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Journal articles on the topic "Physician and patient Victoria"

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Rauw, Jennifer Marie, Sunil Parimi, Helen Anderson, Pamela Hinada, Bethina Abrahams, and Katie Hennessy. "Improving management of hypersensitivity reactions: A BC Cancer-Victoria quality improvement initiative." Journal of Clinical Oncology 39, no. 28_suppl (October 1, 2021): 230. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.230.

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230 Background: Hypersensitivity reactions (HSR) are a documented, predictable side effect of multiple chemotherapy agents. Reactions negatively affect the patient experience, increase the amount of chair time, nursing and physician resources, may result in the omission of a potentially effective cancer management tool from a patient’s treatment plan and could potentially result in death. BC Cancer is a Health Care Organization with 6 cancer centres across British Columbia, Canada. Guideline(GL)s have been developed at BC Cancer to support clinicians to manage reactions acutely and reduce the risk of reactions with subsequent cycles. A recent audit identified that the GLs were not always being followed at the Victoria Centre. Our goal was to encourage physician and nursing staff to follow GLs, which we hypothesized would result in decreased rates of HSR. Methods: Our aim was to decrease HSR to < 5% of doses delivered within 1 year at BC Cancer-Victoria. We engaged stakeholders (nursing, physicians, pharmacy, clerical staff and administration). Our change ideas improved adherence to GLs by focusing on: physician attendance and documentation, written orders for rescue medication, and rate of infusion of the chemotherapy drug rechallenge. Our interventions included: two physician-education sessions, one nursing education session, daily huddles, pre-printed order development for management of the reaction (PPOA) and prophylaxis for subsequent cycles (PPOB), and a modified clinic flow. All interventions were introduced and underwent modifications through PDSA cycles. Our family of measures were: Outcome: number of reactions, percent of reactions per dose given. Process: percent of PPO use per reaction, physician attendance and notes dictated per reaction. Balancing: physician and nursing satisfaction. We analyzed the data using quality improvement run charts and control charts. Results: After the start of our initiative, our total number of reactions displayed special cause variation, and a shift in the baseline from a mean of 11.27 HSR per month to 7.526. This change was reflected in the percentage of reactions per doses given which fell from 3.1% to 1.9%. Average percentage of dictated notes per reaction increased from 55% to 64%. Physician attendance per reaction also showed special cause variation with the average increasing from 57% to 90%. PPOA and PPOB use both increased over time. Nursing and Physician satisfaction data will also be presented. Conclusions: Our successful initiative has resulted in HSR management which more closely reflects GLs, including increased physician attendance and notes, and clear consistent written orders detailed on PPO A and B. This has led to decreased HSRs at our site, resulting in decreased resource use and increased patient safety and quality. This has provincial implications as there is the potential to spread this initiative to other BC Cancer sites.
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Urquhart, Christine, and Alexander H. Urquhart. "Commentary on Abrahamson and Rubin (2012) “Discourse structure differences in lay and professional health communication”, Journal of Documentation, Vol. 68 No. 6, pp. 826-851." Journal of Documentation 71, no. 2 (March 9, 2015): 216–23. http://dx.doi.org/10.1108/jd-02-2014-0036.

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Purpose – The purpose of this paper is to criticise the paper by Jennie A. Abrahamson and Victoria L. Rubin (2012) “Discourse structure differences in lay and professional health communication”, Journal of Documentation, Vol. 68 No. 6, pp. 826-851. Design/methodology/approach – The author reviewed the antecedents of Rhetorical Structure Theory (RST) in discourse analysis, and paid close attention to the differences between the original formulation of RST, later formulations of the RST model and the application of RST in this paper. The author also reviewed the literature on physician-patient communication, and patient-patient support to contextualise the findings of Abrahamson and Rubin. Findings – The paper shows evidence of over-simplification of RST since its initial formulation. Next, the Motivation relationship in the original Mann/Thompson formulation of RST appears problematic. This makes the authors’ RST findings that patient-patient (or consumer-consumer) information sharing appear to be more effective than physician-consumer information sharing rather tenuous. An important additional flaw is that there was only one physician participant in this study. A practical limitation to the study is that physicians mostly interact face-to-face with patients and use of consumer advice web sites may not fit well with the current practice of medicine. Research limitations/implications – The author had limited examples in the paper to examine how the authors had categorised the binary unit relationships. Originality/value – RST is promising for discourse analysis of information advice web sites but simplifications in its application can lead to unwarranted claims.
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Bibi, Rabia, Mishal Liaqat, Kalsoom Bibi, Iram Liaqat, and Yasmeen Akhtar. "Rare Periampullary Carcinoma: A Case Report." Pakistan Journal of Medical and Health Sciences 16, no. 5 (May 26, 2022): 210–11. http://dx.doi.org/10.53350/pjmhs22165210.

