On Urines

2020 ◽  
pp. 69-104
Author(s):  
Petros Bouras-Vallianatos
Keyword(s):  
Patient Care ◽  
Promotional Material ◽  
Professional Expertise ◽  
Case Histories ◽  
Introductory Section ◽  
Economic Background ◽  
Specialist Knowledge ◽  
Didactic Material ◽  
Physician Patient

This chapter focuses on the group of illustrated case histories narrated in John’s On Urines. An introductory section on clinical narratives provides the necessary background and emphasizes that John’s clinical accounts had no counterpart in the Greek-speaking world after Galen. It is argued that John’s case histories could function as didactic material for readers with specialist knowledge, while at the same time they could be used as self-promotional material to impress the specialist and non-specialist alike with the physician’s skills in diagnosing, prognostication, and his self-proclaimed ability to treat his patients successfully. The largest part of the chapter focuses on physician–patient encounters. It explores the significance of John’s acquaintance with the patients and the patient’s socio-economic background, but also their experience of the physician’s professional expertise. It is shown that the visual aspect of the urine vial constitutes a recurrent element of symbolic significance, which helps the patients decipher the physician’s actions and shows the latter’s awareness of the need for individualized patient care.

The Role of Organizational Affiliations in Physician Patient-Sharing Relationships

2018 ◽  
Vol 77 (2) ◽  
pp. 165-175 ◽  
Author(s):  
Kimberley H. Geissler ◽  
Benjamin Lubin ◽  
Keith M. Marzilli Ericson
Keyword(s):  
Patient Care ◽  
Care Coordination ◽  
Patient Care Team ◽  
Medical Group ◽  
Organizational Boundaries ◽  
Claims Database ◽  
Percentage Points ◽  
Physician Patient ◽  
Insight Into

Provider consolidation may enable improved care coordination, but raises concerns about lack of competition. Physician patient-sharing relationships play a key role in constructing patient care teams, but it is unknown how organization affiliations affect these. We use the Massachusetts All Payer Claims Database to examine whether patient-sharing relationships are associated with sharing a practice site, medical group, and/or physician contracting network. Physicians were 17 percentage points more likely to have a patient-sharing relationship if they shared a practice site and 4 percentage points more likely if they shared a medical group, as compared with sharing no affiliation. However, there was no detectable increased probability of a patient-sharing relationship within the same physician contracting network. Our finding that physician patient-sharing relationships are concentrated within organizational boundaries at practice site and medical group levels helps illuminate referral incentives and provide insight into the role of organizational affiliations in patient care team construction.

scholarly journals Role of Physician’s Personality on their Drug Prescription Behavior

2020 ◽  
Vol 11 (4) ◽  
pp. 6954-6961
Author(s):  
Viswanath Bandi ◽  
Rao O R S
Keyword(s):  
Patient Care ◽  
Personality Traits ◽  
Research Work ◽  
Patient Expectations ◽  
Therapeutic Interventions ◽  
Management Approach ◽  
Physician Patient ◽  
The Impact ◽  
Prescription Behavior ◽  
Patient Centric

Physicians Prescription behavior is the results of 4P's namely Product, Physicians, Promotion, and Patient's expectation. In today's world of evidence-based medicine with ever-growing demand in patient expectations, physician- Patient-centric managing a pathological condition is gaining acceptance from the normal disease management approach. Like all citizenry is Unique; similarly, physicians also possess a singular personality that responds differently even to an equivalent stimulus. Aiming for better patient care and Patient expectations, research work across the world has been administered for identifying the perfect physician personality traits right from selection of specialty, knowledge dissemination during the study period, and managing patients during the Practice sessions. However, there's little, or no research conducted thus far, in understanding the "Physician's personality" make-up focussing on their motives, values, preferences in their professional practice. Understanding "physician's personality" traits will lay a robust foundation for developing effective medico-marketing initiatives from the pharmaceutical industry with the assistance of smart and customized marketing initiatives resulting in a healthy environment for physician-Pharma association towards adopting better therapeutic interventions for patient benefit. This review is an effort to specialize in the research work done thus far in understanding the impact of "physician's personality" aimed toward improving patient care. Further research in understanding "Physician's personality" and its role in physicians prescribing decisions will help the Pharma industry towards developing much needed medico-marketing initiatives with optimal utilization of resources towards disseminating the latest therapeutic interventions to the physicians for better patient care which is the stepping stone for Physician-patient centric management.

