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Kirshner, M. "The Role of Information Technology and Informatics Research in the Dentist-Patient Relationship." Advances in Dental Research 17, no. 1 (December 2003): 77–81. http://dx.doi.org/10.1177/154407370301700118.
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A high-value doctor-patient relationship is based on a set of parameters which include the interpersonal relationship between the patient and the doctor. Based on the Primary Care Assessment Survey model, measures of the interpersonal relationship are associated with communication, interpersonal care, contextual knowledge of the patient, and trust. Despite the proven value of the doctor-patient relationship, current trends indicate that the quality of these relationships is on the decline. The advent of communication and information technologies has greatly affected the way in which health care is delivered and the relationship between doctors and patients. The convergence of communication and information technology with biomedical informatics offers an opportunity to affect the character of the doctor-patient relationship positively. This paper examines the intersection of the key features of the doctor-patient relationship and a variety of Internet-based, clinical, and administrative applications used in dental practice. This paper discusses the role of dental informatics research vis-à-vis the doctor-patient relationship and explores how it may inform the next generation of information technologies used in dental practice.
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Katkova, Anastasia, and Elena Andriyanova. "Role conflicts and role overloads in the doctor's activity as a socio-psychological problem." Glavvrač (Chief Medical Officer), no. 1 (January 1, 2020): 70–74. http://dx.doi.org/10.33920/med-03-2001-08.
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Currently, the leading socio-psychological problem in modern health care is role overloads and role conflicts among medical professionals. Role-based problems can lead to neuropsychiatric stress and become a source of professional stress for doctors. Therefore, in order to provide social assistance and support to doctors, it is necessary to study the sociopsychological factors that determine role conflicts in the professional activity of a doctor and further implement a socially oriented approach in the conditions of modernizing the modern healthcare system.
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Ferraz, I., and A. Guedes. "Protagonist-patient and servant-doctor: A medicine for the sick doctor-patient relationship." European Psychiatry 41, S1 (April 2017): S683. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1185.
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The doctor-patient relationship (DPR) is very ill; it is in need of emergency assistance. Although there have been change in this relationship, no current model is satisfying. In 1972, Robert Veatch defined some models of DPR. Likewise, Pierloot, in 1983, and Balint, in 1975 and ultimately, Mead and Bower, 2000 with the model of Person-center-care (PCC) medicine.ObjectiveEvaluate the different kinds of DPR described in the literature and propose an abduction-based model of the Servant DPR, in which patients are protagonists in their treatment.MethodsPubmed literature review of the last forty years with the keyword ‘physician-patient relations’.DiscussionWhile nursing care advanced in its professional efficacy through Watson's human care and through the leader servant model, the DPR models demonstrated that the doctors are lost in their posture, even feeling as abused heroes. Models that include the patient in decision-making and that value the patient as a person (PCC) promise a revolution in the medical realm. Nevertheless, the PCC model is not enough to heal the DPR itself, because the role of the doctor must be changed to adapt to the relationship, otherwise, the PCC by itself can increase the burden upon the doctor. Doctors with a role of remunerated servant (not slave), like any other professional who delivers a service with excellence, focusing in the main actor, the patient, can heal the DPR.ConclusionThe Servant DPR gives a positive counter transference, increasing the doctor's motivation and giving him back the sense of purpose in medicine, increasing the health system's effectiveness.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Kovács, Éva, Judit Bardi, and Imre Rurik. "Delay in the oncology care. Role of patients and their family physicians." Orvosi Hetilap 152, no. 34 (August 2011): 1368–73. http://dx.doi.org/10.1556/oh.2011.29196.
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Delays between the onset of symptoms, consulting the doctor and the diagnosis are important periods for the success of oncologic treatment. They may depend on the patient’s socio-economic status, qualification, relationship with the doctor and the health care system. Aims and methods: Hundred and ten cancer patients were questioned about their age, social status, qualifications and experiences on delay in the diagnostic procedures and frequency of regular attendance by their family doctors. Results: It was found that 67% of the patients visited the family doctor only when they had symptoms. At the time of the onset of symptoms, 45% of the patients visited family doctors. In case of symptoms suggesting cancer, a longer delay was observed in men than in women; 44% of men while 50% of women were diagnosed within one month. The longest delay was observed in a small proportion of patients over 60 years of age with university degree, while the shortest periods were reported in those with secondary school and university degrees. Patients with low income were overrepresented in all delay categories. Conclusions: Family physicians may play an important role in the primary, secondary and tertiary prevention of tumors but these advantages are not exploited in the relationship between family doctors and their patients. Orv. Hetil., 2011, 152, 1368–1373.
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Kelly, Brian, Tonelle Handley, David Kissane, Marina Vamos, and John Attia. "“An indelible mark” the response to participation in euthanasia and physician-assisted suicide among doctors: A review of research findings." Palliative and Supportive Care 18, no. 1 (July 25, 2019): 82–88. http://dx.doi.org/10.1017/s1478951519000518.
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AbstractIntroductionThe debate regarding euthanasia and physician-assisted suicide (E/PAS) raises key issues about the role of the doctor, and the professional, ethical, and clinical dimensions of the doctor-patient relationship. This review aimed to examine the published evidence regarding the response of doctors who have participated in E/PAS.MethodsOriginal research papers were identified reporting either qualitative or qualitative data published in peer-reviewed literature between 1980 and March 2018, with a specific focus on the impact on, or response from, physicians to their participation in E/PAS. PRISMA and CASP guidelines were followed.ResultsNine relevant papers met selection criteria. Given the limited published data, a descriptive synthesis of quantitative and qualitative findings was performed. Quantitative surveys were limited in scope but identified a mixed set of responses. Where studies measured psychological impact, 30–50% of doctors described emotional burden or discomfort about participation, while findings also identified a comfort or satisfaction in believing the request of the patient was met. Significant, ongoing adverse personal impact was reported between 15% to 20%. A minority of doctors sought personal support, generally from family or friends, rather than colleagues. The themes identified from the qualitative studies were summarized as: 1) coping with a request; 2) understanding the patient; 3) the doctor's role and agency in the death of a patient; 4) the personal impact on the doctor; and 5) professional guidance and support.Significance of resultsParticipation in E/PAS can have a significant emotional impact on participating clinicians. For some doctors, participation can contrast with perception of professional roles, responsibilities, and personal expectations. Despite the importance of this issue to medical practice, this is a largely neglected area of empirical research. The limited studies to date highlight the need to address the responses and impact on clinicians, and the support for clinicians as they navigate this challenging area.