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Periampullary carcinoma is usually used to define a heterogeneous group of neoplasms raised on the head of the pancreas, duodenum, and distal common bile duct. Most of the periampullary growths are adenocarcinomas. Timely diagnosis and successful surgical treatment are dependent on the first physician. A 60 years old male patient was presented to medical outpatients of Bahawal Victoria Hospital Bahawalpur in October 2019 with a rare etiology of unexpected vomiting, nausea, fatigue, weight loss, and abdominal cramps for 12 days continuously. Abdominal ultrasound revealed a hypo-echoic mass with a measurement of 2.6x2.7cm on the head of the pancreasobstructingthe distal common bile duct with mild intrahepatic cholestasis. Based on physical examination signs& symptoms and lab investigations patient was considered of having periampullary cancer and a prompt Whipple plan was prepared. The vigilance of the physician and support of the patient’s family helped to make an early decision of pancreatoduodenectomy of the patient before the multi nodulation of the tumor hence, increased the life expectancy. Keywords: Periampullary, Whipple Plan, Pancreatoduodenectomy, Pancreatic Cancer.
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Samaroo, Bethan. "Assessing Palliative Care Educational Needs of Physicians and Nurses: Results of a Survey." Journal of Palliative Care 12, no. 2 (June 1996): 20–22. http://dx.doi.org/10.1177/082585979601200205.

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The Greater Victoria Hospital Society (GVHS) Palliative Care Committee surveyed medical and nursing staff from four hospitals and The Victoria Hospice Society in February, 1993. The purpose of the survey was to identify physicians’ and nurses’ perceived educational needs related to death and dying. Programs that focus on the dying process; patient pain, symptom, and comfort control; and patient and family support were identified as necessary to meet the educational needs of physicians and nurses in providing quality palliative care. Physicians and nurses identified communication skills as being paramount. Communications concerning ethical issues were highlighted as the most difficult to cope with.
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Campbell, Helen, Magee Miller, Janet Stretch, and Rivian Weinerman. "A Quality Improvement Initiative for Depression: Finally, a Model for use in “Real” Family Physician Time." Canadian Journal of Community Mental Health 27, no. 2 (September 1, 2008): 191–99. http://dx.doi.org/10.7870/cjcmh-2008-0028.

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Many patients with mental illness depend on family physicians (FPs) for their physical and mental health care, yet FPs often report dissatisfaction with the quality of mental health care they provide. A 2-year, quality improvement (QI) manual-based initiative was developed to increase FPs' diagnostic, cognitive-behavioural, and interpersonal treatment skills for depression. Two teams, each consisting of a psychiatrist and a mental health therapist, rotated through 18 family practices in Victoria, British Columbia, mentoring the model on-site with physicians and patients. Feedback suggests that this initiative enhanced the ability of FPs to diagnose depression and comorbid disorders, organize problems, and treat depression using non-pharmaceutical approaches.
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Knock, Marion, David Newsome, and Barbara Poole. "The Medical Information Highway: Where is the Access Ramp?" Healthcare Management Forum 8, no. 3 (October 1995): 57–61. http://dx.doi.org/10.1016/s0840-4704(10)60920-9.

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In this article, an analogy is drawn between a health care information system and a freeway transportation system. Unfinished access ramps and disconnected road sections are likened to unlinked computer information systems. It is not until there is “connectivity” between roadways that vehicles can take advantage of the efficiencies of a freeway system or until there are comrehensive, integrated information systems that quality health care can be provided. The Greater Victoria Hospital Society used quality improvement techniques to improve the medical information highway, and theories of change management to encourage physician leaders to “buy into” the information system to produce needed change in the organization and in patient care.
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Silvers, A., A. Licina, and L. Jolevska. "A Clinical Audit of An Office-Based Anaesthesia Service for Dental Procedures in Victoria." Anaesthesia and Intensive Care 46, no. 4 (July 2018): 404–13. http://dx.doi.org/10.1177/0310057x1804600410.

