Untangling the Web—The impact of Internet use on health care and the physician–patient relationship

2007 ◽  
Vol 68 (3) ◽  
pp. 218-224 ◽  
Author(s):  
Hedy S. Wald ◽  
Catherine E. Dube ◽  
David C. Anthony
Keyword(s):  
Health Care ◽  
Internet Use ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Physician Patient ◽  
The Impact ◽  
The Web

scholarly journals Physician-Patient Relationship: The Present Situation and Our Responsibilities

2014 ◽  
Vol 41 (1) ◽  
pp. 55-58
Author(s):  
MS Islam ◽  
ST Jhora
Keyword(s):  
Health Care ◽  
Developed Countries ◽  
Present Moment ◽  
Patient Relationship ◽  
Professional Relationship ◽  
Physician Patient Relationship ◽  
Doctor Patient Relationship ◽  
Quality Health Care ◽  
Quality Health ◽  
Physician Patient

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

scholarly journals What Role Does Patient Gratitude Play in the Relationship Between Relationship Quality and Patient Loyalty?

2019 ◽  
Vol 56 ◽  
pp. 004695801986832
Author(s):  
Chih-Hsuan Huang ◽  
Hsin-Hung Wu ◽  
Yii-Ching Lee ◽  
Li Li
Keyword(s):  
Health Care ◽  
Relationship Quality ◽  
Medical Service ◽  
Health Care Organizations ◽  
Service Industry ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Patient Loyalty ◽  
Physician Patient

The environment in health care organizations is becoming increasingly competitive. Therefore, to improve patient return rates, health care organizations need to examine how to enhance the physician-patient relationship. In particular, the role of patient gratitude on the physician-patient relationship in health care organizations is still ambiguous. The specific role of patient gratitude in the medical service industry needs to be identified. Therefore, this study aimed to investigate physician-patient interactions with reference to relationship marketing and to further understand the relationships among relationship quality, patient gratitude, and patient loyalty. The potential effects of patient gratitude on the physician-patient relationship were examined by testing mediation effect. The results demonstrated that patient gratitude had a notable effect on the association between relationship quality and patient loyalty. To improve the physician-patient relationship in the medical service industry, health care managements should not ignore the 3 relationship quality tactics perceived by patients, specially the role of the potential effect of patient gratitude on relational building.

The Physician–Patient Relationship and Medical Ethics in Japan

1994 ◽  
Vol 3 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Ryuji Ishiwata ◽  
Akio Sakai
Keyword(s):  
Health Care ◽  
Brain Death ◽  
Organ Transplantation ◽  
Terminal Care ◽  
General Meeting ◽  
Medical Professionals ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Physician Patient

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.

The physician's disease: The impact of medical knowledge on personal illness

2007 ◽  
Vol 5 (1) ◽  
pp. 71-76 ◽  
Author(s):  
JEFFREY P. TUTTLE
Keyword(s):  
Treatment Plan ◽  
Medical Knowledge ◽  
Sick Role ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Consultation Room ◽  
Patients Experience ◽  
Physician Patient ◽  
The Impact

Objective: When physicians confront a personal illness of a serious nature, they may discover that the transition to the sick role is challenging, and the inability to relinquish their stethoscope may cause undo anxiety. The physician–patient relationship is intrinsically asymmetrical, and the role of the physician is to regulate the amount of information patients need in order to become educated about their illness and to make informed decisions about their treatment plan. This article explores the challenges in the physician–patient relationship when the patient is also a physician.Methods: This article is a literature review of publications involving the unique challenges physician–patients experience when suffering from serious personal illness.Results: The medical knowledge physician–patients harbor has the potential to complicate their ability to cope with difficult or terminal diagnoses. Paradoxically, knowledge about a condition may fuel anxiety instead of alleviating the fear associated with the unknown. Medical knowledge therefore may entail a certain loss of innocence, and physicians are often unable to revert to being “mere” patients. Furthermore, managing this anxiety in physician–patients may prove to be challenging to the treating physician.Significance of results: From a medical perspective, physician–patients need to be addressed like any other patient. Psychologically, however, these patients are unique, and the specific challenges their education and experience bring into the consultation room needs to be explicitly addressed.

scholarly journals Measuring Patient Satisfaction in an Outpatient Psychiatric Clinic. What Factors Play a Role?

2020 ◽  
Author(s):  
Magdalena Romanowicz ◽  
Tyler Oesterle ◽  
Paul E. Croarkin ◽  
Bruce Sutor
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Short Form ◽  
Skills Training ◽  
Reactivity Index ◽  
Outcome Variable ◽  
Psychiatric Clinic ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Physician Patient

Abstract IntroductionPatient satisfaction is defined as the perception that one’s general health care needs are being met. Prior research suggests that positive patient satisfaction with health care facilitates the physician-patient relationship and enhances the quality of life. Unfortunately, little is known about what factors play a role in influencing patient satisfaction. Objective The primary purpose of this study was to assess patient satisfaction (as measured by the PSQ-18 Patient Satisfaction Questionnaire) of patients seen by general psychiatry residents and to examine what factors might impact patient satisfaction. A secondary purpose was to explore the effects of (three one hour sessions) mentalization skills training on the physician-patient relationship and patient satisfaction. We hypothesized that depressive and anxiety symptoms would negatively impact patient satisfaction. We hypothesized that patients’ satisfaction scores would improve if care was provided by residents who completed mentalization training.MethodsThis was a prospective case-control study, enrolling adult patients (n = 157) referred for psychiatric assessment in a psychiatric resident outpatient clinic. The Short Form PSQ-18 for patients was the primary outcome variable and was compared to Patient Health Questionaire (PHQ-9) and anxiety Generalized Anxiety Disorder 7-Item scale (GAD-7) questionnaires. Outcome data from the PSQ-18 was compared among residents who either had or had not completed mentalization training. The data were analyzed with univariate analyses and to test multiple linear regression. ResultsOverall the patients were satisfied with clinician communication and interpersonal manner (PSQ-18 average scores of 4.21 +/- 0.66 and 4.15+/-0.69 respectively). The patients score on PHQ-9 was inversely related to their scores on time spent (TS) [p = 0.01] and accessibility/convenience (AC) [0.0009] subscale of patient satisfaction. GAD-7 score was inversely related to patients scores on AC subscale (p = 0.01). In regards to mentalization training, there was no difference in IRI (Interpersonal Reactivity Index) scores between the groups aside from Perspective taking (PT) subscale ( p = 0.029). Conclusions Our study reveals that depression and anxiety can negatively impact PSQ-18 patient scoring in psychiatric outpatients seen for the first time in a resident clinic. However, this study failed to show that a brief mentalization- based training could improve patient satisfaction scores that were already quite high at baseline.

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