tested using purposefully designed scales measuring doctors’ trustworthiness, practice orientation performance and patient satisfaction. A quantitative survey used closed-ended questions and 372 patients responded from seven GP practices. The sample closely reflected the profile of the patients who responded to the DoH/NHS GP Patient Survey for England, 2010. Findings – Hierarchical regression and partial least squares both accounted for 74 per cent of the variance in “overall patient satisfaction”, the dependent variable. Trust accounted for 39 per cent of the variance explained, with the other independent variables accounting for the other 35 per cent. ANOVA showed good model fit. Practical implications – The findings on the factors which affect patient satisfaction and the doctor-patient relationship have direct implications for GPs and other health professionals. They are of particular relevance at a time of health reform and change. Originality/value – The paper provides: a new model of the doctor-patient relationship and specifically designed scales to test it; a greater understanding of the effects of doctors’ trustworthiness, practice orientation and performance on patient satisfaction; and a new framework for examining the breadth and meaning of the doctor-patient relationship and the management of care from the patient’s viewpoint.

Patient satisfaction and GP trustworthiness, practice orientation and performance

2014 ◽  
Vol 28 (4) ◽  
pp. 532-547 ◽  
Author(s):  
Barend Van Den Assem ◽  
Victor Dulewicz
Keyword(s):  
Patient Satisfaction ◽  
Continuing Professional Development ◽  
White Paper ◽  
Patient Relationship ◽  
Patient Trust ◽  
Doctor Patient Relationship ◽  
Content Type ◽  
Skill Sets ◽  
And Performance ◽  
High Level

Purpose – The purpose of this paper is to examine the doctor-patient relationship from the patients’ perspective. It tests a number of hypothesized relationships with respect to the interaction inside the doctor-patient relationship including the continuity of care, doctors’ practice orientation and performance, which help enhance the understanding of patient trust and satisfaction. Design/methodology/approach – A quantitative survey using a closed-ended questionnaire provided a useable sample of 372 respondents. Findings – There was an overall high level of patient trust in and satisfaction with GPs as well as good patient rapport with their GPs. Patients who were most satisfied with their doctor perceived them to be more trustworthy, were more satisfied with their performance and perceived them to have greater preference for a sharing orientation than those patients who were least satisfied. Practical implications – The research findings suggest ways of maintaining and enhancing trust through training, continuing professional development, appraisals and assessments and revalidation of doctors. The skill sets and competencies related to trust and practice are presented in light of current practice trends and changing health care agendas, including the recent Department of Health White Paper, “Liberating the NHS” (2010). Since the questionnaire was able to discriminate between those patients who were most and least satisfied with their doctors, it identified what patients appreciate and are concerned about with respect to GPs and their practice. Originality/value – The research provides new insights and understanding of how patient satisfaction in the GP-patient relationship is influenced by GPs’ trustworthiness, practice orientation and performance, for academic and practitioner communities.

scholarly journals Evaluation of Patient Satisfaction and Patient-physician Relationship in an Out- Patient Department Re-engineered through a Health Information Management System: A Descriptive Study Done at a Major Women’s Hospital in Sri Lanka

2021 ◽  
Vol 2 (01) ◽  
Author(s):  
Madhuwanthi R.M. ◽  
Marasinghe R.B
Keyword(s):  
Patient Satisfaction ◽  
Sri Lanka ◽  
Health Information ◽  
Information Management ◽  
Management System ◽  
Information Management System ◽  
Health Information Management ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Physician Relationship

Introduction: Health information management is one of the major pillars in a health system that improves the effectiveness and efficiency of health services. It is essential to assess the patient perception towards re-engineered services provide through Hospital Information Management Systems (HIMSs) and how this implementation affects the doctor-patient relationship. The objective of the study was to describe the extent of patient satisfaction towards Out-Patient Department (OPD) services, pharmacy service and patient physician relationship in the OPD, re-engineered through a HIMS, at the Castle Street Hospital for Women (CSHW), Sri Lanka. Methods: A descriptive cross-sectional study was carried out among 362 out-patients aged over 18 years attending the OPD of the CSHW during 2018-2019. Consecutive sampling method, and an interviewer-administrated questionnaire were used to collect data. The quantitative analysis was done using the SPSS software version 23. The sentiment analysis was performed to analyze comments given by patients using the Rapid Miner software. Results: All participants were females with a mean age of 41years (±13.58). Almost all participants were satisfied with overall services provided by the OPD (99.7%) and the pharmacy (98.4%). The majority (65.3%) agreed that implementation of the HIMS had improved the doctor-patient relationship. All reported comments regarding the re-engineered services of the OPD were ‘positive’. The study also suggests considering providing information in all common languages while announcing the patient’s OPD number at the waiting area in future implementations. Conclusions: The majority of patients were satisfied with the overall OPD services provided through implementation of the HIMS at the CSHW, Sri Lanka. Keywords: Health information systems, Hospital information management system, Outpatientdepartment, Patient-physician relationship.

scholarly journals Quality health care in Indian setup: an ear, nose, throat outpatient department-based approach for quality health care indicators

2020 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
Himanshu Joshi ◽  
Satyanjaya Sahoo ◽  
Vikas Kumar
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Care ◽  
Outpatient Department ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Quality Health Care ◽  
Hard Times ◽  
Quality Health ◽  
Health Care Indicators

