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Journal articles on the topic 'Physician and patient'

Author: Grafiati

Published: 4 June 2021

Last updated: 31 July 2024

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1

Manning, Blaine T., Daniel D. Bohl, Charles P. Hannon, Michael L. Redondo, David R. Christian, Brian Forsythe, Shane J. Nho, and Bernard R. Bach. "Patient Perspectives of Midlevel Providers in Orthopaedic Sports Medicine." Orthopaedic Journal of Sports Medicine 6, no. 4 (April 1, 2018): 232596711876687. http://dx.doi.org/10.1177/2325967118766873.

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Background: Midlevel providers (eg, nurse practitioners and physician assistants) have been integrated into orthopaedic systems of care in response to the increasing demand for musculoskeletal care. Few studies have examined patient perspectives toward midlevel providers in orthopaedic sports medicine. Purpose: To identify perspectives of orthopaedic sports medicine patients regarding midlevel providers, including optimal scope of practice, reimbursement equity with physicians, and importance of the physician’s midlevel provider to patients when initially selecting a physician. Study Design: C

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Eberts, Margaret, and Daniel Capurro. "Patient and Physician Perceptions of the Impact of Electronic Health Records on the Patient–Physician Relationship." Applied Clinical Informatics 10, no. 04 (August 2019): 729–34. http://dx.doi.org/10.1055/s-0039-1696667.

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Abstract Objectives Limited studies have been performed in South America to assess patient and physician perceptions of electronic health record (EHR) usage. We aim to study the perceptions of patients and physicians regarding the impact of EHRs on the patient–physician relationship. Methods We use a survey instrument to assess the physician computer experience and opinions regarding EHR impact on various aspects of patient care. An additional survey is used to assess patient opinions related to their medical visit. Surveys are administered in two outpatient clinics in a private, academic heal

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Hsu, Yuan-Teng, Ya-Ling Chiu, Jying-Nan Wang, and Hung-Chun Liu. "Impacts of physician promotion on the online healthcare community: Using a difference-in-difference approach." DIGITAL HEALTH 8 (January 2022): 205520762211063. http://dx.doi.org/10.1177/20552076221106319.

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In this study, we use a difference-in-difference approach to explore how physician promotion, the advancement of a physician's offline reputation, affects patient behavior toward physicians in online healthcare communities; this allows us to explore how patients interpret the signals created by physician promotion. The study sample was collected from over 140,000 physician online profiles after 25 months of continuous observation, with 280 physicians who were promoted at month 13 as the treatment group and a control group obtained by propensity score matching. Our results show that a physician

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Wyszkowska, Zofia, Katarzyna Białczyk, and Tomasz Michalski. "Komunikacja pomiędzy lekarzem i pacjentem u chorych na nowotwory." Nierówności społeczne a wzrost gospodarczy 65, no. 1 (2021): 156–68. http://dx.doi.org/10.15584/nsawg.2021.1.9.

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The main goal of the study was to assess the doctor’s communication with the patient. The detailed goals concerned the assessment of satisfaction with the way the physician communicates with the patient, the assessment of the communication methods used, the duration of the visit to a physician’s office, understanding of the information provided to patients, the physician’s personal culture, and the subjectivity of the patient. A questionnaire developed specifically for the study objectives was used. The analysis used data from 238 questionnaires completed correctly by cancer patients treated i

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Viswanath Bandi and Rao O R S. "Role of Physician’s Personality on their Drug Prescription Behavior." International Journal of Research in Pharmaceutical Sciences 11, no. 4 (December 19, 2020): 6954–61. http://dx.doi.org/10.26452/ijrps.v11i4.3700.

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Physicians Prescription behavior is the results of 4P's namely Product, Physicians, Promotion, and Patient's expectation. In today's world of evidence-based medicine with ever-growing demand in patient expectations, physician- Patient-centric managing a pathological condition is gaining acceptance from the normal disease management approach. Like all citizenry is Unique; similarly, physicians also possess a singular personality that responds differently even to an equivalent stimulus. Aiming for better patient care and Patient expectations, research work across the world has been administered

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Williams, Carol A., and Monette T. Gossett. "Nursing Communication: Advocacy for the Patient or Physician?" Clinical Nursing Research 10, no. 3 (August 1, 2001): 332–40. http://dx.doi.org/10.1177/c10n3r8.

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Communication among nurses, patients, and physicians is a key component of effective health care. In addition to communication with patients, nurses directly or indirectly influence physician-patient communications. This secondary analysis examined registered nurses' interactions with a simulated patient regarding what the physician had told the patient about the reason for hospitalization. Taped interviews (N = 86) were transcribed and content analyzed to classify nurses' approaches to assessment and intervention. The second researcher coded 10% of the transcripts to ensure satisfactory inter

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SHAPIRO, ROBYN S., KRISTEN A. TYM, DAN EASTWOOD, ARTHUR R. DERSE, and JOHN P. KLEIN. "Managed Care, Doctors, and Patients: Focusing on Relationships, Not Rights." Cambridge Quarterly of Healthcare Ethics 12, no. 3 (July 2003): 300–307. http://dx.doi.org/10.1017/s0963180103123134.

