Acquaintance-Based Medical Treatment Lowered Physician-Patient Trust When the Medical Outcome Was Negative: A Vignette Experiment

2021 ◽  
Author(s):  
Yidi Chen ◽  
Zhengyu Sheng ◽  
Han Xiao ◽  
Qi Liang ◽  
Wenju Li ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Medical Outcome ◽  
Patient Trust ◽  
Vignette Experiment ◽  
Physician Patient

Crisis and Informed Consent: Analysis of a Law-Medicine Malocclusion

1987 ◽  
Vol 12 (1) ◽  
pp. 55-97 ◽  
Author(s):  
Fran Carnerie
Keyword(s):  
Informed Consent ◽  
Medical Treatment ◽  
Clinical Setting ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Catastrophic Illness ◽  
Physician Patient ◽  
Emotional Impairment

AbstractMany individuals develop a temporary state of cognitive and emotional impairment after being diagnosed with catastrophic illness. Thus, when crucial decisions about medical treatment are required, they are unable to assimilate information; or worse, the legal need to be informed can rival a psychological desire to not be informed. The Canadian informed consent doctrine is unresponsive to crisis and clinically impracticable, and so paradoxically compromises the integrity and autonomy it was designed to protect. Many aspects of the physician-patient relationship and clinical setting also undermine the philosophical values enshrined in this doctrine. This further jeopardizes the individual's integrity. The Article explores proposals for change such as delaying the informing and consenting, improving the concept of consent, and improving the role of the physician.

scholarly journals Factors associated with using the internet for medical information based on the doctor-patient trust model: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yang Fu ◽  
Tianwei Tang ◽  
Junhao Long ◽  
Bohuai Lin ◽  
Jiayue Li ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Medical Care ◽  
Medical Information ◽  
Cross Sectional Study ◽  
Behavioural Intention ◽  
Total Effect ◽  
Patient Trust ◽  
Cross Sectional ◽  
Factors Associated ◽  
Personal Trust

Abstract Background Internet medical care has been advancing steadily, especially during the coronavirus disease 2019 pandemic, the development momentum of Internet medical care in China is more vigorous. This study aimed to explore the factors associated with using the Internet for medical information, to examine the popularisation and implementation of Internet medical treatment and feasible strategies, and promote the further development of Internet medical treatment. Methods A cross-sectional study was conducted on 408 medical patients who had used online medical services. The one-way analysis of variance or independent samples t-test was used to compare the differences in the influence of demographic characteristics on behavioural intentions of different people seeking medical care. Pearson’s correlation was used to evaluate the correlation between different measurement variables. A mediation regression analysis was used to explore the mediating role of trust in Internet medical care. Results The difference in the influence of Internet medical use frequency on the behavioural intention of different participants was statistically significant (F = 3.311, P = 0.038). Among the influencing factors, personal trust propensity (r = 0.387, P < 0.01), website credibility (r = 0.662, P < 0.01), hospital credibility (r = 0.629, P < 0.01), doctor’s credibility (r = 0.746, P < 0.01), and online patient trust (r = 0.874, P < 0.01) were positively correlated with patients’ behavioural intentions. In the analysis of intermediary factors, the total effect of the credibility of the diagnosis and treatment website on the behavioural intention of patients was 0.344. The total effect of the credibility of the diagnosis and treatment hospital on the behavioural intention of patients was 0.312; the total effect of the service doctor’s credibility on the patient’s behavioural intention was 0.385; the total effect of the personal trust tendency on the patient’s behavioural intention was 0.296. Conclusions This study found defects in various factors that produce distrust in Internet medical treatment. It also reveals the positive effect of trust factors on the development and implementation of Internet medical treatment and provides some ideas for improving the use of Internet medical treatment by the masses.

scholarly journals Evolution and changes in the physician-patient relationship

2011 ◽  
pp. 400-405 ◽  
Author(s):  
José Henry Osorio
Keyword(s):  
Insurance Companies ◽  
Pharmaceutical Companies ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Patient Trust ◽  
Community Physician ◽  
Physician Availability ◽  
Physician Patient ◽  
True Relationship

The idealized vision of the physician-patient relationship was characterized by patient trust and physician availability, in a long-term relationship in which physicians knew many things about their patients and their families, being the physician a part of the patient's community. Physician employers, pharmaceutical companies, and insurance companies have abruptly entered the once private relationship between physicians and patients, changing a true relationship into a simple encounter. The substitution of the generic terms physician and patient for provider and client mirrors the increased impersonality of the encounter based on the commercialization of medicine. The present review analyzes the situations, which have led to the progressive and unavoidable deterioration of the physician-patient relationship within a globalized society.

