scholarly journals Reviving the old sermon of medicine with the placebo effect

2005 ◽  
Vol 27 (4) ◽  
pp. 336-340 ◽  
Author(s):  
Hyong Jin Cho
Keyword(s):  
Human Factors ◽  
Placebo Effect ◽  
Current Knowledge ◽  
The Body ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Good Doctor ◽  
Positive Attitudes ◽  
Expectation Theory ◽  
Classic Conditioning

OBJECTIVE: The message of the importance of a caring doctor-patient relationship is now like an old sermon which does not impact anyone's mind or action. Observing the healing practice of the old time physicians, who valued their attitudes and relationship with their patients more than the actual interventions, this paper reviews the literature on their main therapeutic device - the placebo effect - as a novel way of delivering this old sermon of medicine to contemporary doctors. DISCUSSION: There are countless historical and contemporary examples of the impressive placebo effect and although contested by some, it seems real and significant. The classic conditioning theory and the expectation theory explain reasonably well the mechanisms of the placebo effect, especially in conjunction with each other. The underlying biochemical pathway, according to the limited current knowledge, involves endorphins for pain and dopamine for Parkinson's disease. Finally, human factors such as the doctor's positive attitudes and a good doctor-patient relationship seem to be more essential than the placebo itself in eliciting the placebo effect. CONCLUSIONS: Given the body of evidence supporting the existence of significant placebo effect and the importance of the doctor-patient relationship in determining it, the human factors of the medical treatment should be emphasised in order to maximise the placebo effect and consequently the overall therapeutic effect of the healing acts.

scholarly journals Decision-Making of Older Patients in Context of the Doctor-Patient Relationship: A Typology Ranging from “Self-Determined” to “Doctor-Trusting” Patients

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Jennifer Wrede-Sach ◽  
Isabel Voigt ◽  
Heike Diederichs-Egidi ◽  
Eva Hummers-Pradier ◽  
Marie-Luise Dierks ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Information Seeking ◽  
Older Patients ◽  
Self Determination ◽  
Shared Decision ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Good Doctor ◽  
Patient Decision Making

Background. This qualitative study aims to gain insight into the perceptions and experiences of older patients with regard to sharing health care decisions with their general practitioners. Patients and Methods. Thirty-four general practice patients (≥70 years) were asked about their preferences and experiences concerning shared decision making with their doctors using qualitative semistructured interviews. All interviews were analysed according to principles of content analysis. The resulting categories were then arranged into a classification grid to develop a typology of preferences for participating in decision-making processes. Results. Older patients generally preferred to make decisions concerning everyday life rather than medical decisions, which they preferred to leave to their doctors. We characterised eight different patient types based on four interdependent positions (self-determination, adherence, information seeking, and trust). Experiences of a good doctor-patient relationship were associated with trust, reliance on the doctor for information and decision making, and adherence. Conclusion. Owing to the varied patient decision-making types, it is not easy for doctors to anticipate the desired level of patient involvement. However, the decision matter and the self-determination of patients provide good starting points in preparing the ground for shared decision making. A good relationship with the doctor facilitates satisfying decision-making experiences.

scholarly journals 等著被說出的軀體與病患意義

2015 ◽  
Vol 13 (2) ◽  
pp. 41-44
Author(s):  
Hongzhong QIU
Keyword(s):  
The Body ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Clinical Model ◽  
Digital Commons ◽  
Phenomenological Perspective ◽  
The Senses

LANGUAGE NOTE | Document text in Chinese; abstract in English only.Sun’s article is a useful exploration of the body ethics model of medicine. However, a body is not the equivalent of a person—the body is waiting to utter its meaning. This commentary, which adopts a phenomenological perspective, discusses different ways of treating the body and of interrogating the senses of the body understood by patients and doctors. Divergent such senses influence the doctor-patient relationship in quite distinct ways. To establish a new clinical model, this commentary holds that we need to pay greater attention to the epistemology and methodology of somatic phenomenology, which can inspire us to understand the comprehensive significance of the body for medicine.DOWNLOAD HISTORY | This article has been downloaded 35 times in Digital Commons before migrating into this platform.

scholarly journals Medical Students in Psychiatric Out-Patients

1979 ◽  
Vol 3 (11) ◽  
pp. 192-194
Author(s):  
C. J. Salisbury ◽  
Glynn L. Harrison
Keyword(s):  
Medical Students ◽  
Teaching Hospital ◽  
Visual Feedback ◽  
Medical Setting ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Good Doctor

