scholarly journals The Relationship between the Infertility Specialist and the Patient during the COVID-19 Pandemic

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1649
Author(s):  
Diana Antonia Iordăchescu ◽  
Florinda Tinella Golu ◽  
Corina Ioana Paica ◽  
Adrian Gorbănescu ◽  
Anca Maria Panaitescu ◽  
...  

The doctor–patient relationship is fundamental in the treatment of infertility, due to the emotional implications of fertilization procedures. However, insufficient data are available specifically for this relationship. The general objective of the study is to establish the associations between the fundamental concepts that define the doctor–patient relationship: communication, empathy, trust, collaboration, compliance and satisfaction. A cross-sectional study was conducted between May and June 2020 and followed the methods of a quantitative analysis, collecting the data using questionnaires. The research plan was specific to path analysis with the mediation effect, in which the hypotheses were tested. The research group consisted of 151 women diagnosed with infertility, voluntarily recruited through online support communities. Findings demonstrate that affective empathy mediates the relationship between communication and trust in the doctor. In conclusion, this study draws attention to the importance of basic concepts in the relationship of infertility specialists with infertile patients. Thus, it is necessary for health care providers in assisted human reproduction to participate in programs for the continuous training of empathic communication skills, given the sensitivity of this diagnosis.

2017 ◽  
Vol 9 (1) ◽  
pp. 67-74
Author(s):  
Darren Gosal ◽  
Yeremias Jena

Empathy is one of the virtues that should be owned by health care providers. In the doctor– patient relationship, empathy enables health care providers to win not only the confidence of the patients, but also assisting them to accept their state of illness and disease. As to the fact that medical students have a high knowledge of empathy in line with the study periods, empathic relation is often absent in doctor–patient relationship. This study is intended to look at the relationship between the length of studies and the knowledge of empathy. This cross- sectional study applied Baron-Cohen Empathy Quotient to collect data from 98 respondents at Atma Jaya School of Medicine, Atma Jaya Catholic University of Indonesia, academic years of 2013 (third year) and 2015 (the first year). The study revealed that 49 respondents have a higher level of empathy knowledge and 49 others at the lower one. Among the higher knowledge of empathy, 73.47% (n=36) had lower knowledge of empathy compared to 26.53% (n=13) at the higher one. Among the lower knowledge of empathy, 91.84% (n=45) had lower knowledge of knowledge compared to 8.16% (n=4) at the higher one. A total of 76.47% respondents with a higher knowledge of empathy (n=17) were the third year students (academic year 2013), whereas the 23.52% are the first year students (academic year 2015). This study has proven the relation between the length studies (academic years) with the knowledge level of empathy.


2020 ◽  
Vol 20 (2) ◽  
pp. e00476-e00476
Author(s):  
Ahmad Mehri ◽  
Nasrin Jafari ◽  
Isa Akbarzadeh ◽  
Fatemeh Hadavand Siri ◽  
Nategh Abbassgholizadeh

Background: The objective of this study was to investigate the relationship between Students' nutrition literacy and the existence of health care providers in Iranian schools. Study design: A cross-sectional study. Methods: This study was conducted on 504 students in Ardebil City, northwestern Iran from Oct 2017 to Jan 2018. The FLINT questionnaire was used to assessment the food and nutrition literacy. Socio-demographic characteristics and the existence of health care providers were collected using demographic questionnaire. Results: Nearly 75% of students had not a health care provider. Most students had a low FNLIT (62% males and 58.1% females). The probability of low FNLIT was lower in students with health care providers than those without them (OR=0.46, CI 95%; 0.10, 0.91). Conclusion: One of the reasons for the low nutritional literacy of students may be due to the lack of health care providers in schools. Health educational administrators employ specialized health care providers in Iranian schools.