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For over a decade, managed care has profoundly altered how healthcare is delivered in the United States. There have been concerns that the patient-physician relationship may be undermined by various aspects of managed care, such as restrictions on physician choice, productivity requirements that limit the time physicians may spend with patients, and the use of compensation formulas that reward physicians for healthcare dollars not spent. We have previously published data on the effects of managed care on the physician-patient relationship from the physician's perspective. In 1999, we collected

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Ferreyro, Bruno L., Michael O. Harhay, and Michael E. Detsky. "Factors associated with physicians’ predictions of six-month mortality in critically ill patients." Journal of the Intensive Care Society 21, no. 3 (July 3, 2019): 202–9. http://dx.doi.org/10.1177/1751143719859761.

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Background Physician's estimates of a patient's prognosis are an important component in shared decision-making. However, the variables influencing physician's judgments are not well understood. We aimed to determine which physician and patient factors are associated with physicians' predictions of critically ill patients' six-month mortality and the accuracy and confidence of these predictions. Methods Prospective cohort study evaluating physicians' predictions of six-month mortality. Using univariate and multivariable generalized estimating equations, we assessed the association between basel

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Dalia, Samir, and Fred J. Schiffman. "Who's My Doctor? First-Year Residents and Patient Care: Hospitalized Patients' Perception of Their “Main Physician”." Journal of Graduate Medical Education 2, no. 2 (June 1, 2010): 201–5. http://dx.doi.org/10.4300/jgme-d-09-00082.1.

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Abstract Background Studies have shown that a large portion of patient satisfaction is related to physician care, especially when the patient can identify the role of the physician on the team. Because patients encounter multiple physicians in teaching hospitals, it is often difficult to determine who the patient feels is his or her main caregiver. Surveys evaluating resident physicians would help to improve patient satisfaction but are not currently implemented at most medical institutions. Intervention We created a survey to judge patient satisfaction and to determine who patients believe is

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He, Qijun, Yungeng Li, Zhiyao Wu, and Jingjing Su. "Explicating the Cognitive Process of a Physician’s Trust in Patients: A Moderated Mediation Model." International Journal of Environmental Research and Public Health 19, no. 21 (November 4, 2022): 14446. http://dx.doi.org/10.3390/ijerph192114446.

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Trust is considered a critical factor in the physician–patient relationship. However, little is known about the development and impact of physicians trusting their patients. A model that is premised on the integrated model of organizational trust was proposed in this article to reveal the cognitive processes involved in physicians’ trust, with perceived integrity and the ability of the patient as antecedents and the physicians’ communication efficacy as the outcome. A cross-sectional survey of 348 physicians in Zhejiang province, China, revealed that a physician’s trust in a patient mediated t

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Prager, Elena, Vilsa E. Curto, Alexa Magyari, Marema Gaye, and Anna D. Sinaiko. "Tiered Physician Network Plans and Patient Choices of Specialist Physicians." JAMA Network Open 6, no. 11 (November 9, 2023): e2341836. http://dx.doi.org/10.1001/jamanetworkopen.2023.41836.

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ImportanceTiered physician network (TPN) health plans sort physicians into tiers based on their cost and quality, and patients pay lower copays for visits with physicians in the lower-cost and better-quality tiers. When the plans are first introduced, they lead patients to seek care from higher-value physicians.ObjectivesTo examine whether TPNs are associated with patient choice of physician when the plans have been in place for 8 to 12 years and whether there are inequities in patient out-of-pocket costs associated with inequities in access to physicians in lower-copay tiers.Design, Setting,

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Greenblum, Jake, and Ryan K. Hubbard. "Responding to religious patients: why physicians have no business doing theology." Journal of Medical Ethics 45, no. 11 (June 20, 2019): 705–10. http://dx.doi.org/10.1136/medethics-2019-105452.

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A survey of the recent literature suggests that physicians should engage religious patients on religious grounds when the patient cites religious considerations for a medical decision. We offer two arguments that physicians ought to avoid engaging patients in this manner. The first is the Public Reason Argument. We explain why physicians are relevantly akin to public officials. This suggests that it is not the physician’s proper role to engage in religious deliberation. This is because the public character of a physician’s role binds him/her to public reason, which precludes the use of religio

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Abdulkader, Rizwan Suliankatchi, Deneshkumar Venugopal, Kathiresan Jeyashree, Zainab Al Zayer, K. Senthamarai Kannan, and R. Jebitha. "The Intricate Relationship Between Client Perceptions of Physician Empathy and Physician Self-Assessment: Lessons for Reforming Clinical Practice." Journal of Patient Experience 9 (January 2022): 237437352210775. http://dx.doi.org/10.1177/23743735221077537.