A good doctor-patient relationship is central to the task of gathering information and providing treatment, especially in psychiatry. In a teaching hospital this relationship may be complicated by the presence of one or more medical students, watching in an uninvolved fashion, and possibly changing from visit to visit. If the students are seated to one side or even behind him, the patient may feel increasingly uncomfortable about exposing personal material in the absence of any visual feedback. A passive audience may be permissible in a general medical setting where information is less personal and amateur status is masked behind white uniforms. In psychiatry, however, the youthfulness and comparative immaturity of students may be heightened by casual dress and less formal clinics.

scholarly journals Investigation of the differences between the medical personnel’s and general population’s view on the doctor-patient relationship in China by a cross-sectional survey

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Tianqing Sang ◽  
Hongli Zhou ◽  
Muhan Li ◽  
Wenting Li ◽  
Haibo Shi ◽  
...  
Keyword(s):  
Public Awareness ◽  
Medical Industry ◽  
Medical Services ◽  
Current Status ◽  
General Situation ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Cross Sectional ◽  
Good Doctor ◽  
Significant Difference

Abstract Background Due to economic development and an increase in the aging population, the demand for medical resources is increasing. A good doctor-patient relationship (DPR) can optimize patients’ medical experience and improve treatment efficiency. The DPR, however, is currently in crisis in China. To explore ways to improve DPR, this study assessed the views on the status of the DPR, medical services, and the general situation of medical work among medical personnel (MP) and the general population (GP). Methods This cross-sectional study, conducted between December 2019 and March 2020, targeted the MP and the GP in Nanjing City, Jiangsu Province, and Zhengzhou City, Henan Province. A total of 154 MP and 329 GP answered a self-administered questionnaire through Questionnaire Star and WeChat apps. Wilcoxon’s Sign Rank Test, Chi-square test, and frequency distributions and percentages were used to process the data. Results Only 11.04% of the MP and 14.89% of the GP believed that the current DPR was harmonious. Moreover, 54.55% of the MP and 71.12% of the GP believed that the medical industry was a service industry. While 14.29% of the MP and 64.44% of the GP thought medical staff earned high salaries, 19.48% of the MP and 47.11% of the GP wanted their children to be in the medical industry. The recognition of the current status of the DPR did not affect the GP’s preference for their children’s practice (p < 0.05). Most MPs hoped to improve salaries (40.26%), followed by safety (17.53%) and social status (12.99%); only 8.44% of the MP wanted to improve the DPR. Conclusion The MP’s and GP’s views on the current status of DPR, the importance of medical service attitudes, and the general sense of the medical industry were similar. However, there was a significant difference in the perception of the nature of medical services and the income of the people employed in the medical industry between the two groups. Balancing the expectations of patients in the medical industry and increasing public awareness of the actual situation in the medical industry may be a feasible way to improve the DPR.

scholarly journals Design and evaluation of an intelligent physical examination system in improving the satisfaction of patients with chronic disease

2020 ◽  
Author(s):  
Xin Chen ◽  
Ruxin Duan ◽  
Yao Shen ◽  
Hua Jiang
Keyword(s):  
Chronic Disease ◽  
Physical Examination ◽  
Intelligent System ◽  
Control Group ◽  
Patient Relationship ◽  
Examination System ◽  
Doctor Patient Relationship ◽  
Good Doctor ◽  
Gender Education ◽  
And Control

Abstract Background: The doctor-patient relationship is very important for healthcare quality. Improving the patients satisfaction is important for doctor-patient relationship. The relationship between patients with chronic disease and doctors often established in the process of physical examination in outpatient clinics. The use of artificial intelligence (AI) in the Internet of Health Thing (loHT) introduce the possibility of developing an intelligent system in hospital to establish a good doctor-patient relationship through improving the satisfaction of patients. We aimed to establish an intelligent physical examination system and preliminarily investigate its effect on improving the satisfaction of patients with chronic disease. Methods: An intelligent chronic disease management system based on the AI in the internet of health things was established. This system was combined with traditional Chinese medicine and western medicine. A total of 115 patients with chronic disease, who underwent physical examination in our hospital from August, 2019 to November, 2019 were enrolled in this study. Among them, 55 patients were in the intelligent system (intelligent group) and 60 patients were in the traditional system (control group). We collected the satisfaction questionnaire of patients who took physical examination in these two systems. Satisfaction score between intelligent group and control group was compared. Results: A total of 106 patients were finally taken into analyzed . There was no statistical difference in age, gender , education or income level between intelligent group and control group. We found significant differences in the five aspects of satisfaction (1 . the physical examination environment; 2.the attitude and responsiveness of doctors; 3.the attitude and responsiveness of nurses ； 4.the effectiveness of getting results; 5.the information of physical examination and medical advices) (p ＜ 0.05). Moreover, in the logistic regression, the differences were still statistically significant after adjusting age, gender, education and income level. Conclusions: The intelligent physical examination system might be an effective tool in improving the satisfaction of patients with chronic disease. This could play an important role in establishing a good doctor-patient relationship .

