scholarly journals Female cardiologists in Japan

2020 ◽  
Vol 32 (4) ◽  
pp. 278-280
Author(s):  
Atsuko Nakayama ◽  
Hiroyuki Morita ◽  
Issei Komuro
Keyword(s):  
Cardiovascular Diseases ◽  
Clinical Outcomes ◽  
Evidence Based ◽  
Cardiovascular Medicine ◽  
Patient Centered ◽  
Hospital Managers ◽  
Physician Patient Communication ◽  
Heavy Workload ◽  
Physician Patient ◽  
Emergency Readmission

Abstract In Japan, the heavy workload managed by cardiologists might make it difficult for female cardiologists to work comfortably, and some hospital managers hesitate to employ female cardiologists. Are the clinical outcomes of patients with cardiovascular diseases affected by the cardiologist’s gender? In our previous study, the risk of emergency readmission within 30 days after discharge was found to be significantly lower for patients treated by female cardiologists than for those treated by male cardiologists. Compared to male counterparts, female cardiologists were more likely to practice evidence-based and guideline-directed medicine and communicate with other experts, that is, they are better at solving complex problems in the attending doctors’ team. In addition, female cardiologists probably maintain more robust physician–patient communication and successfully provide more fine-tuned and patient-centered preventive care than male cardiologists. In Japan, the rate of female doctors 21.1% is the lowest among the rates for the Organization for Economic Co-operation and Development countries. Under such a situation, in our hospital, a representative teaching hospital where female cardiologists constitute larger than other hospitals in Japan, better clinical outcome was observed in the patients treated by female cardiologists over those treated by male cardiologists. Considering the preference of medical management by female cardiologists, an increase in the number of female cardiovascular medicine practitioners is necessary from the perspective of patients’ clinical outcomes.

scholarly journals Physician-patient communication: A qualitative study of perceptions, barriers, and needs in 4 EU MS

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Dalma ◽  
K Zota ◽  
P Karnaki ◽  
A Veloudaki ◽  
A Linos
Keyword(s):  
Nursing Education ◽  
Health Communication ◽  
Communication Training ◽  
Patient Communication ◽  
Positive Health ◽  
Patient Centered ◽  
Good Communication ◽  
Number Of Patients ◽  
Physician Patient Communication ◽  
Physician Patient

Abstract Background Good physician-patient communication is an important aspect of patient-centered care and contributes to positive health outcomes. However there is a lack of standard EU communication training policies for physicians. This study explores the barriers to good communication for both physicians and patients across four EU countries as part of the EU-funded Project “H-COM”, Health Communication Training for Health Professionals. Methods Eight focus groups were conducted with a total of 31 patients and 38 physicians from Germany, Greece, Spain, and Cyprus. Three themes were covered; perceptions, barriers and needs for health communication. Results Commonalities and differences between countries and target groups were identified, with participants discussing attitudinal, emotional, educational, and systemic barriers to good communication. Identified barriers among patients include a deeply embedded hierarchical notion and arrogance among physicians, inadequate or difficult to understand language, busy schedules. Among doctors barriers identified were mostly systemic having to do with busy schedules, large number of patients, and lack of time. Participants especially patients indicated a significant gap in health communication knowledge, skills, and training for physicians, with several regional differences being present especially between Mediterranean and central European countries. Conclusions The results imply a strong need for communication training, tailored accordingly in specific countries. Further development of policies related to the inclusion of such training in medical studies across EU would be of great importance. Key messages There are differences concerning health communication needs and barriers between EU regions and the development of tailored training. Although identified as important there is a lack of health communication training in certain EU MS and an urgent need to incorporate training in basic medical and nursing education.

scholarly journals “Best Practice” for Patient-Centered Communication: A Narrative Review

2013 ◽  
Vol 5 (3) ◽  
pp. 385-393 ◽  
Author(s):  
Ann King ◽  
Ruth B. Hoppe
Keyword(s):  
Communication Skills ◽  
Best Practice ◽  
Patient Adherence ◽  
Critical Dimension ◽  
Patient Communication ◽  
Narrative Review ◽  
Physician Communication ◽  
Patient Centered ◽  
Physician Patient Communication ◽  
Physician Patient

