Academic literature on the topic 'Patient Clinician Relationship'

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Journal articles on the topic "Patient Clinician Relationship"

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Finset, Arnstein, and Knut Ørnes. "Empathy in the Clinician–Patient Relationship." Journal of Patient Experience 4, no. 2 (May 9, 2017): 64–68. http://dx.doi.org/10.1177/2374373517699271.

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The clinician-patient relationship is asymmetric in the sense that clinicians and patients have different roles in the medical consultation. Yet, there are qualities of reciprocity and mutuality in many clinician-patient encounters, and we suggest that such reciprocity may be related to the phenomenon of empathy. Empathy is often defined as the capacity to place oneself in another’s position, but empathy may also be understood as a sequence of reciprocal turns-of talk, starting with the patient’s expression of emotion, followed by the perception, vicarious experience, and empathic response by the clinician. These patterns of reciprocity may also include the patient’s experience of and response to the clinician’s emotions. Researchers in different fields of research have studied how informal human interaction often is characterized by mutuality of lexical alignment and reciprocal adjustments, vocal synchrony, as well as synchrony of movements and psychophysiological processes. A number of studies have linked these measures of reciprocity and synchrony in clinical encounters to the subjective experience of empathy.
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E. Stahl, James, Mark A. Drew, and Alexa Boer Kimball. "Patient-clinician concordance, face-time and access." International Journal of Health Care Quality Assurance 27, no. 8 (October 7, 2014): 664–71. http://dx.doi.org/10.1108/ijhcqa-04-2013-0048.

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Purpose – People in socially disadvantageous positions may receive less time with their clinicians and consequently reduced access to healthcare resources, potentially magnifying health disparities. Socio-cultural characteristics of clinicians and patients may influence the time spent together. The purpose of this paper is to explore the relationship between clinician/patient time and clinician and patient characteristics using real-time location systems (RTLS). Design/methodology/approach – In the MGH/MGPO Outpatient RFID (radio-frequency identification) project clinicians and patients wore RTLS tags during the workday to measure face-time (FT), the duration patients and clinicians are co-located, wait time (WT); i.e. from registration to clinical encounter and flow time (FLT) from registration to discharge. Demographic data were derived from the health system's electronic medical record (EMR). The RTLS and EMR data were synthesized and analyzed using standard structured-query language and statistical analytic methods. Findings – From January 1, 2009 to January 1, 2011, 1,593 clinical encounters were associated with RTLS measured FTs, which differed with socioeconomic status and gender: women and lower income people received greater FT. WT was significantly longer for lower socioeconomic patients and for patients seeing trainee clinicians, women or majority ethnic group clinicians (Caucasian). FLT was shortest for men, higher socioeconomic status and for attending physician patients. Demographic concordance between patient and clinician did not significantly affect process times. Research limitations/implications – The study demonstrates the feasibility of using RTLS to capture clinically relevant process measures and suggests that the clinical delivery system surrounding a clinical encounter may more significantly influence access to clinician time than individual patient and clinician characteristics. Originality/value – Applying RTLS to healthcare is coming. We can now successfully install and run these systems in healthcare settings and extract useful information from them. Interactions with the clinical delivery system are at least as important as interactions with clinicians for providing access to care: measure FT, WT and FLT with RTLS; link clinical behavior, e.g. FT, with patient characteristics; explore how individual characteristics interact with system behavior.
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Moran, Mark. "Successful BPD Therapies Focus on Clinician-Patient Relationship." Psychiatric News 43, no. 13 (July 4, 2008): 16. http://dx.doi.org/10.1176/pn.43.13.0016.

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Arora, Vineet M., Sonia Madison, and Lisa Simpson. "Addressing Medical Misinformation in the Patient-Clinician Relationship." JAMA 324, no. 23 (December 15, 2020): 2367. http://dx.doi.org/10.1001/jama.2020.4263.

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Buetow, Stephen, and Tim Kenealy. "Practical Pointers: Learning to 'see' in the clinician-patient relationship." Journal of Primary Health Care 1, no. 2 (2009): 148. http://dx.doi.org/10.1071/hc09148.

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Medical education tends to praise or pay lip-service to the art of observation, while systematically teaching the science of technology. To the extent you were taught observation skills as clinicians, you may have learned how to listen and touch but not usually how to ‘see’ your patients and yourself. This paper considers how to see in the clinician–patient relationship, not merely in an optical sense but also to increase your perceptiveness. We suggest 10 strategies to enhance your ability to see. KEYWORDS: Observation, perception, visual, clinician–patient relationship
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McGUIRE-SNIECKUS, REBECCA, ROSEMARIE McCABE, JOCELYN CATTY, LARS HANSSON, and STEFAN PRIEBE. "A new scale to assess the therapeutic relationship in community mental health care: STAR." Psychological Medicine 37, no. 1 (November 9, 2006): 85–95. http://dx.doi.org/10.1017/s0033291706009299.