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Objectives: Clinical empathy is an important predictor of patient outcomes. Several factors affect physician’s empathy and client perceptions. We aimed to assess the association between physician and client perception of clinical empathy, accounting for client, physician, and health system factors. Methods: We conducted a hospital-based cross-sectional study in 3 departments (family medicine, internal medicine, and surgery) of King Saud Medical City in Riyadh, Saudi Arabia. We interviewed 30 physicians and 390 clients from 3 departments. Physicians completed the Jefferson Scale of Empathy (JSE

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Ma, Xiaojing, Chanhyun Park, Hsien-Chang Lin, Sweta Andrews, and Jongwha Chang. "Factors associated with physician prescribing behavior of dipeptidyl peptidase-4 inhibitors for type 2 diabetes in the US outpatient population." Journal of Hospital Administration 6, no. 2 (March 7, 2017): 59. http://dx.doi.org/10.5430/jha.v6n2p59.

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Objective: Although the use of dipeptidyl peptidase-4 (DPP-4) inhibitors has been increasing after their first approval in 2006, little is known about their prescribing pattern. Therefore, the objective of this study is to evaluate the prescribing pattern of the DPP-4 inhibitors for the treatment of type 2 diabetes mellitus (T2DM) and examine sociological factors associated with physician prescribing behavior in the U.S. outpatient setting.Methods: This cross-sectional study was conducted utilizing data from the 2006-2010 National Ambulatory Medical Care Survey (NAMCS) and employed the Eisenbe

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Lee, Stephanie J., Anthony L. Back, Susan D. Block, and Susan K. Stewart. "Enhancing Physician-Patient Communication." Hematology 2002, no. 1 (January 1, 2002): 464–83. http://dx.doi.org/10.1182/asheducation-2002.1.464.

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Abstract Physician-patient communication encompasses the verbal and nonverbal interactions that form the basis for the doctor-patient relationship. A growing body of research and guidelines development acknowledges that physicians do not have to be born with excellent communication skills, but rather can learn them as they practice the other aspects of medicine. Improvement in physician-patient communication can result in better patient care and help patients adapt to illness and treatment. In addition, knowledge of communication strategies may decrease stress on physicians because delivering

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Patel, Rikinkumar, Ramya Bachu, Archana Adikey, Meryem Malik, and Mansi Shah. "Factors Related to Physician Burnout and Its Consequences: A Review." Behavioral Sciences 8, no. 11 (October 25, 2018): 98. http://dx.doi.org/10.3390/bs8110098.

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Physician burnout is a universal dilemma that is seen in healthcare professionals, particularly physicians, and is characterized by emotional exhaustion, depersonalization, and a feeling of low personal accomplishment. In this review, we discuss the contributing factors leading to physician burnout and its consequences for the physician’s health, patient outcomes, and the healthcare system. Physicians face daily challenges in providing care to their patients, and burnout may be from increased stress levels in overworked physicians. Additionally, the healthcare system mandates physicians to kee

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Adamson, Matthew, Kelsey Choi, Stephen Notaro, and Crina Cotoc. "The Doctor–Patient Relationship and Information-Seeking Behavior." Journal of Palliative Care 33, no. 2 (March 7, 2018): 79–87. http://dx.doi.org/10.1177/0825859718759881.

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Background: In cancer communication, patients and physicians often understand a patient’s experience and situation differently. This can negatively impact health outcomes and the physician–patient relationship. Aim: To explore how cancer patients’ interpretations of the physician’s role as information giver affect the communication relationship with the physician and their information-seeking behavior regarding different aspects of their cancer care. Design: Participants completed a semistructured qualitative interview addressing their treatment experience and communication with their physicia

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Siminoff, L. A., J. H. Fetting, and M. D. Abeloff. "Doctor-patient communication about breast cancer adjuvant therapy." Journal of Clinical Oncology 7, no. 9 (September 1989): 1192–200. http://dx.doi.org/10.1200/jco.1989.7.9.1192.

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Candidates for breast cancer adjuvant therapy must not only grapple with the concept of micrometastatic disease, but often must consider the benefits and risks of clinical trials and alternatives. We studied 100 consecutive patient-physician encounters about adjuvant therapy to determine how well we informed patients about benefits and risks and how clearly we recommended treatment. Evaluation included observation and audiorecording of encounters, patient- and physician-completed questionnaires, and patient interviews. Patient-physician agreement on the benefits and risks of adjuvant therapy w

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Fu, Yanhong, David Schwebel, and Guoqing Hu. "Physicians’ Workloads in China: 1998–2016." International Journal of Environmental Research and Public Health 15, no. 8 (August 3, 2018): 1649. http://dx.doi.org/10.3390/ijerph15081649.

