General Perception of Doctor–Patient Relationship From Patients During the COVID-19 Pandemic in China: A Cross-Sectional Study

The doctor–patient relationship (DPR) is essential in the process of medical consultations and treatments. Poor DPR may lead to poor medical outcomes, medical violence against doctors, and a negative perception of the healthcare system. Little is known about how DPR is affected during this novel coronavirus disease 2019 (COVID-19) pandemic. This cross-sectional study aimed to explore the DPR during the COVID-19 pandemic. There were 1,903 participants in China (95% response rate) who were recruited during the pandemic online via convenience and snowball sampling. Several questionnaires were used to evaluate participants' attitudes toward DPR, including the Patient–Doctor Relationship Questionnaire (PDRQ-9), Chinese Wake Forest Physician Trust Scale (C-WFPTS), a survey on medical violence against doctors, factors that affect and improve DPR, and general trust in medical services. Results revealed that DPR improved, and doctor–patient trust increased compared to participants' retrospective attitude before the pandemic. In addition, patients' violence against doctors decreased during the pandemic. Better doctor–patient trust and lower violence toward doctors are related to better DPR. Furthermore, we found that the main factors that could improve DPR include communication between doctors and patients, medical technology and services, and medical knowledge for patients. This study helped to better understand DPR in China, which may contribute to future health policies and medical practices in order to improve DPR and doctor–patient trust.

Download Full-text

Assessment of the Attitude Toward Doctor-Patient Relationship Among Students of a Medical College in New Delhi: A Cross-sectional Study

Journal of Research in Medical Education & Ethics ◽

10.5958/2231-6728.2019.00004.0 ◽

2019 ◽

Vol 9 (1) ◽

pp. 13

Author(s):

P. Aravind Gandhi ◽

Thirunavukkarasu Balasubramanian ◽

Preety Doley ◽

Geeta Pardeshi

Keyword(s):

Cross Sectional Study ◽

New Delhi ◽

Patient Relationship ◽

Sectional Study ◽

Doctor Patient Relationship ◽

Cross Sectional ◽

Medical College

Download Full-text

Dynamics of doctor-patient relationship: A cross-sectional study on concordance, trust, and patient enablement

Journal of Family and Community Medicine ◽

10.4103/2230-8229.94006 ◽

2012 ◽

Vol 19 (1) ◽

pp. 12 ◽

Cited By ~ 22

Author(s):

Amitav Banerjee ◽

Debmitra Sanyal

Keyword(s):

Cross Sectional Study ◽

Patient Relationship ◽

Sectional Study ◽

Doctor Patient Relationship ◽

Cross Sectional ◽

Patient Enablement

Download Full-text

The Willingness of Malaysian Parents To Vaccinate Their Children Below 12 Years Old Against COVID-19 – A Large Cross-Sectional Study

10.21203/rs.3.rs-1138573/v1 ◽

2021 ◽

Author(s):

Diana-Leh-Ching Ng ◽

Gin-Gin Gan ◽

Chee-Shee Chai ◽

Nur Adila Bt Anuar ◽

Woweham Sindeh ◽

...

Keyword(s):

Cross Sectional Study ◽

Limited Information ◽

Snowball Sampling ◽

Sectional Study ◽

Future Health ◽

Cross Sectional ◽

Vaccination History ◽

History Of ◽

The Common ◽

Survey Responses

Abstract Background:The administration of a new drug such as the COVID-19 vaccine in children could be a major concern for their parents. This study aims to assess the willingness of Malaysian parents to vaccinate their children < 12 years old against COVID-19. Methods:An online cross-sectional study was conducted nationwide in Malaysia from 29th August 2021 to 17th October 2021. Parents with children < 12 years old were recruited by the snowball sampling method. Results:Of the 4,438 survey responses received, 3,528 (79.5%) parents were included in the analysis. Of these parents, 2,598 (73.6%) were willing, 486 (13.8%) were not willing, and 444 (12.6%) were still undecided to vaccinate their children against COVID-19. Those who were single parent [odds ratio (OR): 2.0, 95% confidence internal (CI): 1.32 – 3.04, p = 0.001], had secondary or lower education (OR: 1.5, 95% CI: 1.21 – 1.96, p < 0.001), worked as healthcare worker (OR: 1.7, 95% CI: 1.34 – 2.26, p < 0.001), had significant contact with COVID-19 (OR: 1.3, 95% CI: 1.09 – 1.63, p = 0.006), and already received COVID-19 vaccine (OR: 15.4, 95% CI: 9.76 – 24.33, p < 0.001) were significantly more willing to vaccinate their children against COVID-19. The common reasons given by parents who were willing to vaccinate their children against COVID-19 include vaccination could protect their children (99.4%), the vaccination could protect other family members (99.3%), and the vaccine was effective (98.2%). The common reasons given by parents who were not willing to vaccinate their children against COVID-19 include the uncertainty towards the new vaccine (96.1%), worry about the vaccine contents (93.2%), limited information about the vaccine from the doctors (82.3%), and believed the vaccine was unsafe (79.8%)Conclusions:Nearly three-quarters of Malaysian parents were willing to vaccinate their children < 12 years old against COVID-19. The COVID-19 vaccination history of the parents was the strongest independent predictor for their willingness to vaccinate their children. Future health education should target parents at risk of vaccine refusal or hesitation, focus to address the common reasons for refusing the COVID-19 vaccine, and highlight the benefits of the COVID-19 vaccine.