Author(s):  
Andelka M Phillips ◽  
Thana C de Campos ◽  
Jonathan Herring

This introductory chapter argues that the advent of personalized medicine, precision medicine, and new consumer-focused services—such as personal genomics—is changing the nature of the traditional doctor–patient relationship. If trust was the ethical value guiding the traditional doctor–patient relationship, now other considerations such as market efficiency are aggregated to the considerations of the relationship between the patient and the health-care provider. Also, if medical law traditionally focused on the regulation of the doctor–patient relationship, nowadays medical law also encompasses the regulation of institutional relationships involving health-care providers of different sorts and at various levels. Some new services also pose challenges for medical lawyers and ethicists, because they are not being offered within the traditional clinical setting and thus sit outside the traditional governance frameworks established in medical settings. The chapter then provides an overview of the general theories on the philosophical foundations of medical law.


2021 ◽  
Vol 8 (01) ◽  
pp. 16-21
Author(s):  
Hanifah Hanifah ◽  
Karina Megasari Winahyu ◽  
Muhammad Imam Muttaqin

Dietary adherence is one of the requirements in chronic disease management, which the success of hypertension management may correlate with the social support perceived by the patients. The study aimed to identify the relationship between social support and dietary adherence among patients with hypertension in Primary Health Centre, Tangerang. The study was a descriptive correlational, cross-sectional study, in which 120 respondents were recruited by using purposive sampling. Multidimensional Perceived of Social Support (MSPSS) and Dietary Adherence questionnaire was used based upon validity and reliability to measure social support and adherence. Pearson Product-Moment Correlation Coefficient was used to examine the relationship between social support and dietary adherence. The analysis result indicated that respondents who reported low support were 51 respondents (42.5%), and low dietary adherence was 53 respondents (44.2%). The analysis results showed there was a significant positive relationship between social support and dietary adherence among patients with hypertension, in which the power of correlation was moderate (r = 0.49, p < 0.05). Patients with hypertension who perceived higher social support more likely to adhere to the dietary of hypertension. The result suggests that health care providers need to facilitate support from friends, family, and significant others of the patients to achieve optimum dietary adherence.


2021 ◽  
Vol 6 (1) ◽  
pp. 32-37
Author(s):  
Kouotou Armand ◽  
Ananfack Gaël ◽  
Ngowa Marcien ◽  
Ndjitoyap Wilson ◽  
Mendouga Reine ◽  
...  

Introduction : Since the beginning of Coronavirus disease2019 (COVID-19), hospitals and health centres have become sites  of potential contamination and spread of the virus, and have had to reorganize  their working environments to limit infections of patients and health care providers while continuing to render health services for those affected by other ailments. The purpose of the study was to conduct a descriptive study to assess the practice of telemedicine among Cameroonian medical doctors through an electronic survey. Methodology: This was a cross-sectional study conducted from May to June 2020 using an online data collection form designed on Google Forms. The questions dealt with socio-demographic data, the cancellation rate of appointments, the practice of teleconsultation, the frequency of telephone use, the means of teleconsultation used and the quality of the doctor-patient relationship. Participants comprised all physicians practicing in Cameroon using information and communication technologies Results: A total of 253 participants were included, 56.5% of which were women. Physicians from the ten regions of the country were represented. Twenty percent (20.2%) of physicians practiced teleconsultation, of which 3.2% continued teleconsultations while in quarantine. Seventy-five percent (75.4%) of physicians used multiple communication modalities at the same time; the most used modality in combination with others was the WhatsApp android application. Forty-six percent (41.6%) of participants judged that the doctor-patient relationship was poor during teleconsultations. Conclusion and recommendation: The practice of telemedicine is not widespread and is poorly framed in this setting. Regulatory authorities should put in place regulations and provide training to frame and ease access to the use of telemedicine


2020 ◽  
Author(s):  
Emad Aborajooh ◽  
Mohammed Qussay Al-Sabbagh ◽  
Baraa Mafrachi ◽  
Muhammad Yassin ◽  
Rami Dwairi ◽  
...  

