scholarly journals Medical Students' Perception towards Doctor‐Patient Relationship: A Cross‐Sectional Study at AlFaisal University

2018 ◽  
Vol 32 (S1) ◽  
Author(s):  
Ahmed M. Fothan ◽  
Abdulaziz M. Eshaq ◽  
Ahmed Abu‐Zaid ◽  
Abdulrahman M. Bakather ◽  
Abdulhadi AlAmoudi
2014 ◽  
Author(s):  
Waqas Ahmad ◽  
Edward Krupat ◽  
Yumna Asmaa ◽  
Noor-E- Fatima ◽  
Rayan Attique ◽  
...  

Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.


2020 ◽  
Author(s):  
Shiyang Liu ◽  
Linlin Hu ◽  
Shichao Wu ◽  
Yuanli Liu

Abstract Background: Tense doctor–patient relationships have become a great challenge for the Chinese government due to their high incidence rate and negative social impact. This study aimed at exploring the factors influencing doctors’ perceptions of the doctor–patient relationship.Methods: We conducted a national cross-sectional study in 136 tertiary grade-A hospitals in China. A total of 19,774 doctors reported their perceptions of the doctor–patient relationship over the last two years, as well as sociodemographic factors, work experience, and hospital security measures. A logistic-regression model was used to identify factors significantly associated with doctors’ perceptions of the doctor–patient relationship.Results: Doctors’ perceptions of the doctor–patient relationship were relatively negative. Region, hospital type, gender, age, and income influenced these perceptions. With regard to doctors' work experience, those with excessive workloads, those who had experienced medical disputes, and those who did not have enough communication time with patients tended to report more-negative perceptions of the doctor–patient relationship. In terms of hospital security measures, doctors working in hospitals with effective precautions, in-place security staff, and medical-liability insurance purchased for medical staff tended to report more-positive perceptions of this relationship.Conclusion: Doctors’ work experiences and hospital security measures both played essential roles in improving doctors' perceptions of the doctor–patient relationship. On the part of doctors, improving their communication skills and providing adequate communication were beneficial to their perceived relationships with patients. On the part of hospitals, reducing doctors’ workloads, preventing medical disputes, and increasing job security and organizational support are potential ways to improve doctors' perceptions of these relationships.Practice implications:This study provided evidence and advice for Chinese government, as well as Chinese hospitals, to improve doctors’ perceptions of the doctor-patient relationship by measures of enhancing doctors’ work experiences and hospital security.


Author(s):  
Rachna Shekhar ◽  
Sandhya Rani Javalkar

Background: The Internet has proven to be a powerful vehicle for the dissemination of information and the use of Internet by the patients as a source of information on health and disease is increasing rapidly. It has reformed the doctor-patient relationship by empowering patients with information. The objective was to study the trends of patient’s health information seeking behaviour on the internet and its effects on the doctor-patient relationship.Methods: A cross-sectional study was conducted amongst the 73 doctors and 110 patients attending the tertiary health care centre, Davanagere. A pre-tested and pre-validated questionnaire was used to collect data. Percentages and Proportions were used to summarize the study variables.Results: The most common search engine used was Google i.e. 92% and majority of them looked up symptoms/ disease condition 80%. 57% respondents verified doctor’s advice. 73% respondents stated that they used online health information for self-diagnosis but less than 10% of respondents took medications mentioned online. The doctors (60%) stated that the patient’s Internet use proves that the patient or his/her family are involved and take responsibility. However, 49.3% of doctors stated that they get uncomfortable when presented with online health information by the patients.Conclusions: Doctors are starting to recognize the use of the internet by patients as a source of health information. Patients consider the internet as a supplementary resource for better understanding of symptoms and diagnosis. The need of the hour is better communication between doctor and patients; and availability of reliable web-based health resources to patients for better compliance.


Author(s):  
Hope O. Nwoga ◽  
Miriam O. Ajuba ◽  
Uche E. Ezeoke

Background: The doctor-patient relationship has been linked to patient satisfaction, treatment adherence and outcome. It remains the cornerstone of medical practice though may be affected in this era of COVID-19 pandemic. The objective of the study was to determine the effect of COVID-19 pandemic on the doctor-patient relationship.Methods: The study was a cross-sectional study conducted in a tertiary health facility in Enugu State South-East Nigeria. It involved all the doctors working in the hospital as at the time of data collection. Patients that attended the general out-patient clinic of the hospital were selected using convenience sampling. One hundred and eighty six (186) doctors and 155 patients participated in the study. A similarly structured self-administered questionnaire was used to collect data from both the doctors and the patients.Results: There was disparity in some of the studied aspect of the doctor-patient relationship as reported by the doctors and the patients. The prominent being the social distancing practice which almost all the patients (91.6%) said that it has affected their relationship with their doctors while only about half of the doctors (52.7%) agreed to this assertion. However both parties agreed that the level of physical examination have reduced to the barest minimum.Conclusions: The present COVID-19 pandemic have affected the doctor-patient relationship adversely.


PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e5519 ◽  
Author(s):  
Waqas Ahmad ◽  
Huma Ashraf ◽  
Afnan Talat ◽  
Aleena Ahmad Khan ◽  
Ammad Anwar Baig ◽  
...  

Introduction Burnout is defined as a prolonged state of physical and psychological exhaustion. Doctors, due to the demanding nature of their job, are susceptible to facing burnout, which has far reaching implications on their productivity and motivation. It affects the quality of care they provide to patients, thus eroding the doctor–patient relationship which embodies patient centeredness and autonomy. The study aims at addressing the stressors leading to burnout and its effect on the doctor–patient relationship. Methods A descriptive, cross-sectional study design with convenience (non-probability) sampling technique was employed in six major hospitals of Lahore, Pakistan. A total of 600 doctors were approached for the study which included house officers or “HOs” (recent graduates doing their 1 year long internship) and post-graduate trainees or “PGRs” (residents for 4–5 years in their specialties). Burnout was measured using the Copenhagen Burnout Inventor (CBI) while attitudes towards the doctor–patient relationship was measured using the Patient Practitioner Orientation Scale (PPOS), which measures two components of the relationship: power sharing and patient caring. Pearson correlation and linear regression analysis were used to analyze the data via SPSS v.21. Results A total of 515 doctors consented to take part in the study (response rate 85.83%). The final sample consisted of 487 doctors. The burnout score was not associated with the total and caring domain scores of PPOS (P > 0.05). However, it was associated with the power sharing sub-scale of PPOS. Multiple linear regression analysis yielded a significant model, by virtue of which CBI scores were positively associated with factors such as female gender, feeling of burn out, scoring high on sharing domain of PPOS and a lack of personal control while CBI scores were negatively associated with private medical college education, having a significant other, accommodation away from home and a sense of never ending competition. Burnout levels varied significantly between house officers and post graduate trainees. Twenty-three percent of the participants (mostly house officers) had high/very high burnout levels on the CBI (Kristenson’s burnout scoring). Both groups showed significant differences with respect to working hours, smoking status and income. Conclusion Although burnout showed no significant association with total and caring domain scores of PPOS (scale used to assess doctor–patient relationship), it showed a significant association with the power sharing domain of PPOS suggesting some impact on the overall delivery of patient care. Thus, it necessitates the monitoring of stressors in order to provide an atmosphere where patient autonomy can be practiced.


2021 ◽  
Vol 9 ◽  
Author(s):  
Yanan Zhou ◽  
Shubao Chen ◽  
Yanhui Liao ◽  
Qiuxia Wu ◽  
Yuejiao Ma ◽  
...  

The doctor–patient relationship (DPR) is essential in the process of medical consultations and treatments. Poor DPR may lead to poor medical outcomes, medical violence against doctors, and a negative perception of the healthcare system. Little is known about how DPR is affected during this novel coronavirus disease 2019 (COVID-19) pandemic. This cross-sectional study aimed to explore the DPR during the COVID-19 pandemic. There were 1,903 participants in China (95% response rate) who were recruited during the pandemic online via convenience and snowball sampling. Several questionnaires were used to evaluate participants' attitudes toward DPR, including the Patient–Doctor Relationship Questionnaire (PDRQ-9), Chinese Wake Forest Physician Trust Scale (C-WFPTS), a survey on medical violence against doctors, factors that affect and improve DPR, and general trust in medical services. Results revealed that DPR improved, and doctor–patient trust increased compared to participants' retrospective attitude before the pandemic. In addition, patients' violence against doctors decreased during the pandemic. Better doctor–patient trust and lower violence toward doctors are related to better DPR. Furthermore, we found that the main factors that could improve DPR include communication between doctors and patients, medical technology and services, and medical knowledge for patients. This study helped to better understand DPR in China, which may contribute to future health policies and medical practices in order to improve DPR and doctor–patient trust.


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