Download Full-text

What Influences Doctors’ Perceptions of The Doctor–Patient Relationship? — A National Cross-Sectional Study in China

10.21203/rs.3.rs-34404/v1 ◽

2020 ◽

Author(s):

Shiyang Liu ◽

Linlin Hu ◽

Shichao Wu ◽

Yuanli Liu

Keyword(s):

Work Experience ◽

Cross Sectional Study ◽

Chinese Government ◽

Patient Relationship ◽

Work Experiences ◽

Security Measures ◽

Sectional Study ◽

Doctor Patient Relationship ◽

Cross Sectional ◽

Medical Disputes

Abstract Background: Tense doctor–patient relationships have become a great challenge for the Chinese government due to their high incidence rate and negative social impact. This study aimed at exploring the factors influencing doctors’ perceptions of the doctor–patient relationship.Methods: We conducted a national cross-sectional study in 136 tertiary grade-A hospitals in China. A total of 19,774 doctors reported their perceptions of the doctor–patient relationship over the last two years, as well as sociodemographic factors, work experience, and hospital security measures. A logistic-regression model was used to identify factors significantly associated with doctors’ perceptions of the doctor–patient relationship.Results: Doctors’ perceptions of the doctor–patient relationship were relatively negative. Region, hospital type, gender, age, and income influenced these perceptions. With regard to doctors' work experience, those with excessive workloads, those who had experienced medical disputes, and those who did not have enough communication time with patients tended to report more-negative perceptions of the doctor–patient relationship. In terms of hospital security measures, doctors working in hospitals with effective precautions, in-place security staff, and medical-liability insurance purchased for medical staff tended to report more-positive perceptions of this relationship.Conclusion: Doctors’ work experiences and hospital security measures both played essential roles in improving doctors' perceptions of the doctor–patient relationship. On the part of doctors, improving their communication skills and providing adequate communication were beneficial to their perceived relationships with patients. On the part of hospitals, reducing doctors’ workloads, preventing medical disputes, and increasing job security and organizational support are potential ways to improve doctors' perceptions of these relationships.Practice implications：This study provided evidence and advice for Chinese government, as well as Chinese hospitals, to improve doctors’ perceptions of the doctor-patient relationship by measures of enhancing doctors’ work experiences and hospital security.

Download Full-text

Health information seeking on the internet (Dr Google) and its effect on doctor-patient relationship: a cross-sectional study from Central Karnataka

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20204379 ◽

2020 ◽

Vol 7 (10) ◽

pp. 4076

Author(s):

Rachna Shekhar ◽

Sandhya Rani Javalkar

Keyword(s):

Health Information ◽

Information Seeking ◽

Cross Sectional Study ◽

The Internet ◽

Online Health Information ◽

Health Information Seeking ◽

Patient Relationship ◽

Sectional Study ◽

Doctor Patient Relationship ◽

Cross Sectional

Background: The Internet has proven to be a powerful vehicle for the dissemination of information and the use of Internet by the patients as a source of information on health and disease is increasing rapidly. It has reformed the doctor-patient relationship by empowering patients with information. The objective was to study the trends of patient’s health information seeking behaviour on the internet and its effects on the doctor-patient relationship.Methods: A cross-sectional study was conducted amongst the 73 doctors and 110 patients attending the tertiary health care centre, Davanagere. A pre-tested and pre-validated questionnaire was used to collect data. Percentages and Proportions were used to summarize the study variables.Results: The most common search engine used was Google i.e. 92% and majority of them looked up symptoms/ disease condition 80%. 57% respondents verified doctor’s advice. 73% respondents stated that they used online health information for self-diagnosis but less than 10% of respondents took medications mentioned online. The doctors (60%) stated that the patient’s Internet use proves that the patient or his/her family are involved and take responsibility. However, 49.3% of doctors stated that they get uncomfortable when presented with online health information by the patients.Conclusions: Doctors are starting to recognize the use of the internet by patients as a source of health information. Patients consider the internet as a supplementary resource for better understanding of symptoms and diagnosis. The need of the hour is better communication between doctor and patients; and availability of reliable web-based health resources to patients for better compliance.