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Gordon, Lisi, Divya Jindal-Snape, Jill Morrison, Janine Muldoon, Gillian Needham, Sabina Siebert, and Charlotte Rees. "Multiple and multidimensional transitions from trainee to trained doctor: a qualitative longitudinal study in the UK." BMJ Open 7, no. 11 (November 2017): e018583. http://dx.doi.org/10.1136/bmjopen-2017-018583.
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ObjectivesTo explore trainee doctors’ experiences of the transition to trained doctor, we answer three questions: (1) What multiple and multidimensional transitions (MMTs) are experienced as participants move from trainee to trained doctor? (2) What facilitates and hinders doctors’ successful transition experiences? (3) What is the impact of MMTs on trained doctors?DesignA qualitative longitudinal study underpinned by MMT theory.SettingFour training areas (health boards) in the UK.Participants20 doctors, 19 higher-stage trainees within 6 months of completing their postgraduate training and 1 staff grade, associate specialist or specialty doctor, were recruited to the 9-month longitudinal audio-diary (LAD) study. All completed an entrance interview, 18 completed LADs and 18 completed exit interviews.MethodsData were analysed cross-sectionally and longitudinally using thematic Framework Analysis.ResultsParticipants experienced a multiplicity of expected and unexpected, positive and negative work-related transitions (eg, new roles) and home-related transitions (eg, moving home) during their trainee–trained doctor transition. Factors facilitating or inhibiting successful transitions were identified at various levels: individual (eg, living arrangements), interpersonal (eg, presence of supportive relationships), systemic (eg, mentoring opportunities) and macro (eg, the curriculum provided by Medical Royal Colleges). Various impacts of transitions were also identified at each of these four levels: individual (eg, stress), interpersonal (eg, trainees’ children spending more time in childcare), systemic (eg, spending less time with patients) and macro (eg, delayed start in trainees’ new roles).ConclusionsPriority should be given to developing supportive relationships (both formal and informal) to help trainees transition into their trained doctor roles, as well as providing more opportunities for learning. Further longitudinal qualitative research is now needed with a longer study duration to explore transition journeys for several years into the trained doctor role.
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Kay, Margaret, Geoffrey Mitchell, and Alexandra Clavarino. "What doctors want? A consultation method when the patient is a doctor." Australian Journal of Primary Health 16, no. 1 (2010): 52. http://dx.doi.org/10.1071/py09052.
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Doctors face many barriers accessing health care. Even after a doctor has adopted the patient role, quality health care can remain elusive. This study investigated the consultation between the treating doctor and the doctor-patient. We aimed to determine what doctors want within the consultation, their preferred consultation method. This qualitative study involved 37 GPs who participated in one of six independently facilitated focus groups. Data were recorded, transcribed and analysed for recurrent themes using an iterative inductive framework. Participants emphasised the importance of, and the difficulty in, establishing a relationship with a GP. This involved determining who to see and when to go to the doctor. Specific ways of strengthening the doctor–patient relationship were discussed, including understanding the illness experience, acknowledging the whole patient, setting boundaries, providing holistic care, developing rapport and participating in shared decision making. Empathy was especially important. Analysis revealed strong similarities with the ‘patient-centred consultation method’. Understanding the preferred consultation method for doctors will assist doctors in providing quality care to their peers. This is an important step in enhancing health access for doctors. Doctors want what patients want: care delivered within a patient-centred consultation. These insights may help other health professionals when treating or receiving care from their colleagues.
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Arya, AK, and KP Gibbin. "The changing role of the otolaryngology Senior House Officer." Bulletin of the Royal College of Surgeons of England 88, no. 2 (February 1, 2006): 66–68. http://dx.doi.org/10.1308/147363506x78992.
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The European Working Time Directive (EWTD) has led to a reduction in the number of hours that a junior doctor is allowed to work. The Hospital at Night project aims to reduce juniors' presence at night through more efficient working. Otolaryngology has been considered to be one of the surgical specialties in which generic junior doctors covering more than one specialty could effectively function. The hope is to reduce junior doctors' hours sufficiently without compromising their training or patient safety.
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Sturgiss, Elizabeth A., Nicholas Elmitt, Emily Haelser, Chris van Weel, and Kirsty A. Douglas. "Role of the family doctor in the management of adults with obesity: a scoping review." BMJ Open 8, no. 2 (February 2018): e019367. http://dx.doi.org/10.1136/bmjopen-2017-019367.
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ObjectivesObesity management is an important issue for the international primary care community. This scoping review examines the literature describing the role of the family doctor in managing adults with obesity. The methods were prospectively published and followed Joanna Briggs Institute methodology.SettingPrimary care. Adult patients.Included papersPeer-reviewed and grey literature with the keywords obesity, primary care and family doctors. All literature published up to September 2015. 3294 non-duplicate papers were identified and 225 articles included after full-text review.Primary and secondary outcome measuresData were extracted on the family doctors’ involvement in different aspects of management, and whether whole person and person-centred care were explicitly mentioned.Results110 papers described interventions in primary care and family doctors were always involved in diagnosing obesity and often in recruitment of participants. A clear description of the provider involved in an intervention was often lacking. It was difficult to determine if interventions took account of whole person and person-centredness. Most opinion papers and clinical overviews described an extensive role for the family doctor in management; in contrast, research on current practices depicted obesity as undermanaged by family doctors. International guidelines varied in their description of the role of the family doctor with a more extensive role suggested by guidelines from family medicine organisations.ConclusionsThere is a disconnect between how family doctors are involved in primary care interventions, the message in clinical overviews and opinion papers, and observed current practice of family doctors. The role of family doctors in international guidelines for obesity may reflect the strength of primary care in the originating health system. Reporting of primary care interventions could be improved by enhanced descriptions of the providers involved and explanation of how the pillars of primary care are used in intervention development.
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Sun, Jing, Shiyang Liu, Qiannan Liu, Zijuan Wang, Jun Wang, Cecile Jia Hu, Mark Stuntz, Jing Ma, and Yuanli Liu. "Impact of adverse media reporting on public perceptions of the doctor–patient relationship in China: an analysis with propensity score matching method." BMJ Open 8, no. 8 (August 2018): e022455. http://dx.doi.org/10.1136/bmjopen-2018-022455.