<p><strong>Background:</strong> In this era doctor patient relationship facing hard times, especially in Indian setup. It is immensely evident in form of increasing lawsuits and violence against doctors. This brings patient centred approach with patient satisfaction into picture and further leads to concepts of quality health care. There is raised attention on enhancing the quality of life through the quality council of India. Here is an attempt to look for any causal association with the help of some routine indicators which if modified can lead to better state of doctor patient relationship.</p><p><strong>Methods:</strong> This study has taken patient satisfaction into consideration with the help of quality care parameters at ear, nose, throat (ENT), outpatient department in Indian setup. These indicators are based on parameters divided into hospital domain and doctor domain and each parameter is graded on 5-point Likert scale.</p><p><strong>Results: </strong>Score under doctor domain are significantly high statistically. Examination and communication by doctor (domain) are the parameters which scored the most. Under hospital domain the highest preference by patients in terms of score was given to hygiene and sanitation of hospital.</p><p><strong>Conclusions:</strong> Quality health care is multifactorial and parameters under hospital domain and doctor domain are interdependent to much extent. It has been concluded statistically that examination and communication by doctor derives a better sense of trust and doctor patient relationship significantly.</p>

scholarly journals The application of mobile phone APP in the follow-up management of hospital

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Yang Liu ◽  
Yi Li
Keyword(s):  
Patient Satisfaction ◽  
Mobile Phone ◽  
Information Age ◽  
Effective Rate ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Satisfaction Rate ◽  
Patient Satisfaction Rate

Explore the application of mobile phone APP in the follow-up management of hospital in the information age, to build a harmonious doctor-patient relationship,improve the effective follow-up rate and promote the rehabilitation of patients. Methods: Compare and analyze the traditional telephone follow-up mode and the mode of mobile phone APP with telephone follow-ups . Results:In 2016,with telephone follow-ups only,the effective rate was 91.3%, the patient satisfaction rate was 92.6%.In 2017,besides telephone follow-ups, we used  mobile phone APP,the effective follow-up rate got up to 96.2%,the satisfaction rate of patients got up to 98.1%. Conclusion: Compared with the traditional follow-up model, mobile phone APP follow-up model can improve the clinical follow-up service and the compliance of patients, help to reduce failures of follow-up.With mobile phone APP, it’s much more convenient and effective for doctors to communicate with patients,and it is better for the rehabilitation of patients with disease.

Building bridges through biography: engaging patients through lifeworld narratives in the clinical encounter

2017 ◽  
Vol 5 (4) ◽  
pp. 547
Author(s):  
Rachel A Chamberlin
Keyword(s):  
Health Promotion ◽  
Patient Satisfaction ◽  
Clinical Care ◽  
Clinical Encounter ◽  
Anthroposophic Medicine ◽  
Patient Relationship ◽  
Doctor Patient Relationship

The doctor-patient relationship is the foundation of biomedical practice, yet this relationship has significantly changed overtime evolving to frequently exclude the lifeworlds of patients. This article outlines some of the reasons lifeworlds have become largely excluded from the clinical encounter, the effects this omission has on health promotion and patient satisfaction and offers Anthroposophic Medicine as an illustrative example of a different way to contextualize and manage power using patient lifeworld narratives in clinical care.

scholarly journals Patient Satisfaction with Orthodontic Treatment Received in Public and Private Hospitals in Dammam, Saudi Arabia

2018 ◽  
Vol 6 (8) ◽  
pp. 1492-1497
Author(s):  
Abdulwahab Aljughaiman ◽  
Ali Alshammari ◽  
Abdullah Althumairi ◽  
Abdulaziz Alshammari ◽  
Naif Almasoud ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Patient Satisfaction ◽  
Orthodontic Treatment ◽  
Public Hospitals ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Private Hospitals ◽  
Public And Private ◽  
Validated Questionnaire ◽  
Public And Private Hospitals

BACKGROUND: The demand for orthodontic treatment is on the rise, and there are high patient expectations for improved dentofacial appearance. Patient satisfaction with orthodontic treatment is associated with improving treatment outcomes.OBJECTIVE: To evaluate patient satisfaction with orthodontic treatment received in public and private hospitals.MATERIAL AND METHODS: This cross-sectional study was conducted on a calculated sample of patients who received orthodontic treatment in public and private hospitals in Dammam, Saudi Arabia. A validated questionnaire (five-point Likert scale) was used to assess patient satisfaction with orthodontic treatment.RESULTS: A total of 229 out of 243 patients completed the survey (response rate = 94.2%). The mean age of the participants was 22.69 ± 6.34 years. More females (65.5%) than males (34.5%) participated in the study. The participants gave the highest satisfaction score to the doctor-patient relationship (mean score 4.33). This was followed by dentofacial improvement (mean score 4.23), dental functions (mean score 4.20), and psychosocial improvement (mean score 3.94). The participants provided significantly more positive perspective about doctor-patient relationship in public than private hospitals (P = 0.014). The patients treated in private hospitals were more satisfied with dental functions domain than those who received treatment in public hospitals (P = 0.023). The patients treated by public orthodontists were significantly more satisfied with other domains (situational aspect and residual category) than by the private orthodontists.CONCLUSION: The doctor-patient relationship was the most important factor in satisfaction with orthodontic treatment. Overall, patients treated in public hospitals were more satisfied with orthodontic treatment than those in private hospitals.

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