Practice Characteristics and Quality of Primary Medical Care: The Doctor-Patient Relationship

Medical Care ◽  
1975 ◽  
Vol 13 (10) ◽  
pp. 808-820 ◽  
Author(s):  
Barbara S. Hulka ◽  
Lawrence L. Kupper ◽  
John C. Cassel ◽  
Robert A. Babineau
Keyword(s):  
Medical Care ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Primary Medical Care ◽  
Practice Characteristics

Cultural Collisions at the Bedside: Social Expectations and Value Triage in Medical Practice

2001 ◽  
Vol 10 (1) ◽  
pp. 7-15 ◽  
Author(s):  
RICHARD GORLIN ◽  
JAMES J. STRAIN ◽  
ROSAMOND RHODES
Keyword(s):  
Medical Care ◽  
Medical Practice ◽  
Emotional Awareness ◽  
Evoked Responses ◽  
Social Expectations ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
The Subject ◽  
The Relationship

As early as 1981 Gorlin and Zucker produced a film, A Complicating Factor: Doctors' Feelings as a Factor in Medical Care and in a 1983 paper on the subject they described one of the important epiphenomena of the encounter between doctor and patient—namely, the reaction of the physician to the patient and how this affects both the physician and the quality of the relationship. At that time they were concerned with the physicians' ability to reckon with their own reactions to patients who presented with problems or personality traits that complicated the doctor-patient relationship. Some patients were hateful or unlikable, some denied their disease state, some became unusually dependent on the physician, some were intimidating to the doctor. Their behavior evoked responses that tended to complicate the doctor-patient relationship with distancing, unusual identification, or hostility. That publication recognized and explained the problem and went on to suggest a process of achieving emotional awareness and mastery to help physicians maintain their appropriate role.

Some Interpersonal and Attitudinal Factors Characterizing Patients Satisfied with Medical Care

1995 ◽  
Vol 77 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Stuart W. Twemlow ◽  
Lolafaye Coyne ◽  
Samuel L. Bradshaw ◽  
Barbara H. Lerma
Keyword(s):  
Patient Satisfaction ◽  
Medical Care ◽  
Fear Of Death ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Attitudinal Factors ◽  
Health And Disease ◽  
Attitude Toward Death ◽  
Folk Remedies

This research investigated the extent to which interpersonal and attitudinal factors affect the doctor-patient relationship. A questionnaire survey of people living in northeastern Kansas who had experience with medical care was conducted. Dependent measures were over-all patient satisfaction, patient's attitude toward death of self or others, causality orientation, attitude toward health and disease, and perception of the doctor-patient relationship. The majority of test subjects (92%) reported satisfaction with their medical care. A significant correlation between fear of death of significant others and scores on causality scales reflects feelings of not being in control of one's life. Other associations indicate that people who do not feel in control of their lives depend on traditional and folk remedies. Scores showing low fear of own death correlated significantly with the rated greater sense of responsibility for own health and treatment. Patients who rated themselves as more needy were unsatisfied with their care and those whose doctors called them by first name tended to be more content. Even in populations satisfied with their medical care, we suggest that the quality of care could be improved by attention to interpersonal and attitudinal factors.

scholarly journals Understanding responsibilization in healthcare: Differentiations in Reformation theology

Theology ◽  
2018 ◽  
Vol 121 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Therese Feiler
Keyword(s):  
Pastoral Care ◽  
Medical Care ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Reformation Theology ◽  
Penitential Psalms ◽  
Access To Medical Care ◽  
Forward Looking

The responsibilization of patients for their disease and care may imply reduced access to medical care or overly moralize the doctor–patient relationship. This article first examines Luther’s early readings of the penitential Psalms, in which he transposes the nexus between sin and disease into the sphere of faith. His subsequent emphasis on the imputation of salvation further diminishes responsibilization: medical and pastoral care become distinct. This will be contrasted with Calvin’s cathartic, forward-looking understanding of disease and with Melanchthon’s moralist merging of humanism and theology into dietetics. These theological tendencies all represent present-day options.

scholarly journals A Qualitative Study on the Importance and Value of Doctor-Patient Relationship in Iran: Physicians' Views

2018 ◽  
Vol 6 (10) ◽  
pp. 1895-1901 ◽  
Author(s):  
Ahmad Kalateh Sadati ◽  
Seyed Ziauddin Tabei ◽  
Kamran Bagheri Lankarani
Keyword(s):  
Content Analysis ◽  
Verbal Communication ◽  
Faculty Members ◽  
Patient Relationship ◽  
Medical Sciences ◽  
Doctor Patient Relationship ◽  
Group Discussions ◽  
Conventional Content Analysis

BACKGROUND: Doctor-patient relationship [DPR] refers to verbal and non-verbal communication between doctor and patient, which is of great importance in consultation sessions. AIM: Therefore, the present study attempts to explore the importance and value of DPR in Iran. MATERIAL AND METHODS: The method used in the study was conventional content analysis. The data were collected from 21 faculty members (FMs) of Shiraz University of Medical Sciences (SUMS), Shiraz, Iran, who participated in three focus group discussions (FGDs). Transcribed data were analysed using Conventional Content Analysis (CCA) which identified condensed meaning units, subthemes, and themes. RESULTS: Four themes were extracted from 198 meaning units, 87 condensed meaning units, and 17 subthemes. These included gateway [the role of DPR]; nonlinearity [the nature of DPR]; distortion (quality of DPR in the context); and dysfunctional system (weakness in health system). Generally, results showed DPR to be the gateway to consultations based on non-verbal communication and doctor empathy. The study showed distorted DPR which was due to the dysfunctionality of the health care system. CONCLUSION: As indicated DPR plays an important role in medical contexts, but if distorted it leads to an unsuccessful outcome. Therefore, to promote DPR, it is necessary to reinforce its structure. Thus, the infrastructure has to be modified and developed at all levels.

scholarly journals Major depression, depression treatment and quality of primary medical care

2008 ◽  
Vol 30 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Benjamin G. Druss ◽  
Kimberly Rask ◽  
Wayne J. Katon
Keyword(s):  
Major Depression ◽  
Medical Care ◽  
Depression Treatment ◽  
Primary Medical Care

With Free Health Services, Why Does the Brazilian Working Class Delay in Seeing the Doctor?

1989 ◽  
Vol 19 (3) ◽  
pp. 120-123 ◽  
Author(s):  
P Paine ◽  
M da Gloria Wright
Keyword(s):  
Health Services ◽  
Working Class ◽  
Medical Care ◽  
Patient Relationship ◽  
Access To Services ◽  
Doctor Patient Relationship ◽  
Perceived Difficulty

The length of delay in seeing a physician was related tp perceived difficulty in access to services and to scepticism and doubt about the effectiveness of medical care. Attention is called to the importance of the doctor-patient relationship in fostering prompt patient action.

scholarly journals Clinical Skills Abilities Development During COVID-19 Pandemic in Mexico City

2020 ◽  
Author(s):  
Lourdes Adriana Medina-Gaona
Keyword(s):  
Medical Students ◽  
Mexico City ◽  
Clinical Skills ◽  
Patient Relationship ◽  
Doctor Patient Relationship

Medical formation includes the development of several skills including clinical ones. Medical students have to learn how to build a healthy doctor – patient relationship in order to provide the best diagnosis, treatment and quality of attention. COVID-19 provide a new challenge for all students in Mexico to learn skills that traditionally have been learned in person and not through a computer.

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