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Background. No instrument has been developed specifically for assessing the clinician–patient therapeutic relationship (TR) in community psychiatry. This study aimed to develop a measure of the TR with clinician and patient versions using psychometric principles for test construction.Method. A four-stage prospective study was undertaken, comprising qualitative semi-structured interviews about TRs with clinicians and patients and their assessment of nine established scales for their applicability to community care, administering an amalgamated scale of more than 100 items, followed by Principal Components Analysis (PCA) of these ratings for preliminary scale construction, test–retest reliability of the scale and administering the scale in a new sample to confirm its factorial structure. The sample consisted of patients with severe mental illness and a designated key worker in the care of 17 community mental health teams in England and Sweden.Results. New items not covered by established scales were identified, including clinician helpfulness in accessing services, patient aggression and family interference. The new patient (STAR-P) and clinician scales (STAR-C) each have 12 items comprising three subscales: positive collaboration and positive clinician input in both versions, non-supportive clinician input in the patient version, and emotional difficulties in the clinician version. Test–retest reliability was r=0·76 for STAR-P and r=0·68 for STAR-C. The factorial structure of the new scale was confirmed with a good fit.Conclusions. STAR is a specifically developed, brief scale to assess TRs in community psychiatry with good psychometric properties and is suitable for use in research and routine care.
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Knowlton, E. Katherine, Jeffrey L. Sternlieb, and John R. Freedy. "The clinician–patient relationship: The therapeutic value of the clinical encounter." International Journal of Psychiatry in Medicine 55, no. 1 (December 12, 2019): 3–7. http://dx.doi.org/10.1177/0091217419894472.

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Hlubocky, Fay J., Miko Rose, and Ronald M. Epstein. "Mastering Resilience in Oncology: Learn to Thrive in the Face of Burnout." American Society of Clinical Oncology Educational Book, no. 37 (May 2017): 771–81. http://dx.doi.org/10.1200/edbk_173874.

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Oncology clinician burnout has become a noteworthy issue in medical oncology directly affecting the quality of patient care, patient satisfaction, and overall organizational success. Due to the increasing demands on clinical time, productivity, and the evolving medical landscape, the oncology clinician is at significant risk for burnout. Long hours in direct care with seriously ill patients/families, limited control over daily responsibilities, and endless electronic documentation, place considerable professional and personal demands on the oncologist. As a result, the oncology clinician's wellness is adversely impacted. Physical/emotional exhaustion, cynicism, and feelings of ineffectiveness evolve as core signs of burnout. Unaddressed burnout may affect cancer clinician relationships with their patients, the quality of care delivered, and the overall physical and emotional health of the clinician. Oncology clinicians should be encouraged to build upon their strengths, thrive in the face of adversity and stress, and learn to positively adapt to the changing cancer care system. Fostering individual resilience is a key protective factor against the development of and managing burnout. Empowering clinicians at both the individual and organizational level with tailored resilience strategies is crucial to ensuring clinician wellness. Resilience interventions may include: burnout education, work-life balance, adjustment of one’s relationship to work, mindful practice, and acceptance of the clinical work environment. Health care organizations must act to provide institutional solutions through the implementation of: team-based oncology care, communication skills training, and effective resiliency training programs in order to mitigate the effects of stress and prevent burnout in oncology.
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Galazka, Anna Milena. "Beyond patient empowerment: clinician-patient advocacy partnerships in wound healing." British Journal of Healthcare Management 25, no. 6 (June 2, 2019): 1–6. http://dx.doi.org/10.12968/bjhc.2019.0030.

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Background/Aims Enhanced clinician-patient interactions can offer benefits for patient care through harnessing shared knowledge, which can help to address challenges in healthcare. This study aimed to explore the relationship between wound care clinicians and their patients in order to understand the challenges faced in wound care as well as the innovative strategies that are used to address them. Methods A qualitative ethnography of three specialist outpatient wound healing clinics in the UK generated 120 hours of observations of consultations as well as 51 interviews with clinicians, patients and their relatives. Findings The study found that wounds were considered a low-profile condition in healthcare and a taboo by society. In response, clinicians harnessed their interaction with patients to support wound healing research and education – forming clinician-patient partnerships for wound healing advocacy. Conclusions In addition to encouraging educated participation in self-treatment, advocacy partnerships offered patients a proactive role in increasing the scientific knowledge regarding wound healing.
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Lown, Beth A. "Difficult Conversations: Anger in the Clinician-Patient/Family Relationship." Southern Medical Journal 100, no. 1 (January 2007): 34–39. http://dx.doi.org/10.1097/01.smj.0000223950.96273.61.