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There is an increasing number of specialties performing office-based procedures, with many different providers practising in this field. Office Based Anaesthesia Solutions is a private enterprise designed to be a high-quality general anaesthesia and sedation service delivering care across 18 dental practices in Victoria. We undertook a criterion-based audit of our practice standards and outcomes. Following ethics approval, we retrospectively reviewed consecutive patients managed by our service between March 2014 and July 2017. We collected demographic data, information about anaesthesia technique, and surgical features. We assessed our findings against the Australian and New Zealand College of Anaesthetists (ANZCA) day surgery policy documents. During the specified period, we provided anaesthesia or sedation for 1,323 patients. Their ages ranged from two to 93 years (mean [standard deviation] 33.3 [18.6] years). Ninety-three percent of patients were American Society of Anesthesiologists (ASA) physical status classification 1 or 2. Patient demographics were in line with ANZCA day surgical policy documents. Total intravenous anaesthesia was used in 1,054 of the 1,096 documented general anaesthesia cases. There were three unplanned hospital transfers (annual incidence 0.07%). As this was the first Australian criteria-based audit of office-based anaesthesia (OBA) for dental procedures, we cannot compare our findings directly to previous studies. However, we feel that our patient demographics fell within acceptable ANZCA day procedure standards and our adverse event rate was both very low and similar to other published international adverse event rates. Our audit indicates that with careful screening processes, patient selection and medical governance, OBA is a viable model of care for patients undergoing dental procedures.
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Dukelow, A., K. Van Aarsen, C. MacDonald, and V. Dagnone. "P036: Interim analysis of the impact of the emergency department transformation system on flow metrics." CJEM 20, S1 (May 2018): S69. http://dx.doi.org/10.1017/cem.2018.234.

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Introduction: Emergency Department Systems Transformation (EDST) is a bundle of Toyota Production System based interventions implemented in two Canadian tertiary care Emergency Departments (ED) between June 2014 to July 2016. The goals were to improve patient care by increasing value and reducing waste. Longer times to physician initial assessment (PIA), ED length of stays (LOS) and times to inpatient beds are associated with increased patient morbidity and potentially mortality. Some of the 17 primary interventions included computerized physician order entry optimization, staff schedule realignment, physician scorecards and a novel initial assessment process ED access block has limited full implementation of EDST. An interim analysis was conducted to assess impact of interventions implemented to date on flow metrics. Methods: Daily ED visit volumes, boarding at 7am, time to PIA and LOS for non-admitted patients were collected from April 2014 -June 2016. Volume and boarding were compared from first to last quarter using an independent samples median test. Linear regression for each variable versus time was conducted to determine unadjusted relationships. PIA, LOS for non-admitted low acuity (Canadian Triage and Acuity Scale (CTAS) 4,5) and non-admitted high acuity (CTAS 1,2,3) patients were subsequently adjusted for volume and/or boarding to control for these variables using a non-parametric correlation. Results: Overall, median ED boarding decreased at University Hospital (UH) (14.0 vs 6.0, p<0.01) and increased at Victoria Hospital (VH) (17.0 vs 21.0, p<0.01) from first to last quarter. Median ED volume increased significantly at UH from first to last quarter (129.0 vs 142.0, p<0.01) but remained essentially unchanged at VH. 90th percentile LOS for non-admitted low acuity patients significantly decreased at UH (adjusted rs=-0.24, p<0.01) but did not significantly change at VH. For high acuity patients 90th percentile LOS significantly decreased at both hospitals (UH: adjusted rs=-0.23, p<0.01; VH: adjusted rs=-0.21, p<0.01). 90th percentile time to PIA improved slightly but significantly in both EDs (UH: adjusted rs=-0.10, p<0.01; VH: adjusted rs=-0.18, p<0.01). Conclusion: Persistent ED boarding impacted the ability to fully implement the EDST model of care. Partial EDST implementation has resulted in improvement in PIA at both LHSC EDs. At UH where ED boarding decreased, LOS metrics improved significantly even after controlling for boarding.
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Vedsted, Peter, David Weller, Alina Zalounina Falborg, Henry Jensen, Jatinderpal Kalsi, David Brewster, Yulan Lin, et al. "Diagnostic pathways for breast cancer in 10 International Cancer Benchmarking Partnership (ICBP) jurisdictions: an international comparative cohort study based on questionnaire and registry data." BMJ Open 12, no. 12 (December 2022): e059669. http://dx.doi.org/10.1136/bmjopen-2021-059669.

