Passive representation and the client-bureaucrat relationship : communication and demand inducement in the patient-provider relationship

The present study aims at investigating the relationship between communication practice, personality and wellbeing of doctors. A sample comprising of 80 general physicians from private hospitals of Gurgaon and Delhi was taken. Standardized Questionnaires, i.e., Internal Communication Scale (Roberts and O’Reilly, 1974), NEO Five Factor Inventory (Costa and McCrac, 1992) and PGI Wellbeing Scale (Verma and Verma, 1989) were administered to measure these variables. Results revealed positive relationship communication practice, Agreeableness, Conscientiousness, Openness and Wellbeing, Neuroticism is negatively correlated to communicate practice and wellbeing of doctors.

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A systematic review of the factors that influence the quality and effectiveness of telesupervision for health professionals

Journal of Telemedicine and Telecare ◽

10.1177/1357633x17698868 ◽

2017 ◽

Vol 24 (4) ◽

pp. 271-281 ◽

Cited By ~ 13

Author(s):

Priya Martin ◽

Lucylynn Lizarondo ◽

Saravana Kumar

Keyword(s):

Systematic Review ◽

Clinical Supervision ◽

Communication Technology ◽

Grey Literature ◽

Final Analysis ◽

Limited Information ◽

Supervisory Relationship ◽

Face To Face ◽

Set Up ◽

Relationship Communication

Introduction Whilst telesupervision (clinical supervision undertaken using communication technology) is being used more frequently, there is limited information on what factors influence its effectiveness and quality. We undertook this systematic review to address this gap. Methods Eligible telesupervision studies were identified following targeted search of electronic databases and the grey literature. Data were synthesised thematically, resulting in development of core themes. Results We identified 286 papers for initial relevancy screening by title and abstract. The full text of 36 papers were then retrieved and assessed for further relevance. A total of 11 papers were included in the final analysis. We identified eight themes that contribute to effective and high-quality telesupervision: supervisee characteristics, supervisor characteristics, supervision characteristics, supervisory relationship, communication strategies, prior face-to-face contact, environmental factors and technological considerations. Conclusion From the available evidence, telesupervision can be a feasible and acceptable form of clinical supervision if set up well. Further studies with robust designs are required to strengthen the existing evidence on what makes telesupervision effective, as well as to examine its cost-effectiveness.

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An Analysis of Complaints in Two Large Tertiary University Teaching Hospital ENT Departments: A Two-Year Retrospective Review

International Journal of Otolaryngology ◽

10.1155/2020/1484687 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Iulia Bujoreanu ◽

Ahmad Hariri ◽

Vikas Acharya ◽

Ali Taghi

Keyword(s):

Surgical Complication ◽

Waiting Times ◽

Healthcare Delivery ◽

University Teaching ◽

Teaching Hospitals ◽

Significant Shift ◽

Complication Rates ◽

Administrative Team ◽

Patient Advice ◽

Relationship Communication

Introduction. Complaints relating to patient care are known to correlate with surgical complication rates and malpractice lawsuits. In a continually evolving health service and on-going financial pressures, identifying current complaint themes could drive future improvements in healthcare delivery. Objective. The aim of this paper is to review and analyse complaints received by the ENT department of two large teaching hospitals in London in order to determine current trends and mitigate future challenges. Method. All complaints registered with the Patient Advice and Liaison Service (PALS) from the ENT Department at our institution were collected between June 2016 and August 2018. Demographic information was collated and complaints were analysed and interpreted as per a standardised coding taxonomy. Results. A total of 242 complaints were collected. Most (91.7%) were logged by patients themselves with a mean age of 48.3 (range 3–98 years). The majority were directed at the administrative team (52%) followed by management (23.5%) and then clinicians (16.9%). Administrative issues were the most common (50.1%) followed by clinical (25.1%) and relationship/communication (24.7%). The bulk of complaints focused on delays in access to services and treatment in the form of cancellations and long appointment waiting times (37%). Conclusion. There has been a significant shift in complaints themes from clinical issues to administrative issues. This may reflect increasing financial and staffing pressures in the NHS. Complaints analysis is key in quality improvement and a cross-specialty integrated filing system in concordance with the recently proposed taxonomy would ease future collection and analysis of data.

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