Download Full-text

Effect of COVID-19 on doctor-patient relationship

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20205136 ◽

2020 ◽

Vol 7 (12) ◽

pp. 4690

Author(s):

Hope O. Nwoga ◽

Miriam O. Ajuba ◽

Uche E. Ezeoke

Keyword(s):

Cross Sectional Study ◽

Patient Relationship ◽

Sectional Study ◽

Doctor Patient Relationship ◽

Cross Sectional ◽

The Social ◽

Convenience Sampling ◽

Enugu State ◽

Almost All ◽

Self Administered Questionnaire

Background: The doctor-patient relationship has been linked to patient satisfaction, treatment adherence and outcome. It remains the cornerstone of medical practice though may be affected in this era of COVID-19 pandemic. The objective of the study was to determine the effect of COVID-19 pandemic on the doctor-patient relationship.Methods: The study was a cross-sectional study conducted in a tertiary health facility in Enugu State South-East Nigeria. It involved all the doctors working in the hospital as at the time of data collection. Patients that attended the general out-patient clinic of the hospital were selected using convenience sampling. One hundred and eighty six (186) doctors and 155 patients participated in the study. A similarly structured self-administered questionnaire was used to collect data from both the doctors and the patients.Results: There was disparity in some of the studied aspect of the doctor-patient relationship as reported by the doctors and the patients. The prominent being the social distancing practice which almost all the patients (91.6%) said that it has affected their relationship with their doctors while only about half of the doctors (52.7%) agreed to this assertion. However both parties agreed that the level of physical examination have reduced to the barest minimum.Conclusions: The present COVID-19 pandemic have affected the doctor-patient relationship adversely.

Download Full-text

Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study

PeerJ ◽

10.7717/peerj.5519 ◽

2018 ◽

Vol 6 ◽

pp. e5519 ◽

Cited By ~ 1

Author(s):

Waqas Ahmad ◽

Huma Ashraf ◽

Afnan Talat ◽

Aleena Ahmad Khan ◽

Ammad Anwar Baig ◽

...

Keyword(s):

Regression Analysis ◽

Linear Regression ◽

Linear Regression Analysis ◽

Cross Sectional Study ◽

Power Sharing ◽

Patient Relationship ◽

Sectional Study ◽

Doctor Patient Relationship ◽

Cross Sectional ◽

Graduate Trainees

Introduction Burnout is defined as a prolonged state of physical and psychological exhaustion. Doctors, due to the demanding nature of their job, are susceptible to facing burnout, which has far reaching implications on their productivity and motivation. It affects the quality of care they provide to patients, thus eroding the doctor–patient relationship which embodies patient centeredness and autonomy. The study aims at addressing the stressors leading to burnout and its effect on the doctor–patient relationship. Methods A descriptive, cross-sectional study design with convenience (non-probability) sampling technique was employed in six major hospitals of Lahore, Pakistan. A total of 600 doctors were approached for the study which included house officers or “HOs” (recent graduates doing their 1 year long internship) and post-graduate trainees or “PGRs” (residents for 4–5 years in their specialties). Burnout was measured using the Copenhagen Burnout Inventor (CBI) while attitudes towards the doctor–patient relationship was measured using the Patient Practitioner Orientation Scale (PPOS), which measures two components of the relationship: power sharing and patient caring. Pearson correlation and linear regression analysis were used to analyze the data via SPSS v.21. Results A total of 515 doctors consented to take part in the study (response rate 85.83%). The final sample consisted of 487 doctors. The burnout score was not associated with the total and caring domain scores of PPOS (P > 0.05). However, it was associated with the power sharing sub-scale of PPOS. Multiple linear regression analysis yielded a significant model, by virtue of which CBI scores were positively associated with factors such as female gender, feeling of burn out, scoring high on sharing domain of PPOS and a lack of personal control while CBI scores were negatively associated with private medical college education, having a significant other, accommodation away from home and a sense of never ending competition. Burnout levels varied significantly between house officers and post graduate trainees. Twenty-three percent of the participants (mostly house officers) had high/very high burnout levels on the CBI (Kristenson’s burnout scoring). Both groups showed significant differences with respect to working hours, smoking status and income. Conclusion Although burnout showed no significant association with total and caring domain scores of PPOS (scale used to assess doctor–patient relationship), it showed a significant association with the power sharing domain of PPOS suggesting some impact on the overall delivery of patient care. Thus, it necessitates the monitoring of stressors in order to provide an atmosphere where patient autonomy can be practiced.

Download Full-text