Effects of a Life Story Interview on the Physician–Patient Relationship with Chronic Pain Patients in a Primary Care Setting

Author(s):  
Lewis Mehl-Madrona ◽  
Patrick McFarlane ◽  
Barbara Mainguy
Author(s):  
Shira Assis-Hassid ◽  
Iris Reychav ◽  
Joseph S. Pliskin ◽  
Tsipi Heart Heart

The implications of the physician-patient relationship and communication on healthcare quality have been widely discussed in previous research. Communication has been characterized as one of the most powerful, encompassing, and versatile instruments available to the physician, and it has been suggested that good physician-patient communication can improve healthcare outcomes. The incorporation of ICT in healthcare and, more specifically, the introduction of EMRs in primary care provide an opportunity for improving healthcare services and quality of care. Healthcare ICT has without a doubt transformed the dynamics of the medical encounter. Implications of EMRs on the physician-patient communication, and thus on healthcare quality have not yet reached a full understanding. The authors suggest a research model based on theoretical frameworks derived from the IS and medicine disciplines, describing factors affecting appropriate use of EMR, which will lead to physician and patient satisfaction.


1997 ◽  
Vol 23 (4) ◽  
pp. 511-537
Author(s):  
Richard S. Liner

Dr. Julia Green is a primary care physician (PCP) licensed to practice medicine in the Commonwealth of Massachusetts. On October 1, 1994, Dr. Green signed a one-year, renewable contract with Allcare Health Plan (AHP). Pursuant to the terms of the contract, on January 1, 1995, AHP placed her on its select list of PCPs available to its 100,000 covered lives (“enrollees”). Dr. Green provided for all primary care and specialist referrals for those enrollees who chose her as their physician. AHP paid her on a fee-for-service (FFS) basis for all preapproved procedures and treatments.Dr. Green felt that this contract might decrease her autonomy slightly; however, she also felt that it would increase her patient pool significantly and lessen the burden of collecting fees directly from patients. Dr. Green knew that choosing not to sign the contract would preclude AHP enrollees from making her their PCP because AHP only covered treatment provided by its own physicians. She further feared that as enrollment in managed care organizations (MCOs) increases, and more of her colleagues sign managed care contracts, her pool of potential patients would decrease drastically.


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