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ObjectivesA growing body of evidence suggests longer time between symptom onset and start of treatment affects breast cancer prognosis. To explore this association, the International Cancer Benchmarking Partnership Module 4 examined differences in breast cancer diagnostic pathways in 10 jurisdictions across Australia, Canada, Denmark, Norway, Sweden and the UK.SettingPrimary care in 10 jurisdictions.ParticipantData were collated from 3471 women aged >40 diagnosed for the first time with breast cancer and surveyed between 2013 and 2015. Data were supplemented by feedback from their primary care physicians (PCPs), cancer treatment specialists and available registry data.Primary and secondary outcome measuresPatient, primary care, diagnostic and treatment intervals.ResultsOverall, 56% of women reported symptoms to primary care, with 66% first noticing lumps or breast changes. PCPs reported 77% presented with symptoms, of whom 81% were urgently referred with suspicion of cancer (ranging from 62% to 92%; Norway and Victoria). Ranges for median patient, primary care and diagnostic intervals (days) for symptomatic patients were 3–29 (Denmark and Sweden), 0–20 (seven jurisdictions and Ontario) and 8–29 (Denmark and Wales). Ranges for median treatment and total intervals (days) for all patients were 15–39 (Norway, Victoria and Manitoba) and 4–78 days (Sweden, Victoria and Ontario). The 10% longest waits ranged between 101 and 209 days (Sweden and Ontario).ConclusionsLarge international differences in breast cancer diagnostic pathways exist, suggesting some jurisdictions develop more effective strategies to optimise pathways and reduce time intervals. Targeted awareness interventions could also facilitate more timely diagnosis of breast cancer.
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Freed, Gary L., and Amy R. Allen. "Outpatient consultant physician service usage in Australia by specialty and state and territory." Australian Health Review 43, no. 2 (2019): 200. http://dx.doi.org/10.1071/ah17125.

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Objectives To determine national service usage for initial and subsequent outpatient consultations with a consultant physician and any variation in service-use patterns between states and territories relative to population. Methods An analysis was conducted of consultant physician Medicare claims data from the year 2014 for an initial (item 110) and subsequent consultation (item 116) and, for patients with multiple morbidities, initial management planning (item 132) and review (133). The analysis included 12 medical specialties representative of common adult non-surgical medical care (cardiology, endocrinology, gastroenterology, general medicine, geriatric medicine, haematology, immunology and allergy, medical oncology, nephrology, neurology, respiratory medicine and rheumatology). Main outcome measures were per-capita service use by medical speciality and by state and territory and ratio of subsequent consultations to initial consultations by medical speciality and by state and territory. Results There was marked variation in per-capita consultant physician service use across the states and territories, tending higher than average in New South Wales and Victoria, and lower than average in the Northern Territory. There was variation between and within specialties across states and territories in the ratio of subsequent consultations to initial consultations. Conclusion Significant per-capita variation in consultant physician utilisation is occurring across Australia. Future studies should explore the variation in greater detail to discern whether workforce issues, access or economic barriers to care, or the possibility of over- or under-servicing in certain geographic areas is leading to this variation. What is known about the topic? There are nearly 11million initial and subsequent consultant physician consultations billed to Medicare per year, incurring nearly A$850million in Medicare benefits. Little attention has been paid to per-capita variation in rates of consultant physician service use across states and territories. What does this paper add? There is marked variation in per-capita consultant physician service use across different states and territories both within and between specialties. What are the implications for practitioners? Variation in service use may be due to limitations in the healthcare workforce, access or economic barriers, or systematic over- or under-servicing. The clinical appropriateness of repeated follow-up consultations is unclear.
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Dissertations / Theses on the topic "Physician and patient Victoria"

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Broekmann, Reginald J. (Reginald John). "Power in the physician-patient relationship." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51884.

