Power Imbalance and Consumerism in the Doctor-Patient Relationship: Health Care Providers’ Experiences of Patient Encounters in a Rural District in India

2006 ◽  
Vol 16 (9) ◽  
pp. 1236-1251 ◽  
Author(s):  
Grethe Fochsen ◽  
Kirti Deshpande ◽  
Anna Thorson
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Rural District ◽  
Power Imbalance ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Relationship Health

Hubungan Tingkat Pengetahuan dengan Nilai Empati pada Mahasiswa Fakultas Kedokteran Unika Atma Jaya, Jakarta

2017 ◽  
Vol 9 (1) ◽  
pp. 67-74
Author(s):  
Darren Gosal ◽  
Yeremias Jena
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
First Year ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Cross Sectional ◽  
First Year Students ◽  
Academic Year

Empathy is one of the virtues that should be owned by health care providers. In the doctor– patient relationship, empathy enables health care providers to win not only the confidence of the patients, but also assisting them to accept their state of illness and disease. As to the fact that medical students have a high knowledge of empathy in line with the study periods, empathic relation is often absent in doctor–patient relationship. This study is intended to look at the relationship between the length of studies and the knowledge of empathy. This cross- sectional study applied Baron-Cohen Empathy Quotient to collect data from 98 respondents at Atma Jaya School of Medicine, Atma Jaya Catholic University of Indonesia, academic years of 2013 (third year) and 2015 (the first year). The study revealed that 49 respondents have a higher level of empathy knowledge and 49 others at the lower one. Among the higher knowledge of empathy, 73.47% (n=36) had lower knowledge of empathy compared to 26.53% (n=13) at the higher one. Among the lower knowledge of empathy, 91.84% (n=45) had lower knowledge of knowledge compared to 8.16% (n=4) at the higher one. A total of 76.47% respondents with a higher knowledge of empathy (n=17) were the third year students (academic year 2013), whereas the 23.52% are the first year students (academic year 2015). This study has proven the relation between the length studies (academic years) with the knowledge level of empathy.

Introduction

2019 ◽  
pp. 1-8
Author(s):  
Andelka M Phillips ◽  
Thana C de Campos ◽  
Jonathan Herring
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Law ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Philosophical Foundations ◽  
New Consumer ◽  
The Relationship

This introductory chapter argues that the advent of personalized medicine, precision medicine, and new consumer-focused services—such as personal genomics—is changing the nature of the traditional doctor–patient relationship. If trust was the ethical value guiding the traditional doctor–patient relationship, now other considerations such as market efficiency are aggregated to the considerations of the relationship between the patient and the health-care provider. Also, if medical law traditionally focused on the regulation of the doctor–patient relationship, nowadays medical law also encompasses the regulation of institutional relationships involving health-care providers of different sorts and at various levels. Some new services also pose challenges for medical lawyers and ethicists, because they are not being offered within the traditional clinical setting and thus sit outside the traditional governance frameworks established in medical settings. The chapter then provides an overview of the general theories on the philosophical foundations of medical law.

Improving the Doctor/Patient Relationship: A Feminist Perspective

1989 ◽  
Vol 18 (3) ◽  
pp. 337-361 ◽  
Author(s):  
Peggy Foster
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Delivery ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
North West ◽  
Care Services ◽  
The North

ABSTRACTSince the early 1970s British and American feminists have developed a comprehensive critique of the dominant doctor/patient relationship within mainstream health care services. In Britain, activists in the women's health movement have struggled to put into practice a model of health care delivery based on feminist principles, within which the doctor/patient relationship is radically redesigned. This paper will explore the principles and practice of this feminist health care model. It will then attempt to evaluate alternative strategies for strengthening and expanding feminist health care within the NHS. The paper will draw on data gathered by the author in 1987 through a series of unstructured interviews with feminist health care providers who were working within a variety of NHS settings in the North West of England.

Your Diabetes

2018 ◽  
pp. 75-91
Author(s):  
Mari Armstrong-Hough
Keyword(s):  
Health Care ◽  
Disease Progression ◽  
Health Care Providers ◽  
Lifestyle Changes ◽  
Patient Relationship ◽  
Care Providers ◽  
Course Of Disease ◽  
American Health Care ◽  
Low Expectations ◽  
Capacity For Change

This chapter uses interview data with American health care providers to examine clinicians’ strategies for negotiating with patients to elicit cooperation and participation in their own self-management. It argues that physicians in both countries switch between different models of the provider-patient relationship as they see fit to the situation. The American providers stressed that, ultimately, responsibility for managing the disease rested with the patient. However, they were markedly pessimistic about their patients’ capacity for change and likely course of disease progression. Providers’ low expectations and pessimism contributed to a preference for small, simple lifestyle changes in combination with medication rather than bold lifestyle change.

scholarly journals Creating Long-Lasting Clinical Connections: A Trainee-Centered, Leadership-Based Perspective on Provider-Patient Relationship