Etnografi Ruang Instalasi Gawat Darurat (IGD): Relasi Dokter dan Pasien di RSUP DR. Wahidin Sudirohusodo, Makassar

2018 ◽  
Vol 3 (2) ◽  
pp. 250
Author(s):  
Muhammad Zainuddin Badollahi ◽  
Andi Hasbi
Keyword(s):  
Health Insurance ◽  
General Education ◽  
Medical Treatment ◽  
Emergency Room ◽  
General Hospital ◽  
Descriptive Study ◽  
Physician Patient Relations ◽  
Patient Relations ◽  
Qualitative Descriptive ◽  
Physician Patient

Dr. General Education Hospital Wahidin Sudirohusodo is the hospital with the most ED referral patients in the Eastern Indonesia region. This study aims to, (1) determine the ethics of physician professionalism in relation to the relationships established between doctors-patients and established medical communication, (2) analyze differences in physician-patient relations using health insurance and general patients, (3) find out the kinship network patients who are instructed on medical treatment obtained. This research was conducted at the Emergency Room at RSUP Dr. Wahidin Sudirohusodo Makassar using a qualitative descriptive study. The methods used are observation and interviews with doctors and patients. This study shows that (1) the doctors did not pay attention to and run the SOP IGD of Dr. Wahidin Sudirohusodo General Hospital so that there was miscommunication, (2) health insurance patients and the general got different treatment in medical treatment, (3) kinship network was very influential in the medical action given by the doctor to his patient

scholarly journals Examining patient trust towards physicians between clinical departments in a Chinese hospital

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259945
Author(s):  
Judy Yang ◽  
Yuanzheng Lu ◽  
Xiaoxing Liao ◽  
Mary P. Chang
Keyword(s):  
Emergency Medicine ◽  
Survey Study ◽  
Patient Trust ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Demographics ◽  
Physician Trust ◽  
Patient Relationships ◽  
Clinical Departments ◽  
Physician Patient

The purpose of this cross-sectional survey study is to quantitatively examine the differences in patient trust towards physicians between four different clinical departments in a Chinese hospital. Using a validated modified Chinese version of the Wake Forest Physician Trust Scale, we measured patient trust in each department, and also collected data on patient demographics. A total of 436 patients or family members were surveyed in the departments of emergency medicine, pediatrics, cardiology, and orthopedic surgery. Significant differences were found between the departments, especially between pediatrics (trust score 43.23, range 11–50) and emergency medicine and cardiology (trust scores 45.29 and 45.79, respectively with range of 11–50). The average total score across all four departments was 44.72. There are indications that specifically comparing departments, such as patient demographics or department structure, could be helpful in tailoring patient care to improve physician-patient relationships.

Collective Decisions About Medical Futility

1994 ◽  
Vol 22 (2) ◽  
pp. 152-160 ◽  
Author(s):  
Bethany Spielman
Keyword(s):  
Informed Consent ◽  
Medical Treatment ◽  
Family Relationship ◽  
Medical Futility ◽  
Appellate Court ◽  
Scholarly Literature ◽  
Professional Authority ◽  
Collective Decisions ◽  
Intractable Problem ◽  
Physician Patient

The debate about medical futility is no longer in its infancy. Scholarly literature on this seemingly intractable problem is voluminous. The list of widely publicized cases in which physicians have wanted to discontinue life-sustaining medical treatment that families demand has grown to include not just Helga Wanglie, but also Baby Rena, Baby L, Jane Doe, Joseph Finelli, Baby K, and Teresa Hamilton. A futility case has now been decided at the appellate court level.Commentators have generated three kinds of proposals for resolving these conflicts. One group contends that the problem can be solved within the physician-patient-family relationship. While some in this group view professional authority broadly enough to warrant unilateral judgments by physicians that interventions desired by the patient or family should not be provided, others contend that physician authority does not extend that far, and that any resolution must be constrained by informed consent requirements.

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