scholarly journals Research on Management of Doctor-Patient Risk and Status of the Perceived Behaviors of Physician Trust in the Patient in China: New Perspective of Management of Doctor-Patient Risk

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jiang Jie Sun ◽  
Zhi Bo Zheng ◽  
Xue Li Jiang ◽  
Wei Wei Hu ◽  
Jun Liu ◽  
...  
Keyword(s):  
Patient Communication ◽  
Bottom Line ◽  
Communication Behaviors ◽  
Patient Risk ◽  
Factors Affecting ◽  
Doctor Patient Communication ◽  
Treatment Information ◽  
Physician Trust ◽  
Professional Titles ◽  
Treatment Plans

Based on the situation of physician trust in the patient (PTP), we explored the differences in perceived behaviors of physician trust in the patient (PBPTP). We used the PTP scale as a research tool, taking physicians of the hospitals in Anhui region as the research object to carry out the investigation of PTP, Python software was applied to explore the status of PTP, and the differences of PBPTP distribution rate with different demographic characteristic variables were compared by testing based on theory of planned behavior. We get six results as follows: (1) the overall PTP level was low, and nearly 50% of doctors doubt the integrity of patients. “Patients will not be driven by improper interests” becomes the most reluctant problem or the most distrustful option for doctors. (2) In terms of patients’ participation in disease management and regular follow-up visits, PTP rate in male was higher than that in female (Ps < 0.018). (3) PBPTP was affected by age (Ps < 0.017). (4) In terms of the behavior of patients who did not follow the treatment plans, the PTP rate of postgraduates and above physicians was higher than that of undergraduates and below (P=0.017). (5) In terms of providing diagnosis and treatment information, timely notification of illness, medication information, doctor-patient communication behaviors, and compliance with doctors’ treatment plans, PBPTP was affected by doctors’ professional titles and annual income levels (Ps ≤ 0.001), At the same time, PTP levels of different professional titles showed differences in patients’ respect for doctors’ time and bottom line (Ps ≤ 0.001). (6) In terms of doctor-patient communication behaviors, PBPTP was affected by physician departments (P≤0.001). Hence, demographic characteristics variable may be one of the factors affecting PBPTP, and PBPTP is associated with doctor-patient risk. It makes sense for us to propose a new model of physician-patient risk management from the perspective of PTP about “official-individual-social” triple action.

scholarly journals Doctor–Patient Communication in Primary Health Care: A Mixed-Method Study in Fiji

2021 ◽  
Vol 18 (14) ◽  
pp. 7548
Author(s):  
Swastika Chandra ◽  
Masoud Mohammadnezhad
Keyword(s):  
Mixed Method ◽  
Positive Impact ◽  
Quality Care ◽  
Outpatient Setting ◽  
Patient Communication ◽  
Mixed Method Study ◽  
Limited Information ◽  
Factors Affecting ◽  
Communication Behaviour ◽  
Doctor Patient Communication

From a clinical perspective, effective and efficient communication is part of a strategy to ensure doctors are providing high-quality care to their patients. Despite the positive impact of effective doctor–patient communication on health outcomes, limited information is available on this in Fiji. This study was carried out to determine the current patients’ perception of doctors’ communication behaviour and identify factors affecting the doctor–patient communication in Fiji. This mixed-method study was conducted in the outpatient setting of three randomly selected health centres in the Suva Subdivision, Fiji. For the quantitative phase, systematic random sampling was used to select the 375 participants who completed the structured questionnaire; of those, 20 participants were selected for the qualitative interview. From the patients’ perception, 45.6% of them perceived doctors’ communication behaviour as good, 53.6% as fair, and 0.8% as poor communication behaviour. Qualitative findings highlight factors such as the attitude of the doctors, their approach, their interaction with the patients, and them providing an explanation as important factors during doctor–patient communication. In Fiji, the majority of patients perceived doctors’ communication behaviour as fair to good and the doctors’ skills were important for effective doctor–patient communication. This study highlighted the importance of doctor–patient communication and suggested that doctors might not be practicing patient-centred care and communication; thus, they need to upgrade their patient-centred communication skills.

