scholarly journals Optimizing telemedical care in neurological outpatients by characterizing the patients’ needs in the physician–patient relationship—content analysis of guideline-based interviews

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Till Hamann ◽  
Stella Lemke ◽  
Peter Kropp ◽  
Florian Rimmele ◽  
Tim P. Jürgens ◽  
...  
Keyword(s):  
Content Analysis ◽  
Medical Care ◽  
Qualitative Content Analysis ◽  
Qualitative Interviews ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
New Concepts ◽  
Neurological Patients ◽  
Physician Patient ◽  
Telemedical Care

Abstract Background The use of new concepts in patient care, such as video-consultations, reminder systems, and online evaluation portals, is becoming increasingly important in the physician–patient relationship and outpatient care. This study examines the acceptance of these approaches in a neurological setting and determines the patients’ preferences. Methods We analyzed 16 guideline-based qualitative interviews with neurological patients using qualitative content analysis (inductive category formation). Results The patients commented on the benefits and challenges of integrating new concepts of medical care. They identified advantages of telemedical care, including time savings (7 of 16; 43,8%) for both the patient and the physician, the prospect of more intensive (4 of 16; 25%) care, and the possibility for a quick response in case of urgent needs (3 of 16; 18.8%). Several challenges were reported, such as the limitations for patients with psychiatric (2 of 16; 12.5%) or complex diseases (4 of 16; 25%) and limited options for diagnostic procedures (such as physical examination (4 of 16; 25%)). For individual neurological patients' needs, telemedical and telecommunication structures could be discussed, which support the patients' specific requirements, such as answering questions while having a recall (2 of 16; 12.5%) and avoiding the journey (8 of 16; 50%). Also, patients are rejecting evaluation portals and are skeptical of telecare in the treatment of neurological diseases. Discussion The perception of telemedical care and the successful integration of new medical care concepts depend on fulfilling the individual patient’s needs. Regardless of the preferred nature of physician–patient interactions, there are specific instruments that can intensify the relationship. These individual needs of the patients must be inquired about and accommodated for. Conclusions For the first time, we could characterize the properties of optimal telemedical care for neurological patients. Interviews like the ones we conducted should be repeated during and after the pandemic, referring to our results and compare.

Optimizing Telemedical Care in Neurological Outpatients by Characterizing the Patients’ Needs in Physician-Patient Relationship - Content Analysis of Guideline-Based Interviews

2021 ◽  
Author(s):  
Till Hamann ◽  
Stella Lemke ◽  
Peter Kropp ◽  
Florian Rimmele ◽  
Tim P. Jürgens ◽  
...  
Keyword(s):  
Content Analysis ◽  
Medical Care ◽  
Qualitative Content Analysis ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
New Concepts ◽  
Neurological Patients ◽  
Time Savings ◽  
Physician Patient ◽  
Telemedical Care

Abstract BackgroundThe use of new concepts in patient care, such as video-consultation, reminder systems and online-evaluation portals is becoming increasingly important in the physician-patient relation and in the care of outpatients. This study examines the acceptance of these approaches in a neurological setting and characterizes the patients’ preferences.MethodsWe analyzed 16 guideline-based qualitative interviews with neurological patients using qualitative content analysis (inductive category formation). ResultsThe patients commented on benefits and challenges of integrating new concepts of medical care. They identified advantages of telemedical care, including time savings for both the patient and the physician, the prospect of more intensive care and the possibility of quick response in case of urgent needs. Several challenges were reported, such as the limitations for patients with chronic or complex diseases and limited options for diagnostic procedures (such as physical examination)For individual neurological patient’s needs, telemedical and telecommunication structures could be discussed which support the respective requirements of the patients such as answering questions while having a recall, avoiding of the journey and time-savings. Also, they are rejecting evaluation portals and are skeptical about telecare in the treatment of neurological diseases.Discussion/ConclusionsThe neurological patients can be characterized as individuals with different ideas of an optimal physician-patient relationship. A successful integration of new concepts in medical care depends on fulfilling the individual patient’s needs. Regardless of the preferred form of the physician-patient relationship, there are specific instruments that can intensify the relationship. These individual needs of the patients must be inquired about and implemented.

scholarly journals Medical Relief Trips...What’s Missing? Exploring Ethical Issues and the Physician-Patient Relationship

2016 ◽  
Vol 25 (1) ◽  
pp. 38 ◽  
Author(s):  
Stephanie Chow Garbern
Keyword(s):  
Medical Care ◽  
Ethical Issues ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Medical Relief ◽  
Physician Patient

"The welcome ceremony alone will leave you breathless as you become inspired by their overwhelming joy at you arrival. Here you will participate with the community and provide much needed medical care. The team will also provide care for the Talibe boys in Theis who go without medical care and are left to face disease on their own (Senegal, 2009)."