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Background: Physicians play a primary role in patients’ health. Heavy workloads can threaten the health of physicians and their patients. This study examined workload changes among physicians in Chinese health institutions from 1998–2016. Methods: This study examined data from the online China Statistical Yearbook of 1999–2017, which is released annually by the National Bureau of Statistics of the People’s Republic of China. Three relevant and available indicators were retrieved: (1) number of physicians, (2) number of patient visits and (3) number of inpatient admissions. Patient visits per p

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Mandell, Harvey N. "Physician-Patient, Physician-Patient's Physician." Postgraduate Medicine 82, no. 6 (November 1987): 40–44. http://dx.doi.org/10.1080/00325481.1987.11700025.

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Talen, Mary R., Jeffrey Rosenblatt, Christina Durchholtz, and Geraldine Malana. "Turning the tables: Using resident physicians’ experiences as patients for leveraging patient-centered care." International Journal of Psychiatry in Medicine 53, no. 5-6 (September 25, 2018): 405–14. http://dx.doi.org/10.1177/0091217418802163.

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Training physicians to become person-centered is a primary goal of behavioral health curriculum. We have curriculum on doctor–patient communication skills and patient narratives to help physicians relate to the patient’s experiences. However, there is nothing more effective than actually being the patient that gives providers an “aha” experience of the patient’s perspective. In this article, we will share personal resident physician-patient stories based on their experiences within acute urgent care, chronic disease management, and routine well health care. In each narrative, the physician-pat

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Ogura, Hiromu, Ryoko Nakagawa, Miwako Ishido, Yoko Yoshinaga, Jun Watanabe, Kanako Kurihara, Yuka Hayashi, et al. "Evaluation of Motor Complications in Parkinson’s Disease: Understanding the Perception Gap between Patients and Physicians." Parkinson's Disease 2021 (December 22, 2021): 1–8. http://dx.doi.org/10.1155/2021/1599477.

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Background. Patients with Parkinson’s disease (PD) receiving levodopa treatment often report motor complications including wearing-off (WO), dyskinesia, and morning akinesia. As motor complications are associated with a decrease in patients’ quality of life (QoL), it is important to identify their occurrence and commence immediate management. This study investigated whether differences in the perception of motor complications exist between patients and their physicians in routine clinical practice. Methods. After an Internet-based screening survey, questionnaires were distributed to physicians

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Hagihara, Akihito, and Kimio Tarumi. "Patient and Physician Perceptions of the Physician's Explanation and Patient Responses to Physicians." Journal of Health Psychology 14, no. 3 (April 2009): 414–24. http://dx.doi.org/10.1177/1359105309102194.

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Mann, Joshua R., Scott McKay, Damon Daniels, C. Scott Lamar, Patricia W. Witherspoon, Michele K. Stanek, and Walter L. Larimore. "Physician Offered Prayer and Patient Satisfaction." International Journal of Psychiatry in Medicine 35, no. 2 (June 2005): 161–70. http://dx.doi.org/10.2190/2b0q-2gw0-80l9-n3tk.

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Objective: While there is ongoing debate about the role of physician-offered prayer during the physician-patient encounter, many physicians feel inclined to include prayer in their practices. This randomized-controlled trial evaluated patients' acceptance of physician-offered prayer in a family practice setting, and the impact of physician-offered prayer on patient satisfaction with the physician-patient encounter. Method: Subjects were 137 patients in an urban, largely African American, Southeastern family medicine practice who were randomized to receive usual care plus an offer of physician-

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Hamel, Lauren M., Robert Moulder, Louis Penner, Terrance Lynn Albrecht, Steven Boker, David W. Dougherty, and Susan Eggly. "Nonconscious nonverbal synchrony and patient and physician affect and rapport in cancer treatment discussions with black and white patients." Journal of Clinical Oncology 38, no. 29_suppl (October 10, 2020): 121. http://dx.doi.org/10.1200/jco.2020.38.29_suppl.121.

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121 Background: Clinical communication is poorer with Black patients than with White patients, but most studies are limited to verbal communication. Nonverbal synchrony, the nonconscious coordination of movement between individuals, has been shown to reflect relationship quality. We investigated nonverbal synchrony’s association with patient and physician affect and rapport in cancer treatment discussions, and if those associations differed by patient race. Methods: We used motion detection software to measure overall synchrony and synchrony based on who is leading in the interaction (similar

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Hamel, Lauren M., Robert Moulder, Louis Penner, Terrance Lynn Albrecht, Steven Boker, David W. Dougherty, and Susan Eggly. "Nonconscious nonverbal synchrony and patient and physician affect and rapport in cancer treatment discussions with black and white patients." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): 12116. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.12116.