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ObjectivesNumerous studies indicate that the doctor–patient relationship in China is facing serious challenges. This study examined the impact of China Central Television’s negative coverage of high medicines prices on both doctors’ and patients’ opinions of the doctor–patient relationship.SettingData were collected in a national survey conducted during 19 December 2016 to 11 January 2017 which targeted 136 public tertiary hospitals across the country.ParticipantsAll patients and doctors who submitted completed questionnaire were retrieved from the survey database.InterventionThe study used propensity score matching method to match the respondents before and after China Central Television’s news report about high medicines prices which was given at 00:00 hours on 24 December 2016.Outcome measurePerception scores were calculated based on the five-point Likert scales to measure the opinions of the doctor–patient relationship.ResultsThe perception scores of the doctor–patient relationship were significantly affected by the negative media coverage for hospitalised patients, who scored 1.18 lower on the doctor–patient relationship following the report (p=0.006, 95% CI 0.34 to 2.02), and doctors who scored 5.96 points lower on the same scale (p<0.001, 95% CI 4.11 to 7.82). Score for the ambulatory patients was unaffected by exposure to the adverse news report (p=0.05).ConclusionChinese national media’s reporting of adverse news negatively affected the perceptions of the doctor–patient relationship among both inpatients and doctors. A better understanding of the role of mass media in the formation of opinion and trust between doctors and patients may permit strategies for managing the media, in order to improve public perceptions of the doctor–patient relationship.
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Lister, D. "The role of the family doctor." European Journal of Cancer 38, no. 11 (March 2002): S49. http://dx.doi.org/10.1016/s0959-8049(02)80127-7.
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Lark, Andrew. "Workers’ compensation —what role the doctor?" Medical Journal of Australia 164, no. 12 (June 1996): 757. http://dx.doi.org/10.5694/j.1326-5377.1996.tb122293.x.
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Brown, Paul. "Workers’ compensation —what role the doctor?" Medical Journal of Australia 164, no. 12 (June 1996): 757–58. http://dx.doi.org/10.5694/j.1326-5377.1996.tb122294.x.
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Cameron, Simon J. "Workers’ compensation —what role the doctor?" Medical Journal of Australia 164, no. 12 (June 1996): 758. http://dx.doi.org/10.5694/j.1326-5377.1996.tb122295.x.
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Cameron, Simon J. "Workers' compensation — what role the doctor?" Medical Journal of Australia 164, no. 1 (January 1996): 26–27. http://dx.doi.org/10.5694/j.1326-5377.1996.tb94105.x.
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Godlee, F. "Understanding the role of the doctor." BMJ 337, dec18 1 (December 18, 2008): a3035. http://dx.doi.org/10.1136/bmj.a3035.
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Gilbar, Roy. "Asset or burden? Informed consent and the role of the family: law and practice." Legal Studies 32, no. 4 (December 2012): 525–50. http://dx.doi.org/10.1111/j.1748-121x.2011.00223.x.
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The paper discusses the issue of family involvement in the process of obtaining consent to treatment. Legally, doctors have a duty to inform the patient, and the patient has a right to be informed before making a decision. In this context, however, there is no requirement to involve relatives or to take into account their interests or requests. Yet, findings from in-depth interviews with NHS general practitioners presented in the paper indicate that in reality relatives have a substantial impact on the process of informed consent. Their presence may lead the doctor to provide more information to the patient and help the patient better understand the information conveyed by the doctor. Ultimately, the relatives' involvement enhances the patient's ability to make an informed decision, even though in some cases – when the relative is dominant – this may have a negative impact on the channel of communication between doctor and patient. These findings reflect a relational approach to patient autonomy. They lead the author to suggest that the current doctor-patient partnership model in English medical law would benefit by the addition of relatives as an integral component of the decision making team. Such a significant shift in the legal approach requires changes in the type of information conveyed by the doctor to the patient; in the means to increase the patient's understanding; and lastly at the point when decisions are actually made.
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Sinadinovic, Danka. "The role of tag questions in medical encounters." Serbian Dental Journal 67, no. 4 (2020): 208–18. http://dx.doi.org/10.2298/sgs2004208s.
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The discourse of medical encounters is deemed to be an excellent example of both institutional talk and discourse of power. Asking questions is probably the most prominent characteristic of doctor- patient interaction and this paper deals with tag questions as one of the question types that can be found in almost every medical encounter. We will explore tag questions by reviewing current research results in the field of medical discourse and by comparing and discussing examples from transcribed medical encounters in English and Serbian. It will be discussed how often tag questions are used in both corpora, whether doctors and patients use them in the same way and what role these questions have in a medical encounter. Finally, having in mind that getting to ask any question in institutional talk requires a certain amount of power, we will also try to determine if using tag questions affects doctor and patient?s positions in a medical encounter.
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Sullivan, J., P. Monagle, and L. Gillam. "What parents want from doctors in end-of-life decision-making for children." Archives of Disease in Childhood 99, no. 3 (December 5, 2013): 216–20. http://dx.doi.org/10.1136/archdischild-2013-304249.
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ObjectiveEnd-of-life decision-making is difficult for everyone involved, as many studies have shown. Within this complexity, there has been little information on how parents see the role of doctors in end-of-life decision-making for children. This study aimed to examine parents’ views and experiences of end-of-life decision-making.DesignA qualitative method with a semistructured interview design was used.SettingParent participants were living in the community.ParticipantsTwenty-five bereaved parents.Main outcomesParents reported varying roles taken by doctors: being the provider of information without opinion; giving information and advice as to the decision that should be taken; and seemingly being the decision maker for the child. The majority of parents found their child's doctor enabled them to be the ultimate decision maker for their child, which was what they very clearly wanted to be, and consequently enabled them to exercise their parental autonomy. Parents found it problematic when doctors took over decision-making. A less frequently reported, yet significant role for doctors was to affirm decisions after they had been made by parents. Other important aspects of the doctor's role were to provide follow-up support and referral.ConclusionsUnderstanding the role that doctors take in end-of-life decisions, and the subsequent impact of that role from the perspective of parents can form the basis of better informed clinical practice.
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Striker, Małgorzata. "Changes in Perception of Roles of Medical Managers in Public Hospital." Kwartalnik Ekonomistów i Menedżerów 40, no. 2 (April 1, 2016): 0. http://dx.doi.org/10.5604/01.3001.0009.4624.