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Dissertations / Theses on the topic "Patient Clinician Relationship"

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Barnard, Irene Susan. "Exploring the older patient/physiotherapy clinician relationship." Thesis, University of Southampton, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.401751.

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Saemrow, Matthew Ronald. "Does Gender Influence the Patient-Clinician Relationship?" Thesis, North Dakota State University, 2016. https://hdl.handle.net/10365/27979.

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Athletic trainers commonly work with athletes of the opposite gender yet it is not fully understood if gender may influence these interactions. The purpose of this study was to determine the extent that gender influences comfort, communication, and trust in the athlete and athletic trainer relationship. A 26-item survey containing Likert based questions and open-ended and a trust instrument were distributed in athletic training rooms to analyze comfort, communication, and trust. Comfort, communication, and trust were significantly lower when working with athletic trainers of the opposite gender. Athletes reported trust and communication as the most valued aspect of the relationship with their athletic trainer. Despite lower perceived scores, 150 out of 178 participants reported no preference for the gender of their athletic trainer. Athletic trainers should understand that athletes may experience a decrease in comfort, communication, and trust when working with athletic trainers of the opposite gender. Key Words: Comfort, Trust, Communication, Athletic Trainer
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Nieuwkamp, Garry Anthony Aloysius, and res cand@acu edu au. "The Theory of Informed Consent in Medicine: problems and prospects for improvement." Australian Catholic University. School of Philosophy, 2007. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp166.22072008.

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Practice and law around informed consent in healthcare have undergone a revolution for the better over recent decades. However the way we obtain informed consent remains problematic and is imbued with irreducible but not ineliminable uncertainty. The reasons for this uncertainty are varied. The uncertainty is partly due to the conceptual opacity of important core concepts. The complexity of communication in clinical encounters is another. The role of autonomy, and the changing nature of the clinician patient relationship, have also contributed to this uncertainty remaining. This thesis is not a panacea for these difficulties. However there have been two quite profound revolutions in healthcare over the last decade or so, namely, the introduction of evidence-based medicine into clinical decision making, and the institutionalization of clinical governance and the application of quality improvement philosophy. I have examined ways in which these two “movements” can help in reducing some of the uncertainty in the practice of informed consent.
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Arrese, Loni C. "Assessment of the relationship between patient and clinician ratings of swallowing function in individuals with head and neck cancer." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429856045.

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Caruso, Myah. "The Patient-Physician Relationship from the Perspective of Economically Disadvantaged Patients." Antioch University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=antioch150362027045926.

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Rieck, Sue Boswell. "The relationship between the spiritual dimension of the nurse-patient relationship and patient well-being." Diss., The University of Arizona, 2000. http://hdl.handle.net/10150/289187.

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The purpose of this study was to examine if the spiritual dimension of the nurse-patient relationship (SDNPR) contributes to patient well-being. The research design was a nonexperimental, predictive, latent-variable model and two open-ended questions that asked participants to describe nurse characteristics and behaviors important to well-being. The model included age, significant life events, health, social support, and self-transcendence in addition to SDNPR as predictors of well-being. The sample consisted of hospitalized, postoperative adult patients (N = 98). The Spiritual Dimension Inventory (SDI), a 25 item, four dimensional scale was developed to measure SDNPR. Reliability coefficients for the SDI subscales (connection, empathy, commitment, and trust) and for the total scale were .84 and above. Construct validity was established through measurement model testing. Predictive validity was supported by regression analysis. Connection, commitment, and trust explained 53% of the variance of well-being. The predictive model was tested by confirmatory factor analysis and compared to five competing models. The results of the model testing did not support the hypothesized model of SDNPR predicting well-being. Four themes of nurse characteristics emerged from the content analysis of the responses to the open-ended questions: concern for the patient in time of need, being recognized as a person and feeling accepted, competence, and teaching and explaining.
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Tat, Lien Thieu. "LASIK clinical results and their relationship to patient satisfaction /." University of Sydney. Faculty of Health Sciences, 2006. http://hdl.handle.net/2123/1607.

