scholarly journals The doctor-patient relationship in the light of telemedicine

ANALES RANM ◽  
2021 ◽  
Vol 138 (138(02)) ◽  
pp. 143-149
Author(s):  
M. Castellano Arroyo

The doctor-patient relationship was the origin of Medicine and after more than 40 centuries, the medical act, with its important changes, is still the centre of this Medicine that is, more than ever, science and art. Knowing these changes allows us to maintain the quality of the doctor-patient relationship and optimal health care. XXI century´s Medicine uses all the technological advances taking benefits for the medical act; the best example has been the introduction of Telemedicine. Bringing technology, computing and digitalization to a purely human relationship is not exempt from risks; it will be necessary to identify them and eliminate the disadvantages that all this may mean as an element contrary to humanity that must always characterize the medical act and health care. Objectives of Medicine science-and-art must become one in the use of Telemedicine at each personalized medical act.

2021 ◽  
Vol 6 (2) ◽  
pp. 92-98
Author(s):  
Boloya Vukumo Eric ◽  
Tawari Erebi Patricia

Background: There is a deep dissatisfaction towards the services offered by doctors in government hospitals. Communication, being one of the major issues both on the part of the doctor and patient. There are also instances where patients lie to doctors about their health status, probably because the doctor fails to create a safe and conducive environment for the patient or because the patient could not confide in the doctor thus resulting in ineffective treatment. The quality of relationship between doctors and patients in government hospitals is fundamental for the several outcomes as regard services rendered by the doctor and those received by the patients and in other to improve the quality of healthcare delivery in public health care sector, there is the need for a research in the possible causes and solution to these problems. The study aimed to determine the perceived influence of doctor-patient relationship on effective health care delivery in some Health Facilities in Ogbia Local Government Area of Bayelsa State. Methods: A descriptive cross-sectional study design was conducted among patients in Federal Medical Center, Otuoke, General Hospital, Kolo and Cottage Hospital, Otuasega, all in Ogbia Local Government Area of Bayelsa state. Data collection was carried out using both self-administered and interview administered questionnaire. 138 patients were selected for the study. An average of 20 interviews were conducted per clinic day. Results: Results of the study showed that majority of patients interviewed agreed that their relationship with the doctor is important in treatment outcome and were involved in making treatment decisions and were satisfied with the services received from their doctors. Conclusion: Many of the patients were satisfied with the level of doctor patient relationship. Keywords: Perception, Doctor- Patient relationship, Health care delivery.


2018 ◽  
Vol 6 (10) ◽  
pp. 1895-1901 ◽  
Author(s):  
Ahmad Kalateh Sadati ◽  
Seyed Ziauddin Tabei ◽  
Kamran Bagheri Lankarani

BACKGROUND: Doctor-patient relationship [DPR] refers to verbal and non-verbal communication between doctor and patient, which is of great importance in consultation sessions. AIM: Therefore, the present study attempts to explore the importance and value of DPR in Iran. MATERIAL AND METHODS: The method used in the study was conventional content analysis. The data were collected from 21 faculty members (FMs) of Shiraz University of Medical Sciences (SUMS), Shiraz, Iran, who participated in three focus group discussions (FGDs). Transcribed data were analysed using Conventional Content Analysis (CCA) which identified condensed meaning units, subthemes, and themes. RESULTS: Four themes were extracted from 198 meaning units, 87 condensed meaning units, and 17 subthemes. These included gateway [the role of DPR]; nonlinearity [the nature of DPR]; distortion (quality of DPR in the context); and dysfunctional system (weakness in health system). Generally, results showed DPR to be the gateway to consultations based on non-verbal communication and doctor empathy. The study showed distorted DPR which was due to the dysfunctionality of the health care system. CONCLUSION: As indicated DPR plays an important role in medical contexts, but if distorted it leads to an unsuccessful outcome. Therefore, to promote DPR, it is necessary to reinforce its structure. Thus, the infrastructure has to be modified and developed at all levels.