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The purpose of this article is presentation of the changes in the perception of the roles of medical managers (mainly doctors and nurses), which are the result of the economization and managerialism in health care. The analysis is based on desk research and results of the research carried out among medical staff working in wards in three public hospitals in Poland. Studies have confirmed the duality of the role of head doctors and the differences in perception of these problems between physicians and nurses. Nurses expect that the head doctor, combining medical and management functions, will be primarily an efficient manager. The physicians want to be led by a medical master, although they have no doubt that the head doctor must take into account economic conditions, which is reflected in their professional work. Because of qualitative nature of the research, the results are not representative but they indicate the problem of assessing the effects of increasing the role of management and economics in medicine.
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Biswal, Siddharth, Cao Xiao, Lucas M. Glass, Elizabeth Milkovits, and Jimeng Sun. "Doctor2Vec: Dynamic Doctor Representation Learning for Clinical Trial Recruitment." Proceedings of the AAAI Conference on Artificial Intelligence 34, no. 01 (April 3, 2020): 557–64. http://dx.doi.org/10.1609/aaai.v34i01.5394.
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Massive electronic health records (EHRs) enable the success of learning accurate patient representations to support various predictive health applications. In contrast, doctor representation was not well studied despite that doctors play pivotal roles in healthcare. How to construct the right doctor representations? How to use doctor representation to solve important health analytic problems? In this work, we study the problem on clinical trial recruitment, which is about identifying the right doctors to help conduct the trials based on the trial description and patient EHR data of those doctors. We propose Doctor2Vec which simultaneously learns 1) doctor representations from EHR data and 2) trial representations from the description and categorical information about the trials. In particular, Doctor2Vec utilizes a dynamic memory network where the doctor's experience with patients are stored in the memory bank and the network will dynamically assign weights based on the trial representation via an attention mechanism. Validated on large real-world trials and EHR data including 2,609 trials, 25K doctors and 430K patients, Doctor2Vec demonstrated improved performance over the best baseline by up to 8.7% in PR-AUC. We also demonstrated that the Doctor2Vec embedding can be transferred to benefit data insufficiency settings including trial recruitment in less populated/newly explored country with 13.7% improvement or for rare diseases with 8.1% improvement in PR-AUC.
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Shahvisi, Arianne. "Conscientious objection: a morally insupportable misuse of authority." Clinical Ethics 13, no. 2 (January 11, 2018): 82–87. http://dx.doi.org/10.1177/1477750917749945.
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In this paper, I argue that the conscience clause around abortion provision in England, Scotland and Wales is inadequate for two reasons. First, the patient and doctor are differently situated with respect to social power. Doctors occupy a position of significant moral and epistemic authority with respect to their patients, who are vulnerable and relatively disempowered. Doctors are rightly required to disclose their conscientious objection, but given the positioning of the patient and doctor, the act of doing so exploits the authority of the medical establishment in asserting the legitimacy of a particular moral view. Second, the conscientious objector plays an unusual and self-defeating moral role. Since she must immediately refer the patient on to another doctor who does not hold a conscientious objection, she becomes complicit, via her necessary causal role, in the implementation of the procedure. This means that doctors are not able to prevent abortions, rather, they are required to ensure that they are carried out, albeit by others. Since removing the disclosure and referral requirements may prevent patients from accessing standard medical care, the conscience clause should instead be revoked, and those opposed to abortion should be encouraged to select other specialities or professions. This would protect patients from judgement, and doctors from complicity.
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Wijayanti, Galih Cahya, Rizma Adlia Syakurah, and Mariatul Fadilah. "Modification of Calgary Cambridge for Indonesian medical students: Communication guidelines." International Journal of Public Health Science (IJPHS) 10, no. 2 (June 1, 2021): 361. http://dx.doi.org/10.11591/ijphs.v10i2.20612.
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Effective communication skill applied by doctors in the doctor-patient consultation process becomes one of important factors that can improve the consultation outcomes such as patient satisfaction, adherence to treatment and recovery process. However, effective doctor-patient communication is rarely applied in practice. Limited consultation time, patient overload, doctor burnout, and poor communication skills are among the factors that cause ineffective doctor-patient communication process. This study aimed to develop a new effective communication guideline for doctor-patient communication in Indonesia by modifying the Calgary Cambridge medical interview guide. This study uses qualitative approach within four stages: expert panel, student panel and focus group discussion, expert review, and trials. Informants were chosen purposively. Three points of high category, 24 points of middle category and 44 points of low category are resulted from expert panel stage which consists of specialist representatives from 12 clinical divisions in Dr. Moehammad Hoesin central public hospital (RSMH), Palembang, South Sumatera, Indonesia. The high and middle category were discussed by two groups of internships doctors in RSMH in student panel and focus group discussion (FGD) session. The results were validated by a doctor-patient communication expert (expert reviewer) and then tested by the internship doctors through role play at the trial stage. The final result yields eight main points and eleven effective tips of the Calgary Cambridge Guide checklist modification with five to six minutes effective consultation time. This modified guideline is appropriately applicable for doctor-patient communication in daily consultation in Indonesian practical, social and cultural context.
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Munday, P. E., A. Allan, S. Hearne, and A. Gubbay. "The role of the nurse in screening asymptomatic male and female patients in a sexual health clinic." International Journal of STD & AIDS 16, no. 4 (April 1, 2005): 281–83. http://dx.doi.org/10.1258/0956462053654348.
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We allocated 278 patients, who said they were asymptomatic and agreed to be randomized to a nurse or doctor clinic, to appointments using a random number system. In all, 35 patients did not attend and 16 were excluded because they did not meet the entry criteria. We used a screening protocol which excluded microscopy from the immediate assessment of patients. The outcome measures were completeness of documentation, proportion of patients accepting HIV tests, infections detected and patient satisfaction. Overall, 3% of items were not completed by doctors and 6% by nurses. HIV tests were carried out on 65% of patients who saw a doctor and 52% who saw a nurse. Thirteen infections were detected by doctors and 27 by nurses. No new cases of gonorrhoea, syphilis or HIV infection were identified. Eighty-eight patients completed a questionnaire after their attendance. Almost all patients were very satisfied with the service and most were prepared to see a nurse on a subsequent visit. We concluded that there are few differences between the performance of doctors and nurses in routine screening of asymptomatic patients.
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Beattie, Sharon, Paul E. S. Crampton, Cathleen Schwarzlose, Namita Kumar, and Peter L. Cornwall. "Junior doctor psychiatry placements in hospital and community settings: a phenomenological study." BMJ Open 7, no. 9 (September 2017): e017584. http://dx.doi.org/10.1136/bmjopen-2017-017584.