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Thesis (M.A.)--University of Stellenbosch, 2000.
ENGLISH ABSTRACT: This paper examines aspects of power within the physicianpatient relationship. The historical development of the physician-patient relationship is briefly reviewed and some of the complexities of the relationship highlighted. It is shown that, historically, there is no imperative for the physician to consider only the interests of the patient and it has always been acceptable to consider the interests of a third party, such as the State or an employer - essentially the interests of whoever is paying the physician. The classical sources of power are then considered. These sources include legitimate power, coercive power, information power, reward power, expert power, referent power, economic power, indirect power, associative power, group power, resource power and gender power. Other approaches to power are also considered such as principle-centred power as described by Covey, power relationships as explained by Foucault, the power experience as described by McClelland and an analysis of power as expounded by Morriss. The various sources of power are then considered specifically within the physician-patient relationship to determine: if this particular type of power is operative in the physicianpatient relationship, and if so if it operates primarily to the advantage of the physician or the advantage of the patient. A simple method of quantifying power is proposed. Each form of power operative in the physician-patient relationship is then considered and graphically depicted in the form of a bar chart. Each form of power is shown as a bar and bars are added to the chart to 'build up' an argument which demonstrates the extent of the power disparity between physician and patient. It is clearly demonstrated that all forms of power operate to the advantage of the physician and in those rare circumstances where the patient is able to mobilize power to his/her advantage, the physician quickly calls on other sources of power to re-establish the usual, comfortable, power distance. Forms of abuse of power are mentioned. Finally, the ethical consequences of the power disparity are briefly considered. Concern is expressed that the power disparity exists at all but this is offset by the apparent need for society to empower physicians. Conversely, consideration is given to various societal developments which are intended to disempower physicians, particularly at the level of the general practitioner. Various suggestions are made as to how the power relationships will develop in future with or without conscious effort by the profession to change the relationship.
AFRIKAANSE OPSOMMING: Hierdie voordrag ondersoek aspekte van mag in die verwantskap tussen pasiënt en geneesheer. Die historiese ontwikkeling van die verwantskap word kortliks hersien en 'n kort beskrywing van die ingewikkeldheid van die verwantskap word uitgelig. Vanuit 'n historiese oogpunt, word 'n geneesheer nie verplig om alleenlik na die belange van die pasiënt om te sien nie en was dit nog altyd aanvaarbaar om die belange van 'n derde party soos die Staat of 'n werkgewer se belange to oorweeg - hoofsaaklik die belange van wie ookal die geneesheer moet betaal. Die tradisionele bronne van mag word oorweeg. Hierdie bronne sluit in: wetlike mag of 'gesag', die mag om te kan dwing, inligtingsmag, vergoedingsmag, deskundigheidsmag, verwysingsmag, ekonomiesemag, indirektemag, vereeningingsmag, groepsmag, bronnemag en gelslagsmag. Alternatiewe benaderings word ook voorgelê, naamlik die beginsel van etiese mag soos deur Covey beskryf, krag in menslike verhoudings soos deur Foucault, die ondervinding van krag soos beskryf deur McClelland en 'n ontleding van krag soos deur Morriss verduidelik. Hierdie verskillende mag/gesagsbronne word spesifiek met betrekking tot die geneesheer-pasiënt verhouding uiteengesit om te besluit: of hierdie tipe mag aktief is tussen geneesheer en pasiënt, en indien wel, werk dit tot die voordeel van die geneesheer of die pasiënt. 'n Eenvoudige sisteem vir die meting van mag/gesag word voorgestel. Die bronne word individueeloorweeg en gemeet en die resultaat in 'n grafiese voorstelling voorgelê op so 'n wyse dat 'n argument daardeur 'opgebou' word om die verskille van van mag/gesag tussen geneesheer en pasiënt uit te wys. Dit word duidelik uiteengesit dat alle vorms van mag/gesag ten gunste van die geneesheer werk. Kommer is getoon dat hierdie magsverskil werklik bestaan, asook die snaakse teenstelling dat die gemeenskap wil eintlik die geneesheer in "n magsposiesie plaas. Die etiese gevolge van hierdie ongebalanseerde verwantskap, asook die moontlikheid van wangebruik van hierdie mag word ook genoem. Verskillende gemeenskaplike ontwikkelinge wat die mag van die geneesheer wil wegneem word geidentifiseer, meestalop die vlak van die algmene praktisyn. Verskeie voorstelle vir toekomstige ontwikkeling van die verwantskap word voorgelê, met of sonder spesifieke pogings van die professie om die verwantskap te verbeter.
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Pertiwi, Yopina Galih. "The Role of Physician Social Identities in Patient-Physician Intergroup Relations." University of Toledo / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1556750133228496.