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Doctor of Philosophy (PhD) Orthoptics
The aim of this study was to evaluate the safety and efficacy of LASIK as a refractive surgical procedure, using a repeated measures design to assess satisfaction of patients who had LASIK and to correlate clinical outcomes with detailed measures of patient satisfaction to document long-term viability, monitor changes over time and patients’ functional abilities post-operatively. Method In the study 216 post-LASIK subjects were randomly selected from among patients who underwent simultaneous bilateral LASIK using the Chiron Technolas 217C plano-scan excimer laser with the Chiron ACS (Automated Corneal Shaper) and the Hansatome microkeratome. The subjects were recruited from within one centre, and the procedures were performed by any one of three surgeons. The study also included 100 non-LASIK subjects as a control group, to compare and differentiate ocular symptoms and visual difficulties between LASIK and non-LASIK patients. Clinical data documented included visual acuity, subjective refraction, record of glasses and/or contact lenses prescription, corneal topography with EyeSys and Orbscan, slit lamp examination, surgical details, and any pre-existing eye disease/conditions and previous surgery or injury that might prevent the subjects from achieving their desired visual outcome post-operatively. Subjective patient satisfaction evaluation of the treatment group was assessed by subjects completing a survey questionnaire at 3 months, 6 months, 12 months and 24 months post-operatively. The control group subjects completed a comparable questionnaire and were assessed at baseline and 3 months later. Because the control group subjects did not have any surgical alterations, it was unnecessary for them to have more than one follow-up. Results LASIK achieved relatively high patient satisfaction, with only a small number of dissatisfied patients. It was effective in correcting myopia, hyperopia and astigmatism. However, there was some persistent under-correction in myopic spherical and minus cylindrical refractive errors. Hyperopic spherical correction was less effective, as there were more under- as well as over-correction, and the plus cylindrical correction tended to be under-corrected. The LASIK subjects’ post-operative distance uncorrected visual acuity was not as good as their pre-operative best corrected visual acuity, but it did not significantly correlate with patient satisfaction. The findings were consistent with other studies and confirmed the concept that patient satisfaction is not unidimensional and is not related to outcome solely in terms of visual acuity and residual refractive errors. Other contributing factors included problems with glare, rating of unaided distance and near vision, ability to drive at night, change in ability to perform social/recreational, home and work activities, change in overall quality of life, amount of information given prior to surgery, rating of surgery success, and surgery outcome relative to pre-operative expectations. These variables demonstrated distinctive differences between subjects who were satisfied and dissatisfied. Conclusions The findings of this study are consistent with those of earlier studies. However, the repeated measures design and the comparisons between LASIK subjects and the control group revealed some new insights that were previously undocumented. LASIK achieved high patient satisfaction, and factors associated with satisfaction were predictable, but sources of dissatisfaction were more idiosyncratic and contributing factors were identified.
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Nimnuan, Chaichana. "Epidemiological study of functional somatic syndromes in general hospitals." Thesis, King's College London (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.314008.

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Ellis, Mairghread J. H. "Professionalism within the clinical context of the patient-podiatrist relationship." Thesis, University of Brighton, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486669.

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Background: Podiatry aims and professes to undertake patient centred practice. However no podiatric literature was sourced which examines or discusses that most central component of our practice - the nature of our relationship with our patients, nor has any published research specifically focussed on this area. Aim This study aimed to explore the nature of the patient podiatrist relationship from the perspective of both private and National Health Service practitioners. Methodological approach: A phenomenological approach, with a hermeneutic focus was utilised to construct meaning and understanding from the data of semi structured interviews with eight participants. The researcher acknowledges herself as situated within the research; and a reflexive approach is demonstrated throughout. Iterative thematic analysis was undertaken to enable development of meaning and understanding. Findings: Findings were developed into six categories - relationship, engagement, role, image, reward, and personal development; coming together in one overarching theme, that of Professionalism Discussion and application: Professionalism is considered through theories of dramaturgy, Iiminality and the concept of macro- and microprofessionalism. The patient-podiatrist relationship can be a lens through which to consider aspects of micro professionalism. Dramaturgical theory positions the podiatrist on the healthcare stage, as . 'actor' performing for the patient as 'audience'. Uniform, as costume, and names and titles as forms of address are also explored within this theory. Liminality - the concept of being 'betwixt and between', is used to position both the participants' perceptions of practice, and their relationships with patients within current models of healthcare practice. It may explain participants' sometimes ambiguous feelings around their role and status. Findings suggest that while macro aspects of professionalism are explicit to practitioners, micro aspects such as relationship, communication and connection are developed through experiential learning and may be tacit in nature. Within both NHS and private practice, the personal connection between podiatrist and patient is seen as an essential element of an effective therapeutic relationship, and not, as may have been previously considered, an unprofessional over involvement. Thus the core message of this thesis is that professionalism be redefined from an explicit and public corporate concept, to its demonstration at an individual level - accepting that it is indeed professional to 'care', both for and about the patient; and that caring is beneficial to both patient and practitioner. Caring is truly the bedrock of the patient-podiatrist relationship, and of professionalism.
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Gill, Elaine Elizabeth. "Why don't we ask people what they need? : teaching and learning communication in healthcare." Thesis, Queen Mary, University of London, 2003. http://qmro.qmul.ac.uk/xmlui/handle/123456789/28571.