2014 ◽  
Vol 41 (1) ◽  
pp. 55-58
Author(s):  
MS Islam ◽  
ST Jhora

The "doctor-patient" relationship (DPR) or the "physician-patient" relationship (PPR) has long been recognized as a complex, multifaceted, and complicated balance of engagement between the care-seeker and the care-giver. The physician-patient relationship is central to the practice of healthcare and is essential for the delivery of high-quality health care in the diagnosis and treatment of disease. The doctor-patient relationship forms one of the foundations of contemporary medical ethics. In the present moment doctor-patient relationship (DPR) or physician-patient relationship (PPR) is one of the major issues in health-care throughout the world. The most common complains about the physicians of Bangladesh is their attitude towards the patients. The patients must have confidence in the competence of doctors and should feel that they can confide in him or her. For physicians, the establishment of a good relationship with the patients is also important. In developed countries students are taught from the beginning, even before they set foot in hospitals, to maintain a professional relationship with the patients, to uphold patients' dignity, and respect their privacy. These are deficient in Bangladesh. In addition to service factors, perceived treatment cost is another factor that patients may perceive as excessive. This special article reflects the importance as well as the necessary elements to establish this sacred relationship. DOI: http://dx.doi.org/10.3329/bmj.v41i1.18786 Bangladesh Medical Journal 2012 Vol. 41 No. 1; 55-58


2012 ◽  
Vol 1 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Jerome Bickenbach

Argumentation theory has much to offer our understanding of the doctor-patient relationship as it plays out in the context of seeking and obtaining consent to treatment. In order to harness the power of argumentation theory in this regard, I argue, it is necessary to take into account insights from the legal and bioethical dimensions of informed consent, and in particular to account for features of the interaction that make it psychologically complex: that there is a fundamental asymmetry of authority, power and expertise between doctor and patient; that, given the potential for coercion, it is a challenge to preserve the interactive balance presumed by the requirement of informed consent; and finally that the necessary condition that patients be ‘competent to consent’ may undermine the requirement of respecting patient autonomy. I argue argumentation theory has the resources to deal with these challenges and expand our knowledge, and appreciation, of the informed consent interaction in health care.


2014 ◽  
Vol 8 (2) ◽  
pp. 104-108 ◽  
Author(s):  
S Prasad ◽  
C Dhingra ◽  
R Anand

ABSTRACT The doctor patient relationship is of primary importance in the overall health care delivery model. It is a unique relationship which depends on trust and confidence between the parties for the provision of care. Establishing a doctor/patient relationship may take place formally in the office setting or informally, such as by giving verbal advice in a social setting. Doctors enter into a doctor-patient relationship with a commitment to provide their patients with quality service. Patients are entitled to be treated with respect and without discrimination during all stages of the doctor patient relationship, even if the relationship faces termination. However, when circumstances affect the doctors ability to achieve this, the doctors may decide to end the doctors patient relationship.


Medical Care ◽  
1975 ◽  
Vol 13 (10) ◽  
pp. 808-820 ◽  
Author(s):  
Barbara S. Hulka ◽  
Lawrence L. Kupper ◽  
John C. Cassel ◽  
Robert A. Babineau

1994 ◽  
Vol 3 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Ryuji Ishiwata ◽  
Akio Sakai

In April 1991, a general meeting of the Japanese Medical Conference (called ev 4 years) was held in Kyoto and attracted 32,500 participants, the largest number ever. The theme of the meeting was “Medicine and Health Care in Transition,” and the program Included panel discussions on “How to Promote the Quality of Health Care” and “How Terminal Care Should Be Provided” and symposia on “Diagnosis of Brain Death and Its Problems,” “The Propriety of Organ Transplantation,” and “Brain Death and Organ Transplantation.” These titles reveal not only how medical professionals in Japan perceive the present situatior healthcare but also the Issues that most concern them.


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