ICT AND THE FUTURE OF HEALTH CARE: ASPECTS OF DOCTOR-PATIENT COMMUNICATION

2014 ◽  
Vol 30 (3) ◽  
pp. 298-305 ◽  
Author(s):  
Daniela Haluza ◽  
David Jungwirth

Objectives: The current digital revolution is particularly relevant for interactions of healthcare providers with patients and the community as a whole. The growing public acceptance and distribution of new communication tools such as smart mobile phones provide the prerequisite for information and communication technology (ICT) -assisted healthcare applications. The present study aimed at identifying specifications and perceptions of different interest groups regarding future demands of ICT-supported doctor–patient communication in Austria.Methods: German-speaking Austrian healthcare experts (n = 73; 74 percent males; mean age, 43.9 years; SD 9.4) representing medical professionals, patient advocates, and administrative personnel participated in a 2-round online Delphi process. Participants evaluated scenario-based benefits and obstacles for possible prospect introduction as well as degree of innovation, desirability, and estimated implementation dates of two medical care-related future set ups.Results: Panelists expected the future ICT-supported doctor–patient dialogue to especially improve the three factors doctors–patient relationship, patients’ knowledge, and quality of social health care. However, lack of acceptance by doctors, data security, and monetary aspects were considered as the three most relevant barriers for ICT implementation. Furthermore, inter-group comparison regarding desirability of future scenarios showed that medical professionals tended to be more skeptical about health-related technological innovations (p < .001).Conclusions: The findings of this survey revealed different expectations among interest groups. Thus, we suggest building taskforces and using workshops for establishing a dialogue between stakeholders to positively shape the future of ICT-supported collaboration and communication between doctors and patients.

2000 ◽  
Vol 39 (1) ◽  
pp. 115-127 ◽  
Author(s):  
A. van den Brink-Muinen ◽  
P.F.M. Verhaak ◽  
J.M. Bensing ◽  
O. Bahrs ◽  
M. Deveugele ◽  
...  

2018 ◽  
Vol 32 (7) ◽  
pp. 891-907 ◽  
Author(s):  
Ariel Belasen ◽  
Alan T. Belasen

Purpose The purpose of this paper is to explore the extent to which improving doctor–patient communication (DPC) can address and alleviate many healthcare delivery inefficiencies. Design/methodology/approach The authors survey causes and costs of miscommunication including perceptual gaps between how physicians believe they perform their communicative duties vs how patients feel and highlight thresholds such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) used by hospitals to identify health outcomes and improve DPC. Findings The authors find that DPC correlates with better and more accurate care as well as with more satisfied patients. The authors utilize an assessment framework, doctor–patient communication assessment (DPCA), empirically measuring the effectiveness of DPC. While patient care is sometimes viewed as purely technical, there is evidence that DPC strongly predicts clinical outcomes as well as patients’ overall ratings of hospitals. Research limitations/implications More research is needed to extend our understanding of the impact of the DPC on the overall HCAHPS ratings of hospitals. The authors think that researchers should adopt a qualitative method (e.g. content analysis) for analyzing DPC discourse. Practical implications When a sufficient amount of DPCA training is initiated, a norming procedure could be developed and a database may be employed to demonstrate training program’s efficacy, a critical factor in establishing the credibility of the measurement program and nurturing support for its use. Originality/value The authors highlight clinical and operational issues as well as costs associated with miscommunication and the need to use metrics such as HCAHPS that allow consumers to see how hospitals differ on specific characteristics.


2021 ◽  
pp. 38-53
Author(s):  
Marta Falkowska

The paper provides a corpus-based semantic analysis of patients’ opinions on doctors published on the ZnanyLekarz.pl web portal. The analysis is aimed at depicting the medical professionals’ traits and behaviours that patients interpret as expressions of empathy. The fi ndings suggest that while patients value the doctor’s empathy, they perceive it as a relatively rare quality in doctors. The sphere where empathy manifests itself to the greatest extent is undoubtedly doctor–patient communication: unhurried interview, active listening, explaining the course of the necessary medical procedures, responding to the patient’s questions, showing emotional support. Although the fi ndings coincide with the recommendations found in the communication guides addressed to doctors, taking into account the perspective of the patient is necessary, since patients’ perception of empathy may not correlate perfectly with doctors’ self-assessment.


