scholarly journals Cartography of Doctor-Patient Relationship: A Mind- Genomics Exploratory Study about the Public’s Response to Patient-Centered-Care

2019 ◽  
Vol 2 (5) ◽  
Keyword(s):  
Exploratory Study ◽  
Patient Centered Care ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Centered Care

scholarly journals Attitudes of medical students in Pakistan toward the doctor-patient relationship

2014 ◽  
Author(s):  
Waqas Ahmad ◽  
Edward Krupat ◽  
Yumna Asmaa ◽  
Noor-E- Fatima ◽  
Rayan Attique ◽  
...  
Keyword(s):  
Medical Students ◽  
Patient Centered Care ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care ◽  
Academic Year

Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.

scholarly journals Attitudes of medical students in Pakistan toward the doctor-patient relationship

2014 ◽  
Author(s):  
Waqas Ahmad ◽  
Edward Krupat ◽  
Yumna Asmaa ◽  
Noor-E- Fatima ◽  
Rayan Attique ◽  
...  
Keyword(s):  
Medical Students ◽  
Patient Centered Care ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care ◽  
Academic Year

Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.

scholarly journals Patient-Centred Multidisciplinary Inpatient Care-Have Diagnosis-Related Groups an Effect on the Doctor-Patient Relationship and Patients’ Motivation for Behavioural Change?

2016 ◽  
Vol 8 (10) ◽  
pp. 100 ◽  
Author(s):  
Tobias Romeyke ◽  
Elisabeth Noehammer ◽  
Hans Ch.Scheuer ◽  
Harald Stummer
Keyword(s):  
Diagnosis Related Groups ◽  
Patient Centered Care ◽  
Inpatient Setting ◽  
Patient Relationship ◽  
Motivation To Change ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Hospitalised Patients ◽  
Behavioural Patterns ◽  
Centered Care

<p><strong>Introduction: </strong>The aim of this, the largest survey of patients performed to date, is to analyse the effects of diagnosis related groups (DRGs) on the doctor-patient relationship in the context of interdisciplinary patient-centered care. In addition, it is intended to investigate the possibility of motivating patients to change their behavioural patterns and lifestyle in the context of holistic therapy.</p><p><strong>Methods: </strong>Over a period of five years, a continuous survey was performed of hospitalised patients who were exercising their entitlement to interdisciplinary therapy in an acute, inpatient setting.</p><p><strong>Results: </strong>The therapy was evaluated as good to very good both with and without the conditions of the case tariff fee system. Effects of the diagnosis related groups on the quality of the doctor-patient relationship could not be demonstrated (Mann-Whitney U test, p&gt;0,05). A clear trend was evident in the influence on motivation to change behavioural patterns and lifestyle (Fisher's exact test, p=0,000).</p><p><strong>Conclusions: </strong>Studies of the effects of reimbursement systems in the context of interdisciplinary care are still in their infancy, despite the widespread use of diagnosis related groups. The mandatory character implicit in the case tariff fee system, which requires minimum qualitative standards for structural and procedural parameters in the context of providing interdisciplinary patient-centered care, can influence patients' behavioural patterns and lifestyle.<strong></strong></p>

PRELIMINARY ASSESSMENT OF GPS' KNOWLEDGE AND ATTITUDE ABOUT PERSON CENTRED CARE

2018 ◽  
Vol 28 (2) ◽  
pp. 567-570
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva
Keyword(s):  
General Practice ◽  
Patient Empowerment ◽  
Patient Relationship ◽  
Preliminary Assessment ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Term Care ◽  
Family Doctors ◽  
Person Centered Care ◽  
Centered Care