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ObjectivesThe proportion of junior doctors required to complete psychiatry placements in the UK has increased, due in part to vacant training posts and psychiatry career workforce shortages, as can be seen across the world. The aim of this study was to understand the lived experience of a Foundation Year 1 junior doctor psychiatry placement and to understand how job components influence attitudes.DesignThe study was conducted using a cross-sectional qualitative phenomenological approach.SettingHospital and community psychiatry department settings in the North East of England, UK.ParticipantsIn total, 14 Foundation Year 1 junior doctors were interviewed including seven men and seven women aged between 23 and 34 years. The majority had completed their medical degree in the UK and were White British.ResultsThe lived experience of a junior doctor psychiatry placement was understood by three core themes: exposure to patient recovery, connectedness with others in the healthcare team and subjective interpretations of psychiatry. The experiences were moderated by instances of role definition, reaction to the specialty and the organisational fit of the junior doctor capacity in the specialty.ConclusionsThe study reinforces and adds to the literature by identifying connectedness as being important for both job satisfaction and morale, which is currently damaged within the junior doctor population. The study provides in-depth insights into the lived experience of psychiatry placements and can be taken forward by educationalists to ensure the placements are meaningful experiences for junior doctors by developing role definition, belonging, structure and psychiatric care responsibility.
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Worley, Julie. "Psychiatric Nursing’s Role in Preventing Doctor Shopping." Journal of Psychosocial Nursing and Mental Health Services 50, no. 6 (June 1, 2012): 4–5. http://dx.doi.org/10.3928/02793695-20120508-04.
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Passi, Vimmi, and Neil Johnson. "The impact of positive doctor role modeling." Medical Teacher 38, no. 11 (April 18, 2016): 1139–45. http://dx.doi.org/10.3109/0142159x.2016.1170780.
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Parsons, Iain T. "The health of the Role 1 doctor." Journal of the Royal Army Medical Corps 161, no. 4 (July 3, 2014): 300–303. http://dx.doi.org/10.1136/jramc-2013-000200.
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Gorman, D., P. Poole, and J. Scott. "On the future role of the doctor." Internal Medicine Journal 37, no. 3 (March 2007): 145–48. http://dx.doi.org/10.1111/j.1445-5994.2006.01280.x.
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Daschner, F. D. "The role of the infection control doctor." Journal of Hospital Infection 11 (February 1988): 396–99. http://dx.doi.org/10.1016/0195-6701(88)90217-4.
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Giuliano, Dominic, and Marion McGregor DC. "No difference in learning retention in manikin-based simulation based on role." Journal of Chiropractic Education 30, no. 1 (March 1, 2016): 20–24. http://dx.doi.org/10.7899/jce-15-1.
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Objective: We evaluated learning retention in interns exposed to simulation. It was hypothesized that learning would degrade after 6 months and there would be a difference in retention between interns who played a critical role versus those who did not. Methods: A total of 23 groups of 5 to 9 interns underwent a cardiac scenario twice during 1 simulation experience and again 6 months later. We captured 69 recordings (23 before debrief at baseline [PrDV], 23 after debrief at baseline [PoDV], and 23 at 6-month follow-up [FUV]). Students were assigned different roles, including the critical role of “doctor” in a blinded, haphazard fashion. At 6-month follow-up, 12 interns who played the role of doctor initially were assigned that role again, while 11 interns who played noncritical roles initially were newly assigned to doctor. All videos of intern performance were scored independently and in a blinded fashion, by 3 judges using a 15-item check list. Results: Repeated-measures analysis of variance for interns completing all 3 time points indicated a significant difference between time points (F2,22 = 112, p = .00). Contrasts showed a statistically significant difference between PrDV and PoDV (p = .00), and PrDV and FUV (p = .00), but no difference between PoDV and FUV (p = .98). This was consistent with results including all data points. Checklist scores were more than double for PoDV recordings (16) and FUV (15), compared to PrDV recordings (6.6). Follow-up scores comparing old to new doctors showed no statistically significant difference (15.4 vs 15.2 respectively, t21 = 0.26, p = .80, d = .11). Conclusions: Learning retention was maintained regardless of role.
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Basnet Chhetri, Raju. "The Doctor-Manager Relationship." Journal of Universal College of Medical Sciences 5, no. 1 (January 21, 2018): 49–53. http://dx.doi.org/10.3126/jucms.v5i1.19056.
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Healthcare service in itself is one of the most crucial, most sensitive services in the world. Advancement in healthcare infrastructures, equipment and manpower are rapid day by day. “Healthcare service providers”, the definition is changing from commonly perceived “doctors” to “doctors plus managers”. The healthcare practice has changed all its way from individual practice to communal, organised hospital systems; resources are pooled in a common place; where patients expect for every kind of treatment once they enter the common roof. However, the hospital only can understand the role the doctor and manager play together for quality healthcare services. The two now cannot be separated despite of several disparities that appear between them.There should always be an effort to bridge the gap between them which appears between them despite serving the common goal. Doctor manager collaboration including collaboration of education system shall bring the real bond between them to understand each other, understand system and pace for their common goal.Journal of Universal College of Medical Sciences (2017) Vol.05 No.01 Issue 15, page: 49-53
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Raut, Parmeshwar P., Uday V. Pawade, Ashwin V. Nikam, and Meghsham P. Anjankar. "MEDICO-LEGAL DUTIES OF DOCTOR IN CASE OF SUSPECTED POISONING: A REVIEW." International Journal of Research in Ayurveda and Pharmacy 11, no. 5 (October 30, 2020): 147–49. http://dx.doi.org/10.7897/2277-4343.1105159.
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The doctor attending the patient of poisoning has to fulfill his duties, first as medical professional then as a medico legal professional. While treating the patient of suspected poisoning, the role of doctor is not only to treat the patient but also to handle the legal formalities. In such cases, it is must to keep documentation record accurate and clear. In government hospitals, doctors have to inform all the cases of suspected poisoning to nearest police officer or magistrate while in private hospitals, doctors are bound to inform homicidal cases only. If case of suspected poisoning proves fatal, medical practitioner should never grant a death certificate but must communicate the facts of death to the nearest police officer for necessary investigations. This article highlights the legal aspects in poisoning cases which will help the doctor to do justice to the legal management of poisoning cases.
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Tejoyuwono, Agustina Arundina Triharja, and Muhammad Riedha. "Medical Students Perception about Doctor's Body Image Using Stunkard Figure Rating Scale (FRS) Method." International Journal of Public Health Science (IJPHS) 4, no. 4 (December 1, 2015): 294. http://dx.doi.org/10.11591/ijphs.v4i4.4749.