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There are numerous empirically described problems of communication in healthcare. The doctor/patient relationship is fundamental to many such problems. The changing nature of healthcare and the doctor/patient relationship is explored in this thesis. An increasing evidence base demonstrates that patient outcomes in healthcarea re directly relatedt o clinical communication. However, more fundamental than patient outcomes is the very nature of personhood and the effects illness has on individual autonomy. A theory of human need provides the foundation for discussion. Autonomy in healthcare is discussed in these terms and is argued as a basic human need. Moreover, human communication is argued as a basic human need using the same theoretic approach. It therefore follows logically that health professionals have the same duties and responsibilities to meet basic human communication needs on the same terms as those for autonomy. The relationship between autonomy and communication is shown to be a reflexive one. A theory of democratic communication is drawn on to describe the type of communication that will meet autonomy and communication needs. This is set in the context of healthcare. Consent in healthcare is used to show how far we have come in meeting communication and autonomy needs. Given the arguments o far it is reasonable to expect medical education to respond to the changing and recognised needs of the users of healthcare. The role of effective communication in medical education programmes is explored. Finally, a strategic approach to organising and delivering a communication curriculum is proffered which tries to meet both the philosophically and democratically argued basic needs. The resulting communication curriculum combines theoretic foundations with a pragmatic approach to the problems of clinical practice. If the approaches in this thesis are followed then communication can no longer be perceived as something doctors do after they have completed other medical tasks. Effective doctors have to be effective communicators in order to meet patients' needs.
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Books on the topic "Patient Clinician Relationship"

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L, Ragan Sandra, and DuPré Athena, eds. Partnership for health: Building relationships between women and health caregivers. Mahwah, N.J: Erlbaum, 1997.

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The clay pedestal: A renowned cardiologist reexamines the doctor-patient relationship. New York: Scribner's, 1986.

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Enchantments of the clinic: Power, eroticism, and illusion in the clinical relationship. Lanham: Jason Aronson, 2010.

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Kohlenberg, Robert J. Functional analytic psychotherapy: Creating intense and curativetherapeutic relationships. New York: Plenum Press, 1991.

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Lee, Bachant Janet, ed. Working in depth: A clinician's guide to framework and flexibility in the analytic relationship. Northvale, N.J: Jason Aronson, Inc., 1998.

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Mavis, Tsai, ed. Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York: Plenum Press, 1991.

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Welsh, Ira David. The therapeutic relationship: Listening and responding in a multicultural world. Westport, Conn: Praeger, 2003.

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Rethans, Jan-Joost. Does competence predict performance?: Standardized patients as a means to investigate the relationship between competence and performance of general practitioners. Amsterdam: Thesis Publishers, 1991.

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Clinical practice with caregivers of dementia patients. Washington, D.C: Taylor & Francis, 1996.

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McAuliffe, Mary Boesen. Patient workbook: A clinical application of the sick love relationship concept presented in The Essentials of chemical dependency. Dubuque, Iowa: Kendall/Hunt, 1992.

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Book chapters on the topic "Patient Clinician Relationship"

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Cramp, D. G., and E. R. Carson. "The Patient/Clinician Relationship, Computing and the Wider Health Care System." In Computers and Control in Clinical Medicine, 245–55. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2437-9_9.

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Klein, Eran. "Models of the Patient-Machine-Clinician Relationship in Closed-Loop Machine Neuromodulation." In Machine Medical Ethics, 273–90. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-08108-3_17.

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Dagliana, Giulia, Sara Albolino, Zewdie Mulissa, Jonathan Davy, and Andrew Todd. "From Theory to Real-World Integration: Implementation Science and Beyond." In Textbook of Patient Safety and Clinical Risk Management, 143–57. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_12.