Problems of Distortion in Doctor-Patient Communications

1970 ◽  
Vol 1 (2) ◽  
pp. 127-149 ◽  
Author(s):  
Joshua S. Golden ◽  
George D. Johnston
Keyword(s):  
Informed Consent ◽  
Patient Communication ◽  
Factors Affecting ◽  
Doctor Patient Communication ◽  
Ethical Implications ◽  
Adequate Understanding ◽  
Distorted Communication

Physicians too often fail to recognize that what they tell patients is sometimes not understood by patients. The conditions which interfere with adequate understanding include the anxiety of the patient about what is being told to him as well as his intelligence, experience and opportunities to question his medical informant. Factors affecting the physician's ability to communicate clearly relate primarily to the clarity and simplicity of his language, his own anxiety about what he is telling the patient and his providing opportunities for the patient to feed back to him indications of comprehension. The ethical implications of distorted communication between doctors and patients are of great importance. With increasingly complex mutilating and debilitating procedures available to physicians, the patient's capacity to understand what is explained to him is crucial to his ability to give informed consent. By studying actual transcripts of conversations between varieties of physicians and patients, one can define factors which contribute to both clarity and distortion in doctor-patient communication.

Comparing doctor–elderly patient communication between traditional Chinese medicine and Western medicine encounters: Data from China

2018 ◽  
Vol 14 (2) ◽  
pp. 121-134 ◽  
Author(s):  
Ying Jin ◽  
Dennis Tay
Keyword(s):  
Elderly Patient ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Western Medicine ◽  
Interaction Analysis ◽  
Emotional Disclosure ◽  
Patient Communication ◽  
Communication Behaviors ◽  
Doctor Patient Communication ◽  
Analysis System

Effective doctor–patient communication has been widely endorsed as pivotal for optimal medical care and the building of a positive and lasting relationship between caregivers and patients. While the literature suggests that traditional Chinese medicine (TCM) doctors have better interpersonal skills than Western medicine (WM) doctors, and that the doctor–patient relationship in TCM is more lasting, a comparison of specific communication behaviors in both encounters has not yet been carried out. This paper examines the similarities and differences in communication behaviors between these two types of consultations in relation to doctor–elderly patient communication. Forty-five consultations were included for analysis using the Roter Interaction Analysis System (RIAS). Significant differences were found in communication behaviors at the level of lifestyle and psychosocial exchanges, type of questions, non-medical small talk, and emotional disclosure. The study’s limitations and implications are discussed.

Doctor-patient communication: Guidelines for improvements

2006 ◽  
Author(s):  
Jamye M. Hickman ◽  
Kelly E. Caine ◽  
Aideen J. Stronge ◽  
Richard Pak ◽  
Wendy A. Rogers ◽  
...  
Keyword(s):  
Patient Communication ◽  
Doctor Patient Communication

Exploring web-mediated communication: A genre-based linguistic study for new patterns of doctor–patient interaction in online environment

2016 ◽  
Vol 12 (2-3) ◽  
Author(s):  
Marianna Zummo
Keyword(s):  
Patient Communication ◽  
Online Environment ◽  
Patient Relationship ◽  
Medical Visit ◽  
Mediated Communication ◽  
Web Based ◽  
Doctor Patient Communication ◽  
Patient Interaction ◽  
Computer Mediated ◽  
New Form

This paper questions the nature of the communicative event that takes place in online contexts between doctors and web-users, showing computer-mediated linguistic norms and discussing the nature of the participants’ roles. Based on an analysis of 1005 posts occurring between doctors and the users of health service websites, I analyse how doctor–patient communication is affected by the medium and how health professionals overcome issues concerning the virtual medical visit. Results suggest that (a) online medical answers offer a different service from that expected by users, as doctors cannot always fulfill patient requests, and (b) net consultations use aspects of traditional doctor–patient exchange and yet present a language and a style that are affected by the computer-mediated environment. Additionally, it seems that this new form leads to a different model of doctor–patient relationship. The findings are intended to provide new insights into web-based discourse in doctor–patient communication and to demonstrate the emergence of a new style in medical communication.

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