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<p>Doctor as health workers are obliged to be role models, especially in healthy and active life stlyle projected as having an ideal body image. It beneficial to increase self confidence, improve sucess in counceling and health service satisfaction and as well as gaining patient’s trust. Body image sometimes considered unnecessary, however it could be quite disturbing in health service.Therefore, this study aims to describe medical student’s perception on doctor’s body images as health workers in Tanjungpura University. This resarch used survey in descriptive study with quantitative data. The subject was medical students from medical, pharmacy and nursing grade 2011 to 2014. Triangulation data collected from doctor working in medical school, and Tanjungpura University Hospital. Sample was choosen by purposive sampling and analyzed by descriptive statistic. This research had been approved by medical faculty ethic research admission at Untan no. 3986/UN22.9/DT/2014. A total of 576 medical students were enrolled in this research. 93.06% stated that body image is important for doctor and it will influence the theraphy. 67.2% chose picture 4 (normal nutritional status) in Stunkard Figure Rating Scales the ideal body images for doctors. Nevertheless,17.01% chose picture < 3 (underweight) and 15.8% choose picture > 5 (overweight and obesity) as the doctor’s ideal body images. Doctors that work in Educational field were the most important field that needs a good body image (42.88%0, followed by doctor in hospital (24.83%). Based on triangulation data from 16 medical school doctors, and 7 Tanjungpura University Hospital doctors, suggested that body image will not impact the therapy (82.6%) and the most important field that needs ideal body images was in hospital (43.5%). Body image is very important and it will influence doctor theraphy. Doctor in educational field should have a ideal body image with normal nutrition status.</p>
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Tejoyuwono, Agustina Arundina Triharja, and Muhammad Riedha. "Medical Students Perception about Doctor's Body Image Using Stunkard Figure Rating Scale (FRS) Method." International Journal of Public Health Science (IJPHS) 4, no. 4 (December 1, 2015): 294. http://dx.doi.org/10.11591/.v4i4.4749.
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<p>Doctor as health workers are obliged to be role models, especially in healthy and active life stlyle projected as having an ideal body image. It beneficial to increase self confidence, improve sucess in counceling and health service satisfaction and as well as gaining patient’s trust. Body image sometimes considered unnecessary, however it could be quite disturbing in health service.Therefore, this study aims to describe medical student’s perception on doctor’s body images as health workers in Tanjungpura University. This resarch used survey in descriptive study with quantitative data. The subject was medical students from medical, pharmacy and nursing grade 2011 to 2014. Triangulation data collected from doctor working in medical school, and Tanjungpura University Hospital. Sample was choosen by purposive sampling and analyzed by descriptive statistic. This research had been approved by medical faculty ethic research admission at Untan no. 3986/UN22.9/DT/2014. A total of 576 medical students were enrolled in this research. 93.06% stated that body image is important for doctor and it will influence the theraphy. 67.2% chose picture 4 (normal nutritional status) in Stunkard Figure Rating Scales the ideal body images for doctors. Nevertheless,17.01% chose picture < 3 (underweight) and 15.8% choose picture > 5 (overweight and obesity) as the doctor’s ideal body images. Doctors that work in Educational field were the most important field that needs a good body image (42.88%0, followed by doctor in hospital (24.83%). Based on triangulation data from 16 medical school doctors, and 7 Tanjungpura University Hospital doctors, suggested that body image will not impact the therapy (82.6%) and the most important field that needs ideal body images was in hospital (43.5%). Body image is very important and it will influence doctor theraphy. Doctor in educational field should have a ideal body image with normal nutrition status.</p>
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McMenemy, L., PM Bennett, and SA Stapley. "The Ship’s Doctor in the Royal Navy - 100 years of tradition and progress." Journal of The Royal Naval Medical Service 101, no. 1 (June 2015): 15–19. http://dx.doi.org/10.1136/jrnms-101-15.
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AbstractThe changing role of the Senior Service over the past century through numerous militarily heterogeneous environments and operations has necessitated an evolution in the role of the deployed Medical Officer. However: versatility, specialist knowledge, caring for a wide and varied patient population of friendly and enemy forces, and the dual role of being an officer as well as a doctor, have remained consistent. Identifiable changes in military medical officer training, the shape of the Defence Medical Services, and modern advances in treatment and communication have evolved the Ship’s Doctor role from the pre-Second World War setting of a contracted Naval Medical Service, through growth, to a shrinking cadre again in a return to the contingency operations of today. Still, the role today remains attractive to a subset of doctors looking for something more from their medical practice; as the nature of conflict changes, so too will the role of the Ship’s Doctor. The ongoing requirement for flexibility and versatility will remain. Medical Officers will continue to meet the need to provide high quality care to their patients and, as has always been the case, will continue to be drawn to the Service’s principal appeal of an exciting world-wide role with the potential for unique experiences.
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Kurvers, Ralf H. J. M., Stefan M. Herzog, Ralph Hertwig, Jens Krause, Patricia A. Carney, Andy Bogart, Giuseppe Argenziano, Iris Zalaudek, and Max Wolf. "Boosting medical diagnostics by pooling independent judgments." Proceedings of the National Academy of Sciences 113, no. 31 (July 18, 2016): 8777–82. http://dx.doi.org/10.1073/pnas.1601827113.
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Collective intelligence refers to the ability of groups to outperform individual decision makers when solving complex cognitive problems. Despite its potential to revolutionize decision making in a wide range of domains, including medical, economic, and political decision making, at present, little is known about the conditions underlying collective intelligence in real-world contexts. We here focus on two key areas of medical diagnostics, breast and skin cancer detection. Using a simulation study that draws on large real-world datasets, involving more than 140 doctors making more than 20,000 diagnoses, we investigate when combining the independent judgments of multiple doctors outperforms the best doctor in a group. We find that similarity in diagnostic accuracy is a key condition for collective intelligence: Aggregating the independent judgments of doctors outperforms the best doctor in a group whenever the diagnostic accuracy of doctors is relatively similar, but not when doctors’ diagnostic accuracy differs too much. This intriguingly simple result is highly robust and holds across different group sizes, performance levels of the best doctor, and collective intelligence rules. The enabling role of similarity, in turn, is explained by its systematic effects on the number of correct and incorrect decisions of the best doctor that are overruled by the collective. By identifying a key factor underlying collective intelligence in two important real-world contexts, our findings pave the way for innovative and more effective approaches to complex real-world decision making, and to the scientific analyses of those approaches.