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AbstractThe increasing complexity and dynamicity of our society (and world of work) have meant that healthcare systems have and continue to change and consequently the state of healthcare systems continues to assume different characteristics. The causes of mortality are an excellent example of this rapid transformation: non-communicable diseases have become the leading cause of death, according to World Health Organization (WHO) data, but at the same time there are new problems emerging such as infectious diseases, like Ebola or some forms of influenza, which occur unexpectedly or without advanced warning. Many of these new diseases diffuse rapidly through the different parts of the globe due to the increasingly interconnected nature of the world. Another example of the healthcare transformation is the innovation associated with the introduction and development of advanced communication and technology systems (such as minimally invasive surgery and robotics, transplantation, automated antiblastic preparation) at all levels of care. Consequently, the social and technical dimensions of healthcare are becoming more and more complex and provide a significant challenge for all the stakeholders in the system to make sense of and ensure high quality healthcare. These stakeholders include but are not limited to patients and their families, caregivers, clinicians, managers, policymakers, regulators, and politicians. It is an inescapable truth that Humans are always going to be part of the healthcare systems, and it is these human, who by their very nature introduce variability and complexity to the system (we do not necessarily view this as a negative and this chapter will illustrate). A microlevel a central relationship in focus is that between the clinician and the patient, two human beings, making the health system a very peculiar organization compared to similarly high-risk organizations such as aviation or nuclear energy. This double human being system [1] requires significant effort (good design) in managing unpredictability through the development of personal and organization skills, such as the ability to react positively and rapidly to unexpected events and to adopt a resilient strategy for survival and advancement. In contrast to other similar industries, in terms of level of risk and system safety, healthcare settings are still plagued by numerous errors and negative events involving humans (and other elements) at various levels within the system. The emotional involvement is very high due to the exposure to social relationships daily and results in significant challenges to address both technical and non-technical issues simultaneously.
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Godwin, Emilie, and Ana Mills. "Therapist-Patient Relationship." In Encyclopedia of Clinical Neuropsychology, 3455–57. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-57111-9_2057.

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Godwin, Emilie. "Therapist–Patient Relationship." In Encyclopedia of Clinical Neuropsychology, 2511–12. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-0-387-79948-3_2057.

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Godwin, Emilie, and Ana Mills. "Therapist-Patient Relationship." In Encyclopedia of Clinical Neuropsychology, 1–3. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-56782-2_2057-2.

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Kingston, Diana, and Iven Klineberg. "Consent and Clinician-Patient Relationships." In Oral Rehabilitation, 19–22. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118702888.ch3.

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Wachtel, Heather, and Rachel R. Kelz. "Developing Relationships: Building Patient Relationships." In Building a Clinical Practice, 15–21. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29271-3_3.

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Roberts, Laura Weiss, and Mark Siegler. "The Doctor-Patient Relationship." In Clinical Medical Ethics, 91–218. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-53875-4_8.

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Epstein, Ronald M. "The Patient-Physician Relationship." In Fundamentals of Clinical Practice, 105–32. Boston, MA: Springer US, 1997. http://dx.doi.org/10.1007/978-1-4615-5849-1_5.

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Conference papers on the topic "Patient Clinician Relationship"

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Roberts, Angus, Robert Gaizauskas, and Mark Hepple. "Extracting clinical relationships from patient narratives." In the Workshop. Morristown, NJ, USA: Association for Computational Linguistics, 2008. http://dx.doi.org/10.3115/1572306.1572309.

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Suo, Qiuling, Weida Zhong, Fenglong Ma, Ye Yuan, Jing Gao, and Aidong Zhang. "Metric Learning on Healthcare Data with Incomplete Modalities." In Twenty-Eighth International Joint Conference on Artificial Intelligence {IJCAI-19}. California: International Joint Conferences on Artificial Intelligence Organization, 2019. http://dx.doi.org/10.24963/ijcai.2019/490.

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Utilizing multiple modalities to learn a good distance metric is of vital importance for various clinical applications. However, it is common that modalities are incomplete for some patients due to various technical and practical reasons in healthcare datasets. Existing metric learning methods cannot directly learn the distance metric on such data with missing modalities. Nevertheless, the incomplete data contains valuable information to characterize patient similarity and modality relationships, and they should not be ignored during the learning process. To tackle the aforementioned challenges, we propose a metric learning framework to perform missing modality completion and multi-modal metric learning simultaneously. Employing the generative adversarial networks, we incorporate both complete and incomplete data to learn the mapping relationship between modalities. After completing the missing modalities, we use the nonlinear representations extracted by the discriminator to learn the distance metric among patients. Through jointly training the adversarial generation part and metric learning, the similarity among patients can be learned on data with missing modalities. Experimental results show that the proposed framework learns more accurate distance metric on real-world healthcare datasets with incomplete modalities, comparing with the state-of-the-art approaches. Meanwhile, the quality of the generated modalities can be preserved.
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Kalinin, Ruslan, and Evgeny Barinov. "Expert assessment of causal relationships with adverse outcomes of infection in clinical practice." In Issues of determining the severity of harm caused to human health as a result of the impact of a biological factor. ru: Publishing Center RIOR, 2020. http://dx.doi.org/10.29039/conferencearticle_5fdcb03a84e0b2.48443155.