Introduction: The European definition of WONCA of general practice introduces the determinant elements of person-centered care regarding four important, interrelated characteristics: continuity of care, patient "empowerment", patient-centred approach, and doctor-patient relationship. The application of person-centred care in general practice refers to the GP's ability to master the patient-centered approach when working with patients and their problems in the respective context; use the general practice consultation to develop an effective doctor–patient relationship, with respect to patient’s autonomy; communicate, set priorities and establish a partnership when solving health problems; provide long-lasting care tailored to the needs of the patient and coordinate overall patient care. This means that GPs are expected to develop their knowledge and skills to use this key competence. Aim: The aim of this study is to make a preliminary assessment of the knowledge and attitudes of general practitioners regarding person-centered care. Material and methods: The opinion of 54 GPs was investigated through an original questionnaire, including closed questions, with more than one answer. The study involved each GP who has agreed to take part in organised training in person-centered care. The results were processed through the SPSS 17.0 version using descriptive statistics. Results: The distribution of respondents according to their sex is predominantly female - 34 (62.9%). It was found that GPs investigated by us highly appreciate the patient's ability to take responsibility, noting that it is important for them to communicate and establish a partnership with the patient - 37 (68.5%). One third of the respondents 34 (62.9%) stated the need to use the GP consultation to establish an effective doctor-patient relationship. The adoption of the patient-centered approach at work is important to 24 (44.4%) GPs. Provision of long-term care has been considered by 19 (35,2%). From the possible benefits of implementing person-centered care, GPs have indicated achieving more effective health outcomes in the first place - 46 (85.2%). Conclusion: Family doctors are aware of the elements of person-centered care, but in order to validate and fully implement this competence model, targeted GP training is required.

How do integrative practices influence patient centered care? An exploratory study

2015 ◽  
Vol 2015 (1) ◽  
pp. 11241
Author(s):  
Zhanna Novikov ◽  
Wiljeana Jackson Glover ◽  
Paula Trepman ◽  
Eitan Naveh ◽  
Margalit Goldfracht
Keyword(s):  
Exploratory Study ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

Does Women’s Contribution to Co-Constructed Handheld Maternity Records Support Patient-Centered Care?

2013 ◽  
Vol 3 (2) ◽  
pp. 117-127 ◽  
Author(s):  
Tracy Humphrey ◽  
Janet S. Tucker ◽  
Claire de Labrusse
Keyword(s):  
Urban Areas ◽  
Exploratory Study ◽  
Patient Centered Care ◽  
Descriptive Statistics ◽  
Patient Centered ◽  
Mixed Methods Approach ◽  
Written Text ◽  
Centered Care ◽  
Emerging Themes ◽  
Primiparous Women

BACKGROUND: The Scottish Women’s Handheld Maternity Record (SWHMR) contains an innovative element of co-construction by inviting women to write in their notes. It aims to support communication and patient-centered care (PCC). The study aims were (a) to describe women’s contribution to the SWHMR, (b) compare the characteristics of women who do/do not contribute, and (c) assess the influence of women’s contributions on their care.METHODS: An exploratory study using mixed methods approach extracted data from a series of 300 casenotes. Women’s contributions were analyzed by sociodemographic and clinical characteristics using descriptive statistics. Content analysis was used to identify themes within women’s written text.RESULTS: Women were more likely to contribute to sections about personal details, health-life style than birth preferences/management. Primiparous, women residing in urban areas or receiving midwife-led care were more likely to contribute. Only half of the women who expressed their preferences for birth were judged to have been met. Most of women’s contributions mapped to PCC’s domains and other emerging themes were identified.CONCLUSIONS: Women’s contribution to the SWHMR varied widely and substantial groups of women may be disadvantaged. Co-constructed handheld records need further evaluation to ensure that they do support communication and PCC.

scholarly journals PATIENT-CENTERED CARE WITH SHARED DECISION-MAKING: PHYSICIAN-PATIENT RELATIONSHIP: COMPARATIVE ANALYSIS

2019 ◽  
Vol 11 (3) ◽  
pp. 18-34
Author(s):  
Olga LIPOVETSKI ◽  
Daniela COJOCARU
Keyword(s):  
Medical Condition ◽  
Patient Centered Care ◽  
Medical Discourse ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Patient Centered ◽  
Core Element ◽  
Centered Care ◽  
Current Article ◽  
Physician Patient