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Capone, Vincenza. "La percezione di autoefficacia nella comunicazione con il paziente: uno studio esplorativo tra i medici ospedalieri campani." PSICOLOGIA DELLA SALUTE, no. 2 (November 2009): 81–97. http://dx.doi.org/10.3280/pds2009-002006.
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- Self-efficacy beliefs are an important basis for action: to analyze physicians' and patients' communicative self-efficacy perception is the first step to understand how they relate. However, in the literature, there aren't specific studies on the subject. In light of this background a survey was conducted, which aims to explore specific issues within doctor-patient relationship, in the eyes of hospital doctors, with the aim of investigating their communicative self-efficacy beliefs and the role they attribute to communication. Twenty hospital doctors working in five public Campanian hospitals were interviewed. Through a computerassisted qualitative data analysis the contents of the transcripts of the interviews were analysed. The results of this study contribute to bring new conceptual topics to the research on the subject and to outline the methodological framework against which to build an instrument for assessing doctor's communicative self-efficacy; finally, in a operational dimension, they will encourage the creation of targeted trainingKey words: doctor-patient communication, communication self-efficacy, hospital, interview, computer assisted qualitative data analysisParole chiave: comunicazione m-p, percezioni di autoefficacia comunicativa, ospedale, intervista, analisi del testo software-assistita
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Hullur, Himaad M., Ashlesha A. Dandekar, and Swati S. Raje. "Doctor-patient interactions with respect to type of practice." International Journal Of Community Medicine And Public Health 7, no. 2 (January 28, 2020): 537. http://dx.doi.org/10.18203/2394-6040.ijcmph20200435.
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Background: The doctor-patient relationship is the core foundation for healing, care, establishment of trust and an essential part of modern-day medical ethics. The last few decades have seen an exponential growth in the scientific component of the medical field which has led to a strain on doctor-patient relationship. With the growing trend of patients wanting more information from their doctor in order to have a more active role in their health-care, active communication from the physician’s end is needed. Present study aims to find out what doctors over various fields expect out of this relationship.Methods: A cross sectional prospective study was conducted among a total of 49 urban and rural doctors of various specialities in an urban area of Maharashtra using a pre-structured questionnaire. The statistical tools used to analyse the data was by using Microsoft excel software.Results: It was also noted that time spent with patients was less by the specialists as compared with other doctors for all aspects of consultation. On evaluating experience with the duration of consultation, we noted that doctors having more than 30 years of experience gave lesser time for all aspects of consultation as compared to those with lesser experience. A close range, between 45%-57% of all physicians, admitted to answering phone calls during consultations.Conclusions:It is imperative to study doctor-patient interactions since a better relationship results in a more satisfied patient with better treatment outcome.
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Sommervold, Margaret Machniak. "“Doctor Smartphone”." International Journal of Sociotechnology and Knowledge Development 8, no. 1 (January 2016): 1–16. http://dx.doi.org/10.4018/ijskd.2016010101.
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The rapid growth in the field of m-health has not gone unnoticed by the mainstream media in Norway. Norwegian newspapers have a strong presence and outreach and hence play an important role in shaping of the public discourse on various subjects with m-health being no exception. This article presents a Dispositive Analysis of 23 articles from 6 national newspapers concerning mobile health applications. The analysis resulted in an interpretation of the press's technology views as theories of technology, which informed the discussion in this paper. Further, the newspaper articles were understood as discursive practices and analyzed by applying the concept of dispositives. The results of the analysis suggest inclusion of Dispositive Analysis as a step in Participatory Design process as means of enriching the design practices as well as uncovering the marginalized ‘voices' and thus addressing the call for democratization of technology.
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Lazurenko, O. "Research of psychological features of future doctors emotional sphere." Fundamental and applied researches in practice of leading scientific schools 27, no. 3 (June 29, 2018): 253–57. http://dx.doi.org/10.33531/farplss.2018.3.31.
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The article is focused on the theoretical synthesis and empirical results of the investigation to determine the psychological characteristics of the future doctors’ emotional competence formation. The analysis of Research of Psychological features of future doctor emotional sphere in the context of professional development is present. Development of emotional sphere and the formation of emotional competence of doctors’ is one of the areas of professional formation. Psychological and pedagogical components forming emotional competence of future medical worker are studied. The article discusses studies of the formation of the emotional sphere student. The components of emotional competence (cognitive, social, regulatory, empathy), and their importance in physician’s professional activities were studied. The psychological characteristics of the emotional sphere of future doctor students in connection with the professional orientation are analyzed. The scientific understanding of the emotional sphere development of future specialist doctor was presented. It provides a new perspective on the problem of place and role of emotional competence in the structure of physicians’ professional activity.
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Tarkowski, Z., W. Piątkowski, R. Bogusz, A. Majchrowska, M. Nowakowski, A. Sadowska, and E. Humeniuk. "When a doctor becomes a patient, the unique expectations and behaviours in a disease: preliminary report." Progress in Health Sciences 6, no. 2 (December 1, 2016): 0. http://dx.doi.org/10.5604/01.3001.0009.5164.
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Descriptions and interpretations of cases in which a doctor becomes a patient are rather marginal in the Polish and Western medical literature. Still, analysis of doctors’ behaviours when they become patients themselves seems interesting. The available research results suggest that doctors find it difficult to adopt the role of a patient and very often delay the process of diagnosis and therapy. A substantial number of them treat themselves and have problems with following therapeutic advice. There are particular features which make doctors demanding or even tough when placed in the role of a patient. Doctors often select ‘partners’ in therapy among their colleagues, expect ‘individual therapy’ and ‘special’ treatment (a longer appointment, consultation after regular working hours etc.). The problem of ‘doctors in sickness’ has been addressed by professional organisations. The British General Medical Council suggests that due to potential risk for one’s patients’ and one’s own health, an ill doctor should consult his/her highly qualified colleague and follow the advice. Moreover, he/she is advised to consult a GP who is not a member of their family in order to guarantee independent and objective medical care. Similar solutions have been adopted by medical organisations from other countries.
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Oyebode, Femi. "Thinking about cost – undermining trust." Psychiatrist 34, no. 9 (September 2010): 367–68. http://dx.doi.org/10.1192/pb.bp.110.030163.