UNSTRUCTURED We aimed to measure levels of knowledge, awareness, and stress about COVID-19 among health care providers (HCP) in Jordan. This was a cross-sectional study on 397 HCPs that utilized an internet-based questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perception, and psychological distress. Ordinal logistic regression analysis was used to evaluate factors associated with knowledge and psychological stress. Overall, 24.4% and 21.2% of the participants showed excellent knowledge and poor knowledge, respectively. Social media (61.7%) was the most commonly used source of information. Being female (β= 0.521, 95% CI 0.049 to 0.992), physician (β=1.421, 95% CI 0.849 to 1.992), or using literature to gain knowledge (β= 1.161, 95% CI 0.657 to 1.664) were positive predictors of higher knowledge. While having higher stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) or conventional media (β= -0.884, 95% CI -1.358 to -0.409) for information were negative predictors of knowledge levels. HCPs are advised to use the literature as a source of information about the virus, its transmission, and the best practice. PPEs should be secured for HCPs to the psychological stress associated with treating COVID-19 patients.


2020 ◽  
Vol 18 (6) ◽  
pp. 658-661
Author(s):  
Mafalda Lemos Caldas ◽  
Miguel Julião ◽  
Ana João Santos ◽  
Harvey Max Chochinov

AbstractIntroductionThe Patient Dignity Question (PDQ) is a clinical tool developed with the aim of reinforcing the sense of personhood and dignity, enabling health care providers (HCPs) to see patients as people and not solely based on their illness.ObjectiveTo study the acceptability and feasibility of the Portuguese version of the PDQ (PDQ-PT) in a sample of palliative care patients cared for in primary care (PC).MethodA cross-sectional study using 20 palliative patients cared for in a PC unit. A post-PDQ satisfaction questionnaire was developed.ResultsTwenty participants were included, 75% were male; average age was 70 years old. Patients found the summary accurate, precise, and complete; all said that they would recommend the PDQ to others and want a copy of the summary placed on their family physician's medical chart. They felt the summary heightened their sense of dignity, considered it important that HCPs have access to the summary and indicated that this information could affect the way HCPs see and care for them. The PDQ-PT's took 7 min on average to answer, and 10 min to complete the summary.Significance of resultsThe PDQ-PT is well accepted and feasible to use with palliative patients in the context of PC and seems to be a promising tool to be implemented. Future trials are now warranted.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  

Abstract Background The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods In this cross-sectional study, 300 pregnant women in different trimesters (n = 100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of < 27, 27–34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results Mean (SD) total anxiety scores were 22.3 ± 9.5, 24.6 ± 9.3 and 25.4 ± 10.6 in the first, second and third trimesters of pregnancy, respectively. 9, 13 and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p = 0.045). Conclusion At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.


2016 ◽  
Vol 29 (4) ◽  
pp. 645-652 ◽  
Author(s):  
Sarah L. Aghjayan ◽  
Rachel F. Buckley ◽  
Patrizia Vannini ◽  
Dorene M. Rentz ◽  
Jonathan D. Jackson ◽  
...  

ABSTRACTBackground:Converging evidence suggests that subjective cognitive concerns (SCC) are associated with biomarker evidence of Alzheimer's disease (AD) prior to objective clinical impairment. However, the sensitivity of SCC reports in early AD may be biased by demographic factors. Here, we sought to investigate whether age, education, and sex influence the relationship between SCC and amyloid (Aβ) burden.Methods:In this cross-sectional study, we examined 252 clinically normal (CN) individuals (57.7% females) enrolled in the Harvard Aging Brain Study, ages 63–90 years (mean 73.7±6) with 6–20 years of education (mean 15.8±3). SCC was assessed as a composite score comprising three questionnaires. Cortical Aβ burden was assessed with Pittsburgh compound B positron emission tomography imaging. A series of linear regression models assessed the potential modifying role of demographic variables with respect to Aβ burden and SCC. A post-hoc mediation model was implemented to further understand the relationship between Aβ burden and SCC via their relationship with education.Results:Age (β = −0.84, p = 0.36) and sex (β = −0.55, p = 0.22) did not modify the relationship between SCC and Aβ burden. Fewer years of education was correlated with greater SCC (r = −0.12, p = 0.05), but the relationship between Aβ burden and SCC was stronger in those with more education (β = 1.16, p < 0.05). A partial mediation effect was found of Aβ burden on SCC via education (b = −0.12, 95% CI [−0.31, −0.02]).Conclusions:These findings suggest that the association between SCC and Aβ burden becomes stronger with greater educational attainment. Thus, SCC may be of particular importance in highly educated CN individuals harboring amyloid pathology.


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