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The article highlights the issues of establishing cause-and-effect relationships in cases of death and injury to human health in the provision of medical care. The theoretical foundations and practical problems of determining the severity of harm to the patient's health in severe infectious diseases and the development of complications caused by surgical infection are considered. The article presents a brief description of the main provisions of the legislation and methods of forensic medical expert assessment of infectious processes in the patient's body associated with both the disease and the consequences of medical interventions, including improper medical care. It is noted that the fact of occurrence of infectious complications cannot be regarded as harm to the patient's health in the absence of data confirming the presence of a direct cause-and-effect relationship between the admitted defects (shortcomings) of medical care and the adverse outcome of the disease or injury. An example from practice is given and a rare case of a combination of botulism with a brain infarction is analyzed. Simultaneous ischemic and toxic damage to the nervous system caused difficulties both in the clinical diagnosis during the patient's lifetime and in the process of expert evaluation of the medical care after his death. The authors of the article come to the conclusion that the procedure for establishing causal relationships and the severity of harm to human health caused during medical care needs to be further improved from the standpoint of legislation and methods of conducting forensic medical examination. Special attention should be paid to fatal cases of nosocomial infection, as well as infectious complications of surgical interventions. Determining the severity of a patient's health injury should be based on an analysis of the causal relationship between deficiencies in medical care and an adverse outcome.
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D’Angelo, Maria Laura, Darwin Caldwell, Ferdinando Cannella, Paolo Liberini, Alessandro Padovani, Clara Lazzarini, and Andrea Pilotto. "Design and Test of an Autonomous Reconfigurable Dynamic Investigation Test-Rig on Haptics (ARDITA) for Pre-Screening of the Peripheral Neuropathy Diseases." In ASME 2018 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/detc2018-86040.

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This work presents a new device ARDITA (Autonomous Reconfigurable Dynamic Investigation Test-rig on hAptics) that is able to indent the fingertip with sinusoidal waves. Its reconfigurability permits to change these waves in amplitude, spatial and timing frequencies. The device is designed in order to be autonomous and reconfigurable, but also the portability and the size were taken into account, because the clinicians had to move it from an hospital to the other one and because each patient arms has a different size. In this work, the authors applied this feature to investigate the relationship between the tactile sensitivity of index and little finger both in healthy people and people who suffer peripheral neuropathies as the Carpal Tunnel Syndrome (CTS). The last ones were examined also with the Electromyography (EMG). 40 healthy people and 17 ill patients were tested. The results showed that ARDITA determined not only the index and little finger performance were inverted in patients respect to the subject, but also the increment of incorrect responses were perfected correlated with the increment of the degree of the illness.
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Donohue, James F., Paul Jones, Christian Bartels, Jessica Marvel, Peter D'Andrea, Donald Banerji, Francesco Patalano, and Robert Fogel. "Relationship between change in trough FEV1and COPD patient outcomes: Pooled analysis of 23 clinical trials in patients with COPD." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa1013.

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Abbate, R., M. Boddi, S. Favilla, G. Costanzo, R. Paniccia, and G. F. Paniccia. "WHOLE BLOOD AGGREGOMETER IN THE ASSESSMENT OF PLATELET HYPER-AGGREGABILITY." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644554.

