A conceptual model of physician-patient relationships: a qualitative study
In the research that I do on doctor–patient relationships, quality of care, clinical outcomes and integrated health services research, I have witnessed magical. Keywords: Benefits, communication, doctor-patient relationship, review, the patient's health and medical care.2 Studies on doctor-patient communication have. It appears that improving the doctor-patient relationship can trials—the gold standard of research—and found that training health care.
Patients are in a vulnerable position, with the balance of power often tipped in favor of the healthcare provider.
- A conceptual model of physician-patient relationships: a qualitative study
- The Importance of Healthy Doctor-Patient Relationships
- Doctor–patient relationship
This is why open two-way communication, trust, and mutual respect are so essential in doctor-patient relationships. What Makes a Good Doctor?
Most of us have probably had a negative experience with a healthcare provider at some point in time: What are the qualities that make a good doctor? Certainly, experience and credentials matter. Trust is the foundation of any relationship, and doctor-patient relationships are no exception. Research has uncovered some of the specific doctor behaviors that are most associated with patient trust—among them, caring, competence, and attentiveness.
Open, two-way communication Communication begins from the moment you first meet your doctor. Does she greet you warmly? Does he listen attentively as you describe your symptoms and concerns?
Does she interrupt you, talk over you, or seem to dismiss your worries? Your doctor should take your complete history, ask you plenty of questions, and encourage you to talk openly and honestly about your situation.
He should take his time, listening attentively to your concerns. In this context, a basic element and a prerequisite to respecting human dignity is viewing every human being as a creation of God.
The Importance of Healthy Doctor-Patient Relationships
This means that it is your intent that shapes the relationship]. These components will form the three relational elements of trust, peace and hope, and being acknowledged.
The present study tried to propose a model for therapeutic relationship based on the experiences of the research participants. In order to determine the effect of this model in the current situation of medical practice, we can evaluate it at three levels. Mutual trust, peace, and being acknowledged as the results of this relationship are equally important for both patients and physicians.
Third, the healing relationship affects both parties patients and physicians. A number of physicians who participated in this study had experienced working in difficult situations such as the battlefield or severely deprived areas and they were satisfied with memorizing them.
This indicates that such an enriched experience and relationship left its positive impact on their life and work. It could be proposed that the solution to some health system problems could be found in redefining the physician-patient healing relationship. Conclusion It can be concluded that the structure of the physician-patient healing relationships is comprehensible and may lead to valuable patient-centered outcomes.
Moreover, this discernible and understandable structure has important impacts on treatment. Furthermore, this conceptual model can be generalized to other therapeutic relations in the health system.
Doctor-patient relationship improves your health - Harvard Health
Evidently, this study had some limitations. First, the participants were chosen selectively and are not considered significant indicators of the population of physicians. Nevertheless, it can be explained that the intention of this study was to provide a preferred model of doctor-patient communication, and for this purpose, it was necessary to choose a targeted selection of participants.
Accordingly, the proposed model of the study does not explain the current situation, but if experimental studies confirm its effectiveness, it could be a standard to achieve.
Acknowledgments We acknowledge all physicians who participate in this study. Ethical considerations In respect to ethical considerations and research ethics, the names of all physicians in this study are confidential and verbal consent was obtained before scheduling the interviews.
The seventh element of quality: An Introductory Philosophy of Medicine: Physicians consideration and compassionate.
Four models of the physician- patient relationship. A cross-sectional study design was used. Both quantitative and qualitative methods were employed. A pilot study was carried out, before the main study, to ascertain the number of patients who could be interviewed properly in a day.
Based on the findings of the pilot study the final sample size and methods of sampling were decided. For example, it was found that in a day, five patients could be interviewed properly, so given the 40 days for data collection, a sample size of subjects was planned. During the data collection period of 40 consecutive working days, five consecutive patients were approached daily in the waiting room of the Outpatient Department OPD of the medical college hospital.
They were explained the purpose of the study and then invited to give a written informed consent to participate in the study. The respondents were interviewed using the survey instruments immediately after their consultation with the doctor. Quantitative methods Three dimensions of the doctor—patient relationship were examined, that is, physician—patient concordance agreementtrust, and patient enablement.
Measurement techniques for these aspects are given below. Study instruments Part I of the survey instrument elicited health, demographic, and sociocultural information. Part II of the survey instrument assessed various aspects of the doctor—patient relationship, such as: The agreement between doctor and patient was assessed with the following questions: Results for all the six questions were then summed to give a cumulative score between 0 and 6, with higher scores indicating greater concordance.
In the present study those scoring 5 and 6 were taken as having complete agreement or concordance and the rest as partial concordance. Trust in physician Trust in the doctor was measured by the Trust in Physician Scale,[ 12 ] which yielded a score ranging from lowest to highest on the Likert Scale, with the higher scores indicating more trust. In the present study, the highest two possible values were taken as complete trust in the physician and the rest of the scores were categorized as partial trust.
Patient enablement This was measured by using the Enablement Index. This index, validated in primary care against patient satisfaction, asked whether the patients were more or less able to cope with life, understood and coped with their illness, and helped themselves as a result of the consultation with the physician.
The responses were scored from 1 to 4, with higher scores meaning more enablement. Here also, the highest two possible scores were taken as complete enablement, and the rest as partial enablement. Qualitative methods The following qualitative methods were used: Participant observation Besides interviewing the patients, the patients were also observed unobtrusively, while they interacted among themselves in the waiting rooms of the Outpatient Departments, or while standing in queue for registration.
Some were also observed during consultation with the doctor. Focus group discussion Twelve senior physicians, with at least 20 years experience in clinical practice, were approached to take part in a session of focus group discussion. Out of these, 10 physicians agreed to participate in the focus group discussion on doctor—patient relationship.iPad Brings New Wave in Doctor, Patient Communication
The senior investigator acted as a moderator during this focus group discussion and the second investigator took notes regarding the main themes that emerged during the discussion.
Demographic profile A total of outdoor patients were surveyed. The mean age of the respondents was Out of the participants in the study, The majority of Physician patient concordance Out of the total respondents,