Placebo Therapy and the Law: Prescribe With Care

1983 ◽  
Vol 8 (4) ◽  
pp. 371-405
Author(s):  
Marshall B. Kapp
Keyword(s):  
Patient Care ◽  
Medical Practice ◽  
Clinical Use ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Common Part ◽  
Ethical Concerns ◽  
The Law ◽  
Physician Patient

AbstractThe use of placebos by physicians for therapeutic purposes is a common part of clinical medical practice. This Article examines the legal and ethical ramifications of placebo prescription. In particular, ethical concerns are related to substantive legal theories that may be advanced to attack or defend the practice of placebo therapy in particular cases. The author concludes that, under certain strictly denned circumstances, the use of placebos in patient care is ethically and legally justifiable. However, from any perspective, the rights and duties inherent in the physician-patient relationship must be respected by the physician when considering the clinical use of placebos.

scholarly journals Challenging incidents in health centers and how to deal with it: Physician–Patient bad interactions

2021 ◽  
Vol 1 (4) ◽  
pp. e284
Author(s):  
Feroza Fatima ◽  
Waad Ibrahim Kadori
Keyword(s):  
Health Outcomes ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Patient Outcomes ◽  
Health Centers ◽  
Patient Health ◽  
Patient Relationships ◽  
Physician Patient ◽  
The Relationship ◽  
Improve Patient

The physician-patient rapport is the basis of patient care and can have profound implications on clinical outcomes. Ultimately, the principal objective of the physician-patient rapport is to improve patient health outcomes. Stronger physician-patient relationships are correlated with improved patient outcomes. As the relationship between physicians and patients becomes more important, it is essential to understand the factors that influence this relationship.

scholarly journals Telemedicine in allergology: practical aspects

2021 ◽  
Author(s):  
Stephanie Dramburg ◽  
Uso Walter ◽  
Sven Becker ◽  
Ingrid Casper ◽  
Stefani Röseler ◽  
...  
Keyword(s):  
Patient Care ◽  
Care Setting ◽  
Improve Patient Care ◽  
Clinical History ◽  
Control Measures ◽  
Ambulatory Care Setting ◽  
Infection Control Measures ◽  
Current State ◽  
Physician Patient ◽  
Improve Patient

AbstractSince spring 2020, the wide-ranging contact restriction measures in the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic have also led to a reduction in physician–patient contacts in the ambulatory care setting. Telemedicine applications will increasingly provide a way to efficiently deliver patient care under infection control measures. In allergology, telemedical as well as digital applications can also significantly facilitate everyday clinical practice. However, the technical and legal hurdles associated with the implementation of digital strategies must be overcome for this to happen. The aim of this article is to provide an intuitive overview of the aspects to be considered in the implementation of telemedicine consultations and to highlight the current state of the framework as well as optimization possibilities and perspectives in allergology. If a structured use is guaranteed, digital and telemedical applications can improve patient care—also in allergology. There is potential to be exploited in many areas, from the remote collection of clinical history, and video consultations, to the discussion of diagnostic findings, disease monitoring, and therapy support. The use of telemedical applications, especially video consultations, has experienced a remarkable acceleration in the context of the coronavirus disease 2019 (COVID-19) pandemic. The present overview of the legal, technical and professional framework is intended to support the anchoring of digital and telemedical technologies in everyday allergology. However, in order to consolidate these in the future, an agreement is needed regarding professional standards of action as well as a remuneration structure that is permanently defined beyond the current pandemic.

Communications problems affecting patient care in hospitals

JAMA ◽  
1966 ◽  
Vol 195 (1) ◽  
pp. 36-37 ◽  
Author(s):  
J. C. Quint
Keyword(s):  
Patient Care
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