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SummaryThis commentary argues that decisions about the distribution of resources in a healthcare system paid out of taxation such as the NHS is best dealt with at arm's length from the doctor-patient encounter within the clinic. Thus, the role of the National Institute of Health and Clinical Excellent (NICE) that is to take a population perspective is appropriate, whereas any attempt by individual doctors to be influenced by costs and to base their judgements on the relative costs of interventions is likely to undermine the trust that exists within the doctor-patient relationship.
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Lapcevic, Mirjana, Ivan Dimitrijevic, Jelena Ristic, Mira Vukovic, Radivoje Nikolic, and Petar Stanojevic. "Factors influencing general practitioners and specialists of general practice to declare in favor of accepting the role of family doctors." Srpski arhiv za celokupno lekarstvo 134, Suppl. 2 (2006): 128–34. http://dx.doi.org/10.2298/sarh06s2128l.
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INTRODUCTION. Protection and promotion of health of an individual, family and society as the whole depends on the organization and efficiency of the public health service. Modern health service is focused on the health prevention and improvement of the family which is the basic unit of society. The life cycle of the family indicates crisis related to development and underdevelopment as well as some expected and unexpected life situations and this is very important when discussing about many somatic and mental diseases. objective The objective of our project which included 473 specialists of general practice and 355 general practitioners was to determine the factors which influence the positive attitude of the general practitioners about becoming a family doctor. METHOD. A total of 828 doctors in Serbia were required to answer the set of eight questions. Statistical analysis included Pearson chi square test with contingency tables and logistic regression, while dependent variable was doctor?s attitude about becoming a family doctor in a certain situation. The answer ?no? or ?I don?t know? was scored 1 point and the ?yes? answer was graded 2 points. Eight questions mentioned above were independent variables. RESULTS. Logistic model accounting for 79.3% of dependent variable was obtained. Positive attitude of doctors was very much affected by family problems and great majority of these doctors were specialists of general practice. Other questions were not so important for our results. CONCLUSION. Specialists of general practice, regardless of their working experience and years of practice, gave significantly more positive answers, and the situation was quite opposite with general practitioners. Family medicine supported by modern information systems provides ideal model of comprehensive and complete health prevention with high level of rationalism, quality, efficiency and cost-effectiveness.
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GORLIN, RICHARD, JAMES J. STRAIN, and ROSAMOND RHODES. "Cultural Collisions at the Bedside: Social Expectations and Value Triage in Medical Practice." Cambridge Quarterly of Healthcare Ethics 10, no. 1 (January 2001): 7–15. http://dx.doi.org/10.1017/s0963180101001037.
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As early as 1981 Gorlin and Zucker produced a film, A Complicating Factor: Doctors' Feelings as a Factor in Medical Care and in a 1983 paper on the subject they described one of the important epiphenomena of the encounter between doctor and patient—namely, the reaction of the physician to the patient and how this affects both the physician and the quality of the relationship. At that time they were concerned with the physicians' ability to reckon with their own reactions to patients who presented with problems or personality traits that complicated the doctor-patient relationship. Some patients were hateful or unlikable, some denied their disease state, some became unusually dependent on the physician, some were intimidating to the doctor. Their behavior evoked responses that tended to complicate the doctor-patient relationship with distancing, unusual identification, or hostility. That publication recognized and explained the problem and went on to suggest a process of achieving emotional awareness and mastery to help physicians maintain their appropriate role.
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Passi, Vimmi, and Neil Johnson. "The hidden process of positive doctor role modelling." Medical Teacher 38, no. 7 (November 2, 2015): 700–707. http://dx.doi.org/10.3109/0142159x.2015.1087482.
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Gordon, David, and Stefan C. Lindgren. "The Global Role of the Doctor in Healthcare." World Medical & Health Policy 2, no. 1 (January 30, 2010): 18–28. http://dx.doi.org/10.2202/1948-4682.1043.
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Jarvis, S. N., A. Waterston, P. Halse, A. Paynter, P. Jones, and A. Colver. "The extended role of the new school doctor." Archives of Disease in Childhood 65, no. 5 (May 1, 1990): 559. http://dx.doi.org/10.1136/adc.65.5.559-b.
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Sipayung, Silvia, Robert Oloan Rajagukguk, and Lie Fun Fun. "Pengaruh Pelatihan Responding Empathically untuk Meningkatkan Kemampuan Respon Empatik pada Dokter di Medicuss Group Kota Bandung." Humanitas (Jurnal Psikologi) 2, no. 3 (December 6, 2018): 183–98. http://dx.doi.org/10.28932/hmn.v2i3.1746.
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The aim of this research is to see the effect of responding emphatically training to improve doctor's skill in emphatic response in Medicuss Group Bandung. The measuring tool that being used is the scenario questionnaire based on the theory of emphatic response (Hammand, 1997) as the dependent variable tool which consists 8 items. The validity of empathic response is examined using expert validity. The research data will be analysed using quantitative method. The resuly of this research shows there are some differences in emphatic response score of doctor in Medicuss Group Bandung before and after being given the responding empathically training. The theoritical suggestion for further research is conducted a similar study using the one group pre-post test design with time series method. Suggestions for the doctor in Medicuss Group are doctor can apply the lesson during responding empathically training which is useful to support in performing the role as doctor.
Keywords: Responding Empathically, Empathic Response, Doctor, Medicuss Group
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Zhang, Xin, Liang Ma, Yanbo Ma, and Xiao Yang. "Mobile Information Systems Usage and Doctor-Patient Relationships: An Empirical Study in China." Mobile Information Systems 2021 (April 27, 2021): 1–11. http://dx.doi.org/10.1155/2021/6684448.
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How to improve the doctor-patient relationship has been a continuing topic in academia and management and there have been several attempts to utilize online communications to facilitate healthcare. The application of information technology to create an “Internet + medical care” platform has upended the traditional medical service model in China. As an example of the application of the Internet by the healthcare system, this paper investigates a mobile online appointment system used by hospitals. Data on system use came from questionnaires submitted by 225 patients and analyzed by the structural equation model method. The results showed that patients perceived the hospital’s online appointment system as an attempt at transparency to which they reacted positively. The patients’ perception of transparency promoted trust in the hospital and the doctors and positively affected their feelings of satisfaction, which, of course, improved the doctor-patient relationship. Patients’ perceptions of transparency, trust in the hospitals and doctors, and feelings of satisfaction played a partial mediator role between the availability of an online appointment system and better doctor-patient relationships. There were significant gender differences among patients in terms of their feelings of trust and satisfaction with the new appointment method and whether it really improved the doctor-patient relationship.