Author(s):  
H. T. D. W. Ariyarathna

Introduction: A considerable portion of the ethics related to the medical curriculum is taught to the students by a department of forensic medicine. Medical professionals generally depict good ethical behavior while any deviations from the ethical practices negatively affect the intended health care. Ethical behaviour in the professional setting cannot be compromised by healthcare providers as it is a cornerstone of providing the best possible health care. “Television reality’ is a term that needs to be explored by medical professionals once the health care sector is being portrayed in it. Objectives: The primary goal of this study was to investigate how medical professionals perceive their respective characters when they are portrayed through the eyes of others via a teledrama. Other goals included determining how different strata of health professionals felt about the teledrama that was aired, what they thought about health professionals' ethical behaviour, and whether health professionals liked how they were portrayed in the drama. Methods: The study was a descriptive cross-sectional study completed at a tertiary care hospital. The questionnaire was pretested and designed to be a self-administered questionnaire comprised of multiple-choice questions. The participants were allowed to watch an episode of the teledrama before being asked to complete a questionnaire. The findings were analyzed using the SPSS version 23. A p-value ≤ 0.05 was considered as significant.  Results: 401 people took part in total (doctors: nurses: other = 109:197:95). The male-to-female ratio was 1:3 (males, n = 113 (28.2%) and females n=288 (71.8%). Only 6.7% (n=27) of participants thought the teledrama was beneficial to society, while the majority thought the opposite.  Approximately two-thirds of the participants (n= 268) expressed dissatisfaction with the drama. According to 56.1% (n=225) of the participants, the producer intended to humiliate the medical profession.   34.7 % of participants (n=139) thought the teledrama should be banned.  Conclusion: It is one of the prime duties of health professionals to safeguard the medical profession. At the same time the freedom of the producers of teledramas should equally be respected. Anyhow the overall findings were consistent with the fact that a clear majority of participants are hesitant to continue watching such programmes because they negatively portray professionals and the health profession. As a result, before approving the telecast, a scrutinizing mechanism should be established through a responsible body of the Ministry of Health, Sri Lanka.


2019 ◽  
Vol 11 (13) ◽  
pp. 34
Author(s):  
Sabah T Alharbi ◽  
Muneeb M Alzghool

BACKGROUND: Primary Health Care (PHC) Services in Saudi Arabia has reportedly been poorly accessed and utilized. Another concern is that the kingdom has to be strategic in reducing inequalities that exist between rural and urban communities. At present, there were limited scientific studies on access, utilization, and satisfaction of PHC services in areas most central to the kingdom. AIM: The aim of this study is to explore the factors associated with access, utilization, and level of satisfaction with primary health care services in Hafar Al-batain of Saudi Arabia. METHOD: A survey was conducted on June to August 2018 and data were gathered from June to August 2018. A self-report questionnaire was used which asked for the participants&rsquo; characteristics, organization factors, financial factors, doctor-patient communication, access, utilization, satisfaction to PHC services and barriers were distributed to the different health centers. A total of 384 PHC receivers served as respondents of the study. Data analysis were processed and Chi-square was used to analyse quantitative data using Statistical Package for Social Sciences Ver. 21. Thematic analysis was used in analysing qualitative data.&nbsp;&nbsp; RESULTS: Findings showed that 50% of the total respondents were satisfied to some extent with the PHC services. On the other hand, only 39.7% were completely satisfied. Organizational, financial and doctor-patient communication factors were found to be barriers to PHC services in terms of access and utilization. Gender, age and educational level were found to influence perceived satisfaction towards PHC services. Themes relevant to barriers to PHC services were relevant to inadequate facilities and services, inaccessible location and access of health services, lack of specialized health care workers and services, poor observance of therapies and management, and insufficient implementation of policy and protocols. CONCLUSION: Health care services in Hafar Al-batin were found satisfying to some extent but were found to have areas which needs improvement which are relevant to factors in the organizational, finance, doctor patient communication and health promotion and prevention.


ASHA Leader ◽  
2011 ◽  
Vol 16 (6) ◽  
pp. 9-9
Author(s):  
Paul R. Rao
Keyword(s):  

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