scholarly journals Investigation of the differences between the medical personnel’s and general population’s view on the doctor-patient relationship in China by a cross-sectional survey

2020 ◽  
Author(s):  
Tianqing Sang ◽  
Hongli Zhou ◽  
Muhan Li ◽  
Wenting Li ◽  
Haibo Shi ◽  
...  
Keyword(s):  
Public Awareness ◽  
Medical Industry ◽  
Medical Services ◽  
Current Status ◽  
General Situation ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Cross Sectional ◽  
Good Doctor ◽  
Significant Difference

Abstract Background: Due to economic development and an increase in the aging population, the demand for medical resources is increasing. A good doctor-patient relationship (DPR) can optimize patients’ medical experience and improve treatment efficiency. The DPR, however, is currently in crisis in China. To explore ways to improve DPR, this study assessed the views on the status of the DPR, medical services, and the general situation of medical work among medical personnel (MP) and the general population (GP). Methods: This cross-sectional study, conducted between December 2019 and March 2020, targeted the MP and the GP in Nanjing City, Jiangsu Province, and Zhengzhou City, Henan Province. A total of 154 MP and 329 GP answered a self-administered questionnaire through Questionnaire Star and WeChat apps. Wilcoxon's Sign Rank Test, Chi-square test, and frequency distributions and percentages were used to process the data. Results: Only 11.04% of the MP and 14.89% of the GP believed that the current DPR was harmonious. Moreover, 54.55% of the MP and 71.12% of the GP believed that the medical industry was a service industry. While 14.29% of the MP and 64.44% of the GP thought medical stuff earned high salaries, 19.48% of the MP and 47.11% of the GP wanted their children to be in the medical industry. The recognition of the current status of the DPR did not affect the GP’s preference for their children's practice (p<0.05). Most MP hoped to improve salaries (40.26%), followed by safety (17.53%) and social status (12.99%); only 8.44% of the MP wanted to improve the DPR. Conclusion: The MP’s and GP’s views on the current status of DPR, the importance of medical service attitudes, and the general sense of the medical industry were similar. However, there was a significant difference in the perception of the nature of medical services and the income of the people employed in the medical industry between the two groups. Balancing the expectations of patients in the medical industry and increasing public awareness of the actual situation in the medical industry may be a feasible way to improve the DPR.

scholarly journals Effect of an intelligent physical examination system on improving the satisfaction of patients with chronic disease: a preliminary study (Preprint)

2020 ◽  
Author(s):  
Xin Chen ◽  
Ruxin Duan ◽  
Yao Shen ◽  
Hua Jiang
Keyword(s):  
Chronic Disease ◽  
Physical Examination ◽  
Intelligent System ◽  
Control Group ◽  
Patient Relationship ◽  
Examination System ◽  
Doctor Patient Relationship ◽  
Good Doctor ◽  
Gender Education ◽  
And Control

BACKGROUND The doctor-patient relationship is very important for healthcare quality. Improving the patients satisfaction is important for doctor-patient relationship. The relationship between patients with chronic disease and doctors often established in the process of physical examination in outpatient clinics. The use of artificial intelligence (AI) in the Internet of Thing (loHT) introduce the possibility of developing an intelligent system in hospitals to establish a good doctor-patient relationship through improving the satisfaction of patients. OBJECTIVE We aimed to establish an intelligent physical examination system and preliminarily investigate its effect on improving the satisfaction of patients with chronic disease. METHODS An intelligent chronic disease management system based on the AI in the internet of health things was established. This system was combined with traditional Chinese medicine and western medicine. A total of 115 patients with chronic disease, who underwent physical examination in our hospital from August, 2019 to November, 2019 were enrolled in this study. Among them, 55 patients were in the intelligent system (intelligent group) and 60 patients were in the traditional system (control group). We collected the satisfaction questionnaire of patients who took physical examination in these two systems. Satisfaction score between intelligent group and control group was compared. RESULTS A total of 106 patients were finally taken into analyzed. There was no statistical difference in age, gender, education or income level between intelligent group and control group. We found significant differences in the five aspects of satisfaction (1. the physical examination environment; 2. the attitude and responsiveness of doctors; 3. the attitude and responsiveness of nurses 4. the effectiveness of getting results; 5. the information of physical examination and medical advices) (p＜0.05). Moreover, in the logistic regression, the differences were still statistically significant after adjusting age, gender, education and income level. CONCLUSIONS The intelligent physical examination system might be an effective tool in improving the satisfaction of patients with chronic disease. This could play an important role in establishing a good doctor-patient relationship. CLINICALTRIAL

Sign in / Sign up

Export Citation Format

Share Document