The physician-patient interaction and relationship is the core element of the health-care system, which is developing towards greater patient's involvement in required medical decisions, regarding patient's medical condition. Sharing physicians-patient decisions issue is deepening on the medical discourse. It includes a sociological essence, which is considered in the current article, which tends to compare physician-patient relationship in Israel and worldwide. The current article presents a literary Review of academic articles, mainly from the past decade, inquiring searching databases, such as NCBI, Elsevier, JAMA and Research Gate, using keywords of Patient-Centered Care, professionalism, and human and sociological approaches of patients' medical care. Among dozens of found articles, 40 were assessed and selected for the review. Although, a recognition of the importance of using SDM and CCM can be found within healthcare teams, hardly no use of the models is actually in practice in healthcare systems in Israel. The CCM and the SDM models should be implied in Israel for the best of patients, physician and the healthcare system.

scholarly journals Contexto Atitudinal dos Docentes de Um Curso de Medicina Envolvendo o Tema Relação Médico Paciente

2020 ◽  
Vol 21 (1) ◽  
pp. 28-33
Author(s):  
Beatriz Do Amaral Rezende Bento ◽  
Tânia Gisela Biberg-Salum ◽  
Mirella Ferreira da Cunha Santos ◽  
Rosilene Canavarros Monteiro
Keyword(s):  
Cross Sectional Study ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Centered Care ◽  
Orientation Scale ◽  
Mato Grosso Do Sul ◽  
De Medicina

Este estudo foi conduzido junto aos professores de um curso médico que adota a metodologia de Aprendizagem Baseada em Problemas, em uma universidade pública, com o objetivo de avaliar os aspectos atitudinais no contexto da relação médico-paciente. Trata-se de um estudo do tipo observacional, descritivo-exploratório, transversal, realizado na cidade de Campo Grande- MS, na Universidade Estadual de Mato Grosso do Sul (UEMS). O instrumento utilizado para a avaliação da atitude dos professores a respeito da relação médico-paciente foi a escala PPOS (Patient-practitioner Orientation Scale), também foi utilizado um questionário sociodemográfico. Os docentes foram divididos em 3 grupos, de acordo com a média obtida das 18 questões da escala PPOS.  O primeiro, representado por uma média inferior a 4,57 define o grupo com atitudes centradas no médico, o segundo com valores que variam de 4,57 a 5,00 representa o grupo com atitudes relativamente centradas no paciente e o terceiro, com médias superiores a 5,00 estabelece o grupo com atitudes totalmente centradas no paciente. Quando se analisam os números obtidos, percebe-se que ainda há uma parcela de professores que possuem atitudes centradas nos médicos. Ainda há muito para ser feito no sentido de permitir ao paciente passar de objeto a sujeito na prática médica, e isto demanda mudanças significativas na maneira de se ensinar e praticar a medicina. Conclui-se que este estudo tem algumas limitações, uma delas é a amostra reduzida, outra limitação se refere ao uso da escala traduzida, o que pode ter interferido com algumas respostas, gerando uma interpretação errada.   Palavras-chave: Educação Médica. Docentes de Medicina. Relação Médico-Paciente. Assistência Centrada no Paciente.   Abstract This study was conducted with the professors of a medical course that adopts the Problem-Based Learning methodology, in a public university, with the objective of evaluating the attitudinal aspects in the context of the doctor-patient relationship. This is an observational descriptive-exploratory, cross-sectional study, carried out in the city of Campo Grande-MS, at the Universidade Estadual Mato Grosso do Sul (UEMS). The instrument used to evaluate the teachers' attitude towards the doctor-patient relationship was the PPOS scale (Patient-practitioner Orientation. Scale), a sociodemographic questionnaire was also used. The teachers were divided into 3 groups, according to the average obtained from the 18 questions on the PPOS scale. The first represented by an average of less than 4.57 defines the group with attitudes centered on the doctor, the second with values ranging from 4.57 to 5.00 represents the group with attitudes relatively centered on the patient and the third, with averages greater than 5.00 establishes the group with attitudes totally centered on the patient. When analyzing the numbers obtained, it is clear that there is still a portion of teachers who have attitudes centered on doctors. There is still much to be done in order to allow the patient to move from object to subject in medical practice, and this requires significant changes in the way of teaching and practicing medicine. It is concluded that this study has some limitations, one of which is the reduced sample, another limitation refers to the use of the translated scale, which may have interfered with some responses, generating a wrong interpretation.   Keywords: Education, Medical. Faculty, Medical. Physician-Patient Relation. Patient-Centered Care.  

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