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Krainin, Penelope. "The influence of patient weight on patient-physician interaction and patient satisfaction." Full text available online (restricted access), 2001. http://images.lib.monash.edu.au/ts/theses/krainin.pdf.

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Labuda, Schrop Susan M. "The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?" Kent State University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=kent1320002395.

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Cartmill, Patricia R. "Building trust in the physician/patient encounter." Online version, 2001. http://www.uwstout.edu/lib/thesis/2001/2001cartmillp.pdf.

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Bambino, Linda E. "Physician Communication Behaviors That Elicit Patient Trust." Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etd/2185.

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The general relationship between the physician and the patient is one where communication is used to establish and maintain what will likely become a long-term partnership. Health communication research indicates that physicians who have apt communication skills in the patient-physician relationship develop a platform of trust behaviors. The physician communication behaviors perceived to elicit trust reported by patients are; comfort/caring, agency, competence, compassion and honesty. The objective of the research project was to assess patient perceptions of previously determined physician communication behaviors that predict patient trust through individual surveys (N=162) between foreign-born international medical graduates and American-born non-IMG resident physicians. Patients reported finding a difference in the exhibited communication behaviors between non-IMG and IMG resident physicians, with the exception of comfort/caring. A modified Trust Model guided the research and supported certain prior findings, claiming that effective communication cannot exist in the absence of a solid, trusting physician-patient relationship.
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Ahmed, Fareen. "The impact of patient-physician race concordance on patient centered care." Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1523082.

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Patient centered care considers patients' values, personal preferences, cultural traditions and lifestyles when it comes to implementing care and treatments. This study looks at the effect of patient-physician race concordance on patient centered care and focuses on which ethnic backgrounds are more impacted by this concept. When patients feel they can relate to their care providers, they tend to report higher satisfaction rates when it comes to their treatments. Results of this study can be applied to future research revolving around patient centeredness and can be used to determine how to enhance patient centered care for all patients.

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Schmidt, Cindy. "Physician-Patient Relationships and Their Effect on T2DM Patient Treatment Adherence." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5655.

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Type 2 diabetes (T2DM) is a health epidemic that continues to worsen. A major concern is that treatment adherence rates hover around 50%, despite the introduction of new medications, treatments, and technology. Lack of adherence by patients can lead to complications like blindness, kidney disease, and amputations. While there have been many studies conducted to evaluate patient factors related to adherence, fewer studies have been conducted to evaluate the role of the physician-patient relationship. The purpose of this study was to examine the correlation between the physician-patient relationship and patient treatment adherence, and examine the moderators of age, education, ethnicity, and income. Gender was included as a moderator in a secondary analysis. Two theories formed the theoretical framework of this study: biopsychosocial model and self-efficacy theory. This quantitative nonexperimental study was completed with survey data collected from 92 participants in the United States ages 18 or older who were under treatment for T2DM for at least a year, and who had seen their physician at least once in the previous year. Correlational and regression analyses were conducted using data from the modified Clinician and Group Survey and the Diabetes Management Self-Questionnaire. The physician-patient relationship predicted treatment adherence, and gender moderated the relationship. These findings suggest the importance of the physician-patient relationship as a factor in patient treatment adherence. This has important implications for social change because an understanding of which physician factors lead to treatment adherence may help improve patient outcomes, reduce T2DM complications, improve patient quality of life, and reduce healthcare costs.
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Ashley, Mary U. "Physician opinion of the effect of direct-to-consumer advertising on physician-patient relations." The Ohio State University, 2000. http://rave.ohiolink.edu/etdc/view?acc_num=osu1406030745.

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Sewitch, Maida. "Effect of discordant physician-patient perceptions on patient adherence in inflammatory bowel disease." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=37835.