2021 ◽  
Author(s):  
Mariah Janowski ◽  
Olivia Dahlgren ◽  
Kori-Ann Taylor ◽  
Isha Kaza ◽  
Ambreen Alam ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Holistic Approach ◽  
Well Being ◽  
Health Care Team ◽  
Patient Relationship ◽  
Care Providers ◽  
Chief Complaints ◽  
Tone Of Voice ◽  
Key Aspects

The nature of provider-patient relationship (PPR) goes far beyond the simplified paradigm of “chief complaints,” “clinical problems” and corresponding “therapeutic solutions.” In order to more comprehensively explore the scope of PPR in the context of leadership-based partnership (LBP), various factors and their contributions were researched in terms of both the success and optimization of health-care interactions. This is especially relevant to graduate medical education (GME) and advanced practice (AP) training programs. There are numerous nuances to PPR, including various communication, behavioral, ethical and leadership considerations. Body language and tone of voice are essential in establishing rapport, beginning with the so-called ‘first impression,’ which serves as a foundation for developing the PPR. Health-care providers (HCPs) with greater ability to empathize with their patients may achieve higher levels of treatment adherence, better clinical outcomes, and ultimately increased patient satisfaction. The inclusion of a patient as a co-leader and an essential member of their health-care team (HCT) should be a natural step and a top priority for GME and AP trainees. Such collaboration requires an open-minded approach by all stakeholders. Finally, recognizing patient well-being in all domains, including physical, emotional and spiritual, is critical to the holistic approach toward maximizing the benefits of an optimal PPR. Same can be said about the HCP. In this chapter, we will explore key aspects of PPR in the context of both the trainee and the patient being co-leaders within the bounds of the LBP framework.

scholarly journals The Relationship between the Infertility Specialist and the Patient during the COVID-19 Pandemic

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1649
Author(s):  
Diana Antonia Iordăchescu ◽  
Florinda Tinella Golu ◽  
Corina Ioana Paica ◽  
Adrian Gorbănescu ◽  
Anca Maria Panaitescu ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Cross Sectional Study ◽  
Mediation Effect ◽  
Human Reproduction ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Continuous Training ◽  
Cross Sectional ◽  
The Relationship

The doctor–patient relationship is fundamental in the treatment of infertility, due to the emotional implications of fertilization procedures. However, insufficient data are available specifically for this relationship. The general objective of the study is to establish the associations between the fundamental concepts that define the doctor–patient relationship: communication, empathy, trust, collaboration, compliance and satisfaction. A cross-sectional study was conducted between May and June 2020 and followed the methods of a quantitative analysis, collecting the data using questionnaires. The research plan was specific to path analysis with the mediation effect, in which the hypotheses were tested. The research group consisted of 151 women diagnosed with infertility, voluntarily recruited through online support communities. Findings demonstrate that affective empathy mediates the relationship between communication and trust in the doctor. In conclusion, this study draws attention to the importance of basic concepts in the relationship of infertility specialists with infertile patients. Thus, it is necessary for health care providers in assisted human reproduction to participate in programs for the continuous training of empathic communication skills, given the sensitivity of this diagnosis.

scholarly journals Telemedicine and COVID-19: Experience of Medical Doctors in Cameroon

2021 ◽  
Vol 6 (1) ◽  
pp. 32-37
Author(s):  
Kouotou Armand ◽  
Ananfack Gaël ◽  
Ngowa Marcien ◽  
Ndjitoyap Wilson ◽  
Mendouga Reine ◽  
...  
Keyword(s):  
Information And Communication Technologies ◽  
Health Care Providers ◽  
Demographic Data ◽  
Medical Doctors ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Online Data ◽  
Cross Sectional ◽  
Communication Modalities

Introduction : Since the beginning of Coronavirus disease2019 (COVID-19), hospitals and health centres have become sites  of potential contamination and spread of the virus, and have had to reorganize  their working environments to limit infections of patients and health care providers while continuing to render health services for those affected by other ailments. The purpose of the study was to conduct a descriptive study to assess the practice of telemedicine among Cameroonian medical doctors through an electronic survey. Methodology: This was a cross-sectional study conducted from May to June 2020 using an online data collection form designed on Google Forms. The questions dealt with socio-demographic data, the cancellation rate of appointments, the practice of teleconsultation, the frequency of telephone use, the means of teleconsultation used and the quality of the doctor-patient relationship. Participants comprised all physicians practicing in Cameroon using information and communication technologies Results: A total of 253 participants were included, 56.5% of which were women. Physicians from the ten regions of the country were represented. Twenty percent (20.2%) of physicians practiced teleconsultation, of which 3.2% continued teleconsultations while in quarantine. Seventy-five percent (75.4%) of physicians used multiple communication modalities at the same time; the most used modality in combination with others was the WhatsApp android application. Forty-six percent (41.6%) of participants judged that the doctor-patient relationship was poor during teleconsultations. Conclusion and recommendation: The practice of telemedicine is not widespread and is poorly framed in this setting. Regulatory authorities should put in place regulations and provide training to frame and ease access to the use of telemedicine

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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