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12116 Background: Clinical communication is poorer with Black patients than with White patients, but most studies are limited to verbal communication. Nonverbal synchrony, the subtle, nonconscious coordination of movement between individuals, has been shown to reflect relationship quality. We investigated nonverbal synchrony’s association with patient and physician affect and rapport in cancer treatment discussions, and if those associations differed by patient race. Methods: We used motion detection software to measure overall synchrony and synchrony based on who is leading in the interaction

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Matsuoka, Katsuyoshi, Hirono Ishikawa, Takeo Nakayama, Yusuke Honzawa, Atsuo Maemoto, Fumihito Hirai, Fumiaki Ueno, Noriko Sato, Yutaka Susuta, and Toshifumi Hibi. "Physician–patient communication affects patient satisfaction in treatment decision-making: a structural equation modelling analysis of a web-based survey in patients with ulcerative colitis." Journal of Gastroenterology 56, no. 9 (July 27, 2021): 843–55. http://dx.doi.org/10.1007/s00535-021-01811-1.

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Abstract Background The relationship of bidirectional sharing of information between physicians and patients to patient satisfaction with treatment decision-making for ulcerative colitis (UC) has not been examined. Here, we conducted a web-based survey to evaluate this relationship. Methods Patients aged ≥ 20 years with UC were recruited from the IBD Patient Panel and Japanese IBD Patient Association. Patients completed our web-based survey between 11 May and 1 June 2020. The main outcomes were patient satisfaction (assessed by the Decision Regret Scale) and patient trust in physicians (assess

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Bruera, Eduardo, Catherine Sweeney, Kathryn Calder, Lynn Palmer, and Suzanne Benisch-Tolley. "Patient Preferences Versus Physician Perceptions of Treatment Decisions in Cancer Care." Journal of Clinical Oncology 19, no. 11 (June 1, 2001): 2883–85. http://dx.doi.org/10.1200/jco.2001.19.11.2883.

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PURPOSE: To examine patient preferences as well as physician perceptions of these preferences for decision making and communication in palliative care. PATIENTS AND METHODS: Medical decision-making preferences (DMPs) were prospectively studied in 78 assessable cancer patients after initial assessment at a palliative care outpatient clinic. DMPs were assessed with a questionnaire using five possible choices ranging from 1 (patient prefers to make the treatment decision) to 5 (patient prefers the physician to make the decision). In addition, the physician’s perception of this preference was asse

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DiMatteo, M. Robin, Carolyn B. Murray, and Summer L. Williams. "Gender Disparities in Physician-Patient Communication Among African American Patients in Primary Care." Journal of Black Psychology 35, no. 2 (February 9, 2009): 204–27. http://dx.doi.org/10.1177/0095798409333599.

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This study investigates the role of gender in physician-patient communication among African American patients in primary care. Patients (N = 137) aged 33 to 67 were nested within 79 southern California primary care physicians' practices. In 48 interactions (35%), the physician was female and/or a member of a minority group. The study directly assessed gender differences through audiotaped physician-patient interactions as well as by measuring patients' and physicians' perceptions of their visit. This study employed a multi-informant design, in which independent raters assessed both physician a

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Hersh, Eitan D., and Matthew N. Goldenberg. "Democratic and Republican physicians provide different care on politicized health issues." Proceedings of the National Academy of Sciences 113, no. 42 (October 3, 2016): 11811–16. http://dx.doi.org/10.1073/pnas.1606609113.

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Physicians frequently interact with patients about politically salient health issues, such as drug use, firearm safety, and sexual behavior. We investigate whether physicians’ own political views affect their treatment decisions on these issues. We linked the records of over 20,000 primary care physicians in 29 US states to a voter registration database, obtaining the physicians’ political party affiliations. We then surveyed a sample of Democratic and Republican primary care physicians. Respondents evaluated nine patient vignettes, three of which addressed especially politicized health issues

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Antoszewska, Beata, and Aleksandra Tobota. "Relationship with a physician in the narratives of children and adolescents hospitalized due to cancer." Men Disability Society 44, no. 2 (June 30, 2019): 99–110. http://dx.doi.org/10.5604/01.3001.0013.5768.

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The key value of the physician-patient relationship has been strongly emphasized in scientific literature for a long time. This relationship impacts significantly the patient’s therapeutic process. In case of children and adolescents suffering from cancer, the relationship with physician is of a specific value due to both the age of such patients and the type of disease. Children and adolescents meet various specialists (physicians) during their treatment; however, they establish a long-term and quite intensive relationship with their treating physician. This relationship is, by definition, mo

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Gordon, Howard S., Richard L. Street, Barbara F. Sharf, P. Adam Kelly, and Julianne Souchek. "Racial Differences in Trust and Lung Cancer Patients' Perceptions of Physician Communication." Journal of Clinical Oncology 24, no. 6 (February 20, 2006): 904–9. http://dx.doi.org/10.1200/jco.2005.03.1955.