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Background. Discordant physician-patient perceptions on health-related information have been related to less favourable health outcomes and increased use of health services.
Objectives. To develop a psychometrically-sound measure of physician-patient discordance that could be used by clinicians and researchers working with patients with various chronic diseases. To investigate the relationship between physician-patient discordance and patient adherence to self-care in inflammatory bowel disease.
Study design and population. A prospective cohort study with follow-ups at 2-weeks and 4-months was conducted between February and November 1999 at three gastroenterology clinics affiliated with the McGill University Health Centre. Ten physicians and 200 patients with inflammatory bowel disease participated in the study.
Methods. A 10-item visual analog scale questionnaire was developed which assessed perceptions of the patient's health status and of the clinical visit. Questionnaires were completed independently by physicians and patients following the index clinical visit. Discordance was calculated within physician-patient pairs. Demographic, clinical and psychosocial data were obtained prior to the visit. Patient adherence data were obtained at 2-weeks using a telephone interview and mail-back survey. General adherence was assessed with a visual analog scale; medication adherence was determined with a validated questionnaire. Medication data were obtained by chart review at 4-months. Multivariable generalized estimating equations models and mixed models for unbalanced repeated measures analysis of variance were used to determine associations between discordance and patient adherence.
Results. Satisfactory psychometric properties were obtained for discordance scores. Higher psychological distress was the most important determinant of higher discordance. Higher distress was correlated with active disease, less time since diagnosis, greater number and impact of negative life events. Higher satisfaction with social support reduced psychological distress by buffering the negative impact of perceived stress. Higher discordance on symptoms and treatment increased the risk of general nonadherence in patients with higher social support satisfaction. Medication adherence was associated with active disease, greater disease duration and scheduling another appointment. Higher discordance on well-being decreased the probability of medication adherence in non-distressed patients.
Conclusion. Preliminary evidence has been provided to support the validity of the new measure of physician-patient discordance. Higher discordance was associated with an increased risk of nonadherence in patients with healthy psychosocial characteristics.
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Books on the topic "Physician and patient Victoria"

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The nature of their bodies: Women and their doctors in Victorian Canada. Toronto ; Buffalo: University of Toronto Press, 1991.

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Mitchinson, Wendy. The nature of their bodies: Women and their doctors in Victorian Canada. Toronto ; Buffalo: University of Toronto Press, 1991.

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1920-, Von Raffler-Engel Walburga, ed. Doctor-patient interaction. Amsterdam: J. Benjamins Pub. Co., 1989.

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Stein, Michael. The Lonely Patient. New York: HarperCollins, 2007.

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1920-, Von Raffler-Engel Walburga, ed. Doctor-patient interaction. Amsterdam: J. Benjamins Pub. Co, 1989.

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Glasser, Michael L. Physician-patient relationships: An annotated bibliography. New York: Garland Pub., 1991.

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Steven, Simms, Green Michael J. 1961-, and American College of Physicians, eds. Breaking the cycle: How to turn conflict into collaboration when you and your patients disagree. Philadelphia: ACP Press, 2009.

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Blumer, Ian. What your doctor really thinsk: Diagnosing the doctor-patient relationship. Toronto, Ontario: Dundurn Press, 1999.

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M, Veatch Robert, ed. The patient-physician relation: The patient as partner, part 2. Bloomington: Indiana University Press, 1991.

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Wynn, Rolf. Provider-patient interaction: A corpus-based study of doctor-patient and student-patient interaction. Kristiansand: Høyskoleforlaget, 1999.

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Book chapters on the topic "Physician and patient Victoria"

1

Ursano, Amy M., Stephen M. Sonnenberg, and Robert J. Ursano. "Physician-Patient Relationship." In Psychiatry, 20–32. Chichester, UK: John Wiley & Sons, Ltd, 2008. http://dx.doi.org/10.1002/9780470515167.ch2.

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Laws, M. Barton. "Physician–Patient Communication." In Encyclopedia of Immigrant Health, 1200–1205. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-5659-0_221.

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Delle Fave, Antonella. "Patient-Physician Communication." In Encyclopedia of Quality of Life and Well-Being Research, 4661–63. Dordrecht: Springer Netherlands, 2014. http://dx.doi.org/10.1007/978-94-007-0753-5_2102.

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Ursano, Amy M., Stephen M. Sonnenberg, and Robert J. Ursano. "Physician-Patient Relationship." In Psychiatry, 20–33. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118753378.ch2.

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Delle Fave, Antonella. "Patient-Physician Communication." In Encyclopedia of Quality of Life and Well-Being Research, 1–4. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-319-69909-7_2102-2.

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Yu, A.-Yong. "Physician–Patient Communication." In Double-pass Optical Quality Analysis for the Clinical Practice of Cataract, 95–102. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-0435-5_9.

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Razzaboni, Elisabetta. "Patient–Physician Communication." In Practical Medical Oncology Textbook, 357–64. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-56051-5_23.

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Damian, Simona Irina. "Physician–Patient Relationship." In Mental Health Practitioner's Guide to HIV/AIDS, 327–29. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-5283-6_67.