“Difficult Patients” as Family Physicians Perceive Them

1996 ◽  
Vol 79 (2) ◽  
pp. 539-544 ◽  
Author(s):  
Roger C. Katz
Keyword(s):  
Medical Care ◽  
Family Physicians ◽  
Chronic Illnesses ◽  
Patient Relationship ◽  
Point Scale ◽  
Physician Patient Relationship ◽  
Difficult Patients ◽  
Disease Patterns ◽  
Item Questionnaire ◽  
Physician Patient

The physician-patient relationship is an important part of medical care. This study examined events that can jeopardize that relationship, i.e., patients' behaviors and attributes that physicians find frustrating. Data were collected from practicing family physicians ( N = 34) using a 32-item questionnaire developed by the author. Items were drawn from previous research on the behaviors of difficult patients and checked for relevance by two family physicians before the study began. Coefficient alpha was .92. Participants were predominantly male physicians who had been in practice for an average of 18 years. They were asked to indicate if they found specific patients' characteristics frustrating or annoying by using a 9-point scale with end-points of “not at all frustrating or annoying” (1) and “very frustrating or annoying” (9). The physicians rated half of the listed patients' attributes as at least moderately frustrating (mean rating >6). Over 80% of the physicians were frustrated by patients who expected a “cure,” brought up new symptoms at the last moment, appeared to be malingering, or refused to take responsibility for their health. They were least frustrated by disease-related conditions such as degenerative or chronic illnesses. The physicians' ratings were unrelated to their years of experience. Results are discussed in relation to changing disease patterns which have occurred in this country over the last half-century.

Simulation-Based Training of Communication and Emotional Competence for the Improvement of Physician-Patient Relationship

2006 ◽  
Author(s):  
Luigi Anolli ◽  
Fabrizia Mantovani ◽  
Alessia Agliati ◽  
Olivia Realdon ◽  
Valentino Zurloni ◽  
...  
Keyword(s):  
Emotional Competence ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Simulation Based ◽  
Physician Patient

scholarly journals Therapeutic Alliance in Interpreter-Mediated Psychotherapy from the Perspective of Refugee Patients: Results of Qualitative Interviews

2021 ◽  
pp. 1-9
Author(s):  
Saskia Hanft-Robert ◽  
Nadine Janis Pohontsch ◽  
Cornelia Uhr ◽  
Alexander Redlich ◽  
Franka Metzner
Keyword(s):  
Content Analysis ◽  
Therapeutic Alliance ◽  
Successful Treatment ◽  
Qualitative Content Analysis ◽  
Qualitative Interviews ◽  
Therapeutic Treatment ◽  
Factors Influencing ◽  
Recommendations For Action ◽  
Patients Perspective

<b><i>Background:</i></b> The therapeutic alliance is considered to be one of the most important factors of psychotherapy and is a necessary requirement for a successful treatment in interpreter-mediated psychotherapy. <b><i>Patients and Methods:</i></b> Using interpreter-mediated guided interviews, 10 refugee patients who experienced interpreter-mediated psychotherapy were asked about factors influencing the development of a trusting therapeutic alliance in the triad. The analysis of the interviews followed the rules of content-structuring qualitative content analysis. <b><i>Results:</i></b> A total of 11 factors were identified which could be assigned to the interpreter, therapist, or patient. In the analysis, the central role of the interpreter in establishing a therapeutic alliance in the triad became particularly clear. <b><i>Conclusions:</i></b> Consideration of the factors that, from the patients’ perspective, influence the establishment and maintenance of a trusting alliance within the triad, as well as the recommendations for action derived from this for psychotherapists and interpreters can lead to an improvement in the therapeutic treatment of refugees.

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