Abstract Background Communicating with patients has long been identified as an important physician competency. More recently, there is a growing consensus regarding the components that define physician-patient communication. There continues to be emphasis on both the need to teach and to assess the communication skills of physicians. Objective This narrative review aims to summarize the work that has been conducted in physician-patient communication that supports the efficacy of good communications skills. This work may also help to define the physician-patient communication skills that need to be taught and assessed. Results A review of the literature shows it contains impressive evidence supporting positive associations between physician communication behaviors and positive patient outcomes, such as patient recall, patient understanding, and patient adherence to therapy. There is a consensus about what constitutes “best practice” for physician communication in medical encounters: (1) fostering the relationship, (2) gathering information, (3) providing information, (4) making decisions, (5) responding to emotions, and (6) enabling disease- and treatment-related behavior. Conclusions Evidence supports the importance of communication skills as a dimension of physician competence. Effort to enhance teaching of communication skills to medical trainees likely will require significant changes in instruction at undergraduate and graduate levels, as well as changes in assessing the developing communication skills of physicians. An added critical dimension is faculty understanding of the importance of communication skills, and their commitment to helping trainees develop those skills.

scholarly journals Using Disablement Models and Clinical Outcomes Assessment to Enable Evidence-Based Athletic Training Practice, Part I: Disablement Models

2008 ◽  
Vol 43 (4) ◽  
pp. 428-436 ◽  
Author(s):  
Alison R. Snyder ◽  
John T. Parsons ◽  
Tamara C. Valovich McLeod ◽  
R. Curtis Bay ◽  
Lori A. Michener ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Clinical Outcomes ◽  
Athletic Training ◽  
Outcomes Assessment ◽  
Evidence Based ◽  
Patient Centered ◽  
Clinical Outcomes Assessment ◽  
Training Practice

Abstract Objective: To present and discuss disablement models and the benefits of using these models as a framework to assess clinical outcomes in athletic training. Background: Conceptual schemes that form the basic architecture for clinical practice, scholarly activities, and health care policy, disablement models have been in use by health care professions since the 1960s. Disablement models are also the foundation for clinical outcomes assessment. Clinical outcomes assessment serves as the measurement tool for patient-oriented evidence and is a necessary component for evidence-based practice. Description: Disablement models provide benefits to health professions through organization of clinical practice and research activities; creation of a common language among health care professionals; facilitation of the delivery of patient-centered, whole-person health care; and justification of interventions based on a comprehensive assessment of the effect of illness or injury on a person's overall health-related quality of life. Currently, the predominant conceptual frameworks of disability in health care are those of the National Center for Medical Rehabilitation Research and the World Health Organization. Disablement models need to be understood, used, and studied by certified athletic trainers to promote patient-centered care and clinical outcomes assessment for the development of evidence-based practice in athletic training. Clinical and Research Advantages: For clinicians and researchers to determine effective athletic training treatments, prevention programs, and practices, they must understand what is important to patients by collecting patient-oriented evidence. Patient-oriented evidence is the most essential form of outcomes evidence and necessitates an appreciation of all dimensions of health, as outlined by disablement models. The use of disablement models will allow the athletic training profession to communicate, measure, and prioritize the health care needs of patients, which will facilitate organized efforts aimed at assessing the quality of athletic training services and practices and ultimately promote successful evidence-based athletic training practice.

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

Physician-patient communication in the primary care clinics

2019 ◽  
pp. 120-123 ◽  
Author(s):  
Arwa Aseeri ◽  
Abdulmajeed Alswat ◽  
nAbdulelah Alessa ◽  
Abdulrahman ALAql ◽  
Osama Alkhudhairi ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Communication ◽  
Primary Care Clinics ◽  
Physician Patient Communication ◽  
Physician Patient
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