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The aim of this study has been to investigate the reliability of platelet aggregation in whole blood in some clinical conditions associated to thromboembolic complications.18 healthy subjects, 15 patients affected by ischemic heart disease (IHD) and 15 patients affected by insulin independent diabetes, free of vascular complications, were studied. Collagen induced (2.5 mg/L f.c.) platelet aggregation was evaluated both in whole blood (WB) by using impedance whole blood aggregometer (Chrono-Log) and in platelet rich plasma (PRP) by Born aggregometer. Aggregation was significantly higher in whole blood than in PRP in all the groups investigated (p < 0.01). No significant difference was found in PRP aggregation among the three groups, whereas WB aggregation was significantly higher in the two patient groups (IHD 79.5 + 14.2%, Diabetes 81.3 + 17.6%) than in controls (64.8 ± 14.1%) (p < 0.01 for both comparisons). No relationship was found between WB aggregation and Hct or platelet number in any of the groups studied. A slight relationship was found between megathrombocyte count and WE aggregation values (r=0.31, p < 0.05).Collagen platelet aggregation in WB seems to be provided with higher sensibility than PRP aggregation in detecting hyper-aggregability, probably because it does not imply the selection of platelet populations with loss of larger platelets and of other blood cells.
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Doan, Rezarta Islamaj, Aurelie Neveol, and Zhiyong Lu. "A Textual Representation Scheme for Identifying Clinical Relationships in Patient Records." In 2010 Ninth International Conference on Machine Learning and Applications (ICMLA 2010). IEEE, 2010. http://dx.doi.org/10.1109/icmla.2010.164.

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Les, Andrea S., Janice J. Yeung, Phillip M. Young, Robert J. Herfkens, Ronald L. Dalman, and Charles A. Taylor. "Volumetric Flow at the Supraceliac and Infrarenal Levels in Patients With Abdominal Aortic Aneurysm: Waveforms and Allometric Scaling Relationships." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-204269.

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Hemodynamic forces are thought to play a critical role in abdominal aortic aneurysm (AAA) formation and growth, as well as in the migration and failure of aortic stent grafts. Computational simulation of blood flow enables the study of such hemodynamic forces; however, these simulations require accurate geometries and boundary conditions, usually in the form of flow and pressure data at specific locations. Although hundreds of computed tomography (CT) and magnetic resonance (MR) imaging studies of AAA geometry are performed daily in the clinical setting, flow information is difficult to obtain: It is not possible to reliably measure flow using CT, and while phase-contrast MRI (PC-MRI) can measure velocities, it is rarely used clinically for AAA patients. As a result, many AAA blood flow simulations use highly resolved patient-specific geometries, but may utilize literature-derived flows for inlet boundary conditions from a single, unrelated, sometimes healthy person of dissimilar body mass.
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Tarnoki, David Laszlo, Adam Domonkos Tarnoki, Vladyslava Skakun, Kinga Karlinger, Eniko Barczi, Aniko Bohacs, and Veronika Muller. "Relationship between HRCT changes and clinical parameters in patients with scleroderma." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa859.

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Rainis, Carrie A., Daniel P. Browe, Patrick J. McMahon, and Richard E. Debski. "Performing Clinical Exams at Specific Joint Positions May Help Identify Injured Regions of the Glenohumeral Capsule Following Anterior Dislocation." In ASME 2012 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/sbc2012-80142.

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The anteroinferior glenohumeral capsule (anterior band of the inferior glenohumeral ligament (AB-IGHL), axillary pouch) limits anterior translation, particularly in positions of external rotation. [1, 2] Permanent tissue deformation that occurs as a result of dislocation contributes to anterior instability, but, the extent and effects of this injury are difficult to evaluate as the deformation cannot be seen using diagnostic imaging. Clinical exams are used to identify the appropriate location of tissue damage and current arthroscopic procedures allow for selective tightening of localized capsule regions; however, identifying the specific location for optimal treatment of each patient is challenging. Although the reliability of clinical exams has been shown to change with joint position [3] a standardized procedure has yet to be established. This lack of standardization is particularly problematic since capsule function is highly dependent upon joint position [4–7], and could be responsible for failed repairs attributed to plication of the wrong capsular region [8]. Understanding the relationship between the location of tissue damage and changes in capsule function following anterior dislocation could aid clinicians in diagnosing and treating anterior instability. Therefore, the objective of this work was to compare strain distributions in the anteroinferior capsule before and after anterior dislocation in order to identify joint positions at which clinical exams would be capable of detecting damage (nonrecoverable strain) in specific locations.
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Reports on the topic "Patient Clinician Relationship"

1

Johnson, Erin, M. Marit Rehavi, David Chan, and Daniela Carusi. A Doctor Will See You Now: Physician-Patient Relationships and Clinical Decisions. Cambridge, MA: National Bureau of Economic Research, September 2016. http://dx.doi.org/10.3386/w22666.

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2

Galloway, Kevin T. An Examination of the Relationship of the AMEDD Population Health Clinical Optimization Training with Change in Patient and Staff Satisfaction. Fort Belvoir, VA: Defense Technical Information Center, July 2003. http://dx.doi.org/10.21236/ada421483.

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