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Purpose Black patients report lower trust in physicians than white patients, but this difference is poorly studied. We examined whether racial differences in patient trust are associated with physician-patient communication about lung cancer treatment. Patients and Methods Data were obtained for 103 patients (22% black and 78% white) visiting thoracic surgery or oncology clinics in a large Southern Veterans Affairs hospital for initial treatment recommendation for suspicious pulmonary nodules or lung cancer. Questionnaires were used to determine patients' perceptions of the quality of the phys

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Ellis, P. M., S. J. Dimitry, M. A. O’Brien, C. A. Charles, and T. J. Whelan. "A comparison of patient and physician attributes that promote patient involvement in treatment decision making in the oncology consultation." Journal of Clinical Oncology 24, no. 18_suppl (June 20, 2006): 6098. http://dx.doi.org/10.1200/jco.2006.24.18_suppl.6098.

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6098 Background: Cancer patients have indicted a desire to be more involved in treatment decision making (TDM). However, little is known about the attributes of patients, physicians and their interaction that promotes patient involvement in TDM in the oncology consultation. This study compared attributes generated by patients and physicians that make it easier for patients to be involved in TDM. Methods: Semi-structured interviews were undertaken with 19 patients with cancer (lung, breast, prostate, GI) and 21 medical and radiation oncologists at a regional cancer centre. Participants were ask

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Fang, Hai, and John A. Rizzo. "Information-oriented patients and physician career satisfaction: is there a link?" Health Economics, Policy and Law 6, no. 3 (August 12, 2010): 295–311. http://dx.doi.org/10.1017/s1744133110000186.

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AbstractPatients’ increasing use of alternative sources of information besides their physician and more active involvement in medical decision making may be changing relationships between physicians and their patients. We term patients who provide medical information to their physicians from sources other than their physician as information-oriented patients and investigate the relationship between having such patients and physician career satisfaction. We find that having more information-oriented patients is significantly associated with lower physician career satisfaction. Though healthcare

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Senitan, Mohammed, and James Gillespie. "Health-Care Reform in Saudi Arabia: Patient Experience at Primary Health-Care Centers." Journal of Patient Experience 7, no. 4 (September 3, 2019): 587–92. http://dx.doi.org/10.1177/2374373519872420.

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The aim of this study was to assess the relationship between patients’ demographics, the quality of physician–patient communication, care coordination, and the overall satisfaction rating in primary health-care centers (PHCs). A cross-sectional study was conducted using a patient experience tool. A convenience sample of 157 patients visiting PHCs were retrieved from 10 out of the 13 Saudi regions. A total of 81% of the overall ratings could be attributed to the predictors included in the model. The highest predictor of the overall rating in this model was physicians answering of patient questi

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Adelman, Ronald D., Michele G. Greene, Erika Friedmann, Marcia G. Ory, and Caitlin E. Snow. "Older Patient–Physician Discussion About Exercise." Journal of Aging and Physical Activity 19, no. 3 (July 2011): 225–38. http://dx.doi.org/10.1123/japa.19.3.225.

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This cross-sectional observational study examined the frequency of older patient–physician discussions about exercise, who initiates discussions, and the quality of questioning, informing, and support about exercise. The study used a convenience sample of 396 follow-up visits at 3 community-based practice sites, with 376 community-dwelling older patients and 43 primary-care physicians. Audiotapes were analyzed using the Multi-Dimensional Interaction Analysis coding system. Results demonstrate that exercise was discussed in 13% of visits and the subject was raised equally by patients and physic

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Khana, Rajes, Manmeet Mahinderjit Singh, Faten Damanhoori, and Norlia Mustaffa. "Breast Self-Examination System Using Multifaceted Trustworthiness: Observational Study." JMIR Medical Informatics 8, no. 9 (September 23, 2020): e21584. http://dx.doi.org/10.2196/21584.

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Background Breast cancer is the leading cause of mortality among women worldwide. However, female patients often feel reluctant and embarrassed about meeting physicians in person to discuss their intimate body parts, and prefer to use social media for such interactions. Indeed, the number of patients and physicians interacting and seeking information related to breast cancer on social media has been growing. However, a physician may behave inappropriately on social media by sharing a patient’s personal medical data excessively with colleagues or the public. Such an act would reduce the physici

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Moslehpour, Massoud, Anita Shalehah, Ferry Fadzlul Rahman, and Kuan-Han Lin. "The Effect of Physician Communication on Inpatient Satisfaction." Healthcare 10, no. 3 (March 1, 2022): 463. http://dx.doi.org/10.3390/healthcare10030463.

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(1) Background: The importance of physician-patient communication and its effect on patient satisfaction has become a hot topic and has been studied from various aspects in recent years. However, there is a lack of systematic reviews to integrate recent research findings into patient satisfaction studies with physician communication. Therefore, this study aims to systematically examine physician communication’s effect on patient satisfaction in public hospitals. (2) Methods: Using a keywords search, data was collected from five databases for the papers published until October 2021. Original st

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Jácome, Cristina, Ana Margarida Pereira, Rute Almeida, Manuel Ferreira-Magalhaes, Mariana Couto, Luís Araujo, Mariana Pereira, et al. "Patient-physician discordance in assessment of adherence to inhaled controller medication: a cross-sectional analysis of two cohorts." BMJ Open 9, no. 11 (November 2019): e031732. http://dx.doi.org/10.1136/bmjopen-2019-031732.

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ObjectiveWe aimed to compare patient’s and physician’s ratings of inhaled medication adherence and to identify predictors of patient-physician discordance.DesignBaseline data from two prospective multicentre observational studies.Setting29 allergy, pulmonology and paediatric secondary care outpatient clinics in Portugal.Participants395 patients (≥13 years old) with persistent asthma.MeasuresData on demographics, patient-physician relationship, upper airway control, asthma control, asthma treatment, forced expiratory volume in one second (FEV1) and healthcare use were collected. Patients and ph

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Chikodiri Nwosu, Laurine, Great Iruoghene Edo, Mehmet Yesiltas, Endurance Agoh, and Rashidat Adelola Lawal. "Evaluation of factors influencing physician–patient communication in healthcare service delivery." BOHR International Journal of General and Internal Medicine 2, no. 1 (2022): 22–28. http://dx.doi.org/10.54646/bijgim.2023.15.

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Physician–patient communication has received less focus in the study of healthcare service delivery in Nigeria. The majority of communication relies on message delivery rather than interpersonal communication. Even when doctors have significant knowledge to share with their patients, they frequently lack the interpersonal communication skills required to do it successfully. This quantitative study employed the analysis of 150 valid responses from practicing physicians in Lagos state. Descriptive statistics were carried out to understand the factors influencing physician–patient communication.

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Bååthe, Fredrik, Gunnar Ahlborg Jr, Lars Edgren, Annica Lagström, and Kerstin Nilsson. "Uncovering paradoxes from physicians’ experiences of patient-centered ward-round." Leadership in Health Services 29, no. 2 (2016): 168–84. http://dx.doi.org/10.1108/lhs-08-2015-0025.

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Purpose The purpose of this paper is to uncover paradoxes emerging from physicians’ experiences of a patient-centered and team-based ward round, in an internal medicine department. Design/methodology/approach Abductive reasoning relates empirical material to complex responsive processes theory in a dialectical process to further understandings. Findings This paper found the response from physicians, to a patient-centered and team-based ward round, related to whether the new demands challenged or confirmed individual physician’s professional identity. Two empirically divergent perspectives on e

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CUI, Hong. "病人自主決定與醫療行善". International Journal of Chinese & Comparative Philosophy of Medicine 2, № 2 (1 січня 1999): 83–93. http://dx.doi.org/10.24112/ijccpm.21369.

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LANGUAGE NOTE | Document text in Chinese; abstract also in English.通過對“喉梗阻”患兒案例的分析和感受，本文試圖分別從醫生、患者和哲學研究者的角度進行較客觀的思考。從醫生的角皮看：“自主決定”和醫療行善存在矛盾，削弱了醫生的“自主”決定，醫生的角色是單純的醫療技術掌握者還是用此技術全心全意為病人服務的行善者？從患者的角度看：患者是否都有“自主決定”的能力？若醫生只是單純的醫療技術的掌握者，與患者無情感的溝通，患者在醫院是否有心理上的安全感？從思考者的角度看：在前面論述的基礎上，提出了“善”是相對的，“自主”是適度的，任何絕對的病人自主和醫生自主都行不通。總之，醫療行善，不能拘泥於某一形式。It is important to respect for patients' rights. The patient should be informed of medical interference and the physician must obtain the patient's consent to perform serious treatment. This is a sense of patients' self-determination in contemporary medical practice.

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English, Clifford, and Christina de la Torre. "Doctor, Tell Me I Am Sick: Physician Response to Patient Psyco-Social Problems." International Quarterly of Community Health Education 8, no. 1 (April 1987): 69–80. http://dx.doi.org/10.2190/t311-0281-kn2h-0ajb.

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Considerable evidence indicates that non-psychiatric physicians devote considerable time in dealing with the psychosocial problems of patients. At the same time little is known about the kinds of problems patients present or how the physician responds to these problems. In an effort to determine both the kinds of problems presented and physician response, direct observation of physician/patient interactions and content analysis of patient records were carried out. Five dominant responses of physicians were identified and discussed in detail. In addition, patient expectations and interactions w

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Schoenthaler, Antoinette M., Brian S. Schwartz, Craig Wood, and Walter F. Stewart. "Patient and Physician Factors Associated With Adherence to Diabetes Medications." Diabetes Educator 38, no. 3 (March 22, 2012): 397–408. http://dx.doi.org/10.1177/0145721712440333.

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Purpose The purpose of this study was to examine the influence of patient and physician psychosocial, sociodemographic, and disease-related factors on diabetes medication adherence. These factors were also examined as effect modifiers of the association between quality of the patient-physician relationship and medication adherence. Methods Data were collected from 41 Geisinger Clinic primary care physicians and 608 of their patients with type 2 diabetes. Adherence to oral hypoglycemic medications was calculated using a medication possession ratio based on physician orders in electronic health

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Kiyanmehr, Mehdi. "The Responsibility of the Physician and the Hospital When the Patients Withdraw their Previous Consent for Treatment." Jundishapur journal of Medical Sciences 21, no. 5 (May 1, 2022): 744–57. http://dx.doi.org/10.32598/jsmj.21.5.2465.

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Background and Objectives: The patient’s withdrawal of previous permission for treatment is one of the issues in jurisprudence and medical law. The present study aims to discuss the patient''s withdrawal of previous permission based on the general approach to the physician’s acquittal/not acquittal of responsibility. Subjects and Methods This is a descriptive-analytical study with a new insight into the second paragraph of Article 308 of the Iranian Civil Code to assess the physician’s refusal of treatment when the patient withdraws the previous consent for treatment. Results The penal policie

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Ferrand, Amaryllis, Jelena Poleksic, and Eric Racine. "Factors Influencing Physician Prognosis: A Scoping Review." MDM Policy & Practice 7, no. 2 (July 2022): 238146832211451. http://dx.doi.org/10.1177/23814683221145158.

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Introduction. Prognosis is an essential component of informed consent for medical decision making. Research shows that physicians display discrepancies in their prognostication, leading to variable, inaccurate, optimistic, or pessimistic prognosis. Factors driving these discrepancies and the supporting evidence have not been reviewed systematically. Methods. We undertook a scoping review to explore the literature on the factors leading to discrepancies in medical prognosis. We searched Medline (Ovid) and Embase (Ovid) databases for peer-reviewed articles from 1970 to 2017. We included articles

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Chikodiri Nwosu, Laurine, Great Iruoghene Edo, Mehmet Yesiltas, Endurance Agoh та Rashidat Adelola Lawal. "Evaluation of factors inﬂuencing physician–patient communication in healthcare service delivery". BOHR International Journal of Pharmaceutical Studies 1, № 1 (2022): 28–34. http://dx.doi.org/10.54646/bijops.2023.04.

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Physician–patient communication has received less focus in the study of healthcare service delivery in Nigeria. The majorityofcommunicationreliesonmessagedeliveryratherthaninterpersonalcommunication.Evenwhendoctors have significant knowledge to share with their patients, they frequently lack the interpersonal communication skills required to do it successfully. This quantitative study employed the analysis of 150 valid responses from practicing physicians in Lagos state. Descriptive statistics were carried out to understand the factors influencing physician–patient communication. The results r

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Lerner, A. Martin, and Elliot D. Luby. "Error of Accommodation in the Care of the Difficult Patient in the 1990s." Journal of Psychiatry & Law 20, no. 2 (June 1992): 191–206. http://dx.doi.org/10.1177/009318539202000204.

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Consumerism, patient rights legislation, and malpractice litigation have created a greater power symmetry between patient and physician. Patients read, question, and insist upon greater participation in decision-making involving treatment. The ideal patient is knowledgeable and an active negotiator in the physician/patient relationship. However, there are some patients who feel so empowered that they are determined to direct and control their treatment. They may request or refuse laboratory tests and attempt to dictate the terms under which diagnosis and treatment should be accomplished. There

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Nolan, B., A. Ackery, and B. Au. "P096: Hospitalselfie: a review of implications and recommendations on patients making video recordings in hospital." CJEM 18, S1 (May 2016): S110. http://dx.doi.org/10.1017/cem.2016.272.

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Introduction: Smartphones are everywhere. Recent technological advances allow for instantaneous high quality video and audio recordings with the touch of a button. In Canada, physician smartphone use is highly regulated by provincial legislature and multiple policies have been published from provincial physician colleges and the Canadian Medical Protective Association (CMPA). Patients on the other hand have no such laws to observe. We set out to look at what legislation and policies exist to provide guidance to physicians in two potential scenarios: when a patient requests to record a patient-

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Shin, Dong Wook, So Young Kim, Juhee Cho, Robert W. Sanson-Fisher, Eliseo Guallar, Gyu Young Chai, Hak-Soon Kim, Bo Ram Park, Eun-Cheol Park, and Jong-Hyock Park. "Discordance in Perceived Needs Between Patients and Physicians in Oncology Practice: A Nationwide Survey in Korea." Journal of Clinical Oncology 29, no. 33 (November 20, 2011): 4424–29. http://dx.doi.org/10.1200/jco.2011.35.9281.

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Purpose Identification of supportive care needs in patients with cancer is essential for planning appropriate interventions. We aimed to determine patient–physician concordance in perceived supportive care needs in cancer care and to explore the predictors and potential consequences of patient–physician concordance. Patients and Methods A national, multicenter, cross-sectional survey of patient–physician dyads was performed, and 97 oncologists (participation rate, 86.5%) and 495 patients (participation rate, 87.4%) were included. A short form of the Comprehensive Needs Assessment Tool for Canc

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