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Eldo, Frezza. "Patient–Physician Relationship." In Medical Ethics, 43–50. Boca Raton : Taylor & Francis, 2019.: Productivity Press, 2018. http://dx.doi.org/10.4324/9780429506949-6.

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Lang, David Marshall. "Physician and Patient." In The Wisdom of Balahvar, 124. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003250760-21.

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Conference papers on the topic "Physician and patient Victoria"

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Paris, Stelian. "MANAGEMENT OF PHYSICIAN � PATIENT COMMUNICATION." In 2nd International Multidisciplinary Scientific Conference on Social Sciences and Arts SGEM2015. Stef92 Technology, 2015. http://dx.doi.org/10.5593/sgemsocial2015/b11/s2.086.

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Stelian, Paris. "CLINICAL RESEARCH - MANAGEMENT OF PHYSICIAN � PATIENT COMMUNICATION." In 14th SGEM GeoConference on NANO, BIO AND GREEN � TECHNOLOGIES FOR A SUSTAINABLE FUTURE. Stef92 Technology, 2014. http://dx.doi.org/10.5593/sgem2014/b61/s25.043.

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Chen, Ruimin, Mutong Chen, and Hui Yang. "Dynamic Physician-patient Matching in the Healthcare System." In 2020 42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) in conjunction with the 43rd Annual Conference of the Canadian Medical and Biological Engineering Society. IEEE, 2020. http://dx.doi.org/10.1109/embc44109.2020.9176324.

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Rogers, Jennifer L., Megan EB Clowse, Kevin McKenna, Summer Starling, Teresa Swezey, Nneka Molokwu, Amy Corneli, et al. "1113 Patient and Physician Perspectives of Lupus Flare." In LUPUS 21ST CENTURY 2021 CONFERENCE, Abstracts of the Fifth Biannual Scientific Meeting of the North and South American and Caribbean Lupus Community, Tucson, Arizona, USA – September 22–25, 2021. Lupus Foundation of America, 2021. http://dx.doi.org/10.1136/lupus-2021-lupus21century.56.

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Ho, Te-Wei, Chia-Jui Tsai, Chung-Chieh Hsu, Yao-Ting Chang, and Feipei Lai. "Indoor navigation and physician-patient communication in emergency department." In the 3rd International Conference. New York, New York, USA: ACM Press, 2017. http://dx.doi.org/10.1145/3162957.3162971.

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Comert, Sevda, Seda Beyhan Sağmen, Coskun Dogan, Elif Torun Parmaksız, Ali Fidan, Banu Salepci, and Nesrin Kıral. "Who should do the asthma control test: Patient? Physician?" In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa3953.

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Lanciotti, Marco, Catherine Escazut, Célia da Costa Pereira, Claudio Sartori, and Emanuele Galasso. "An Agent Supporting Symptom Elicitation in Physician-Patient Dialogue." In WI-IAT '21: IEEE/WIC/ACM International Conference on Web Intelligence. New York, NY, USA: ACM, 2021. http://dx.doi.org/10.1145/3486622.3494028.

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Prabhu, Vishnunarayan Girishan, Kevin Taaffe, Ronald Pirrallo, William Jackson, and Michael Ramsay. "Physician Shift Scheduling to Improve Patient Safety and Patient Flow in the Emergency Department." In 2021 Winter Simulation Conference (WSC). IEEE, 2021. http://dx.doi.org/10.1109/wsc52266.2021.9715398.

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Gutstein, Daniel, Enid Montague, Jacob Furst, and Daniela Raicu. "Hand-Eye Coordination: Automating the Annotation of Physician-Patient Interactions." In 2019 IEEE 19th International Conference on Bioinformatics and Bioengineering (BIBE). IEEE, 2019. http://dx.doi.org/10.1109/bibe.2019.00123.

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Nita, Lucian. "Cloud Platform for Medical Data Acquisition and Physician-Patient Interconnection." In 2018 International Conference and Exposition on Electrical And Power Engineering (EPE). IEEE, 2018. http://dx.doi.org/10.1109/icepe.2018.8559835.

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Reports on the topic "Physician and patient Victoria"

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Doyle, Joseph. Physician Characteristics and Patient Survival: Evidence from Physician Availability. Cambridge, MA: National Bureau of Economic Research, July 2020. http://dx.doi.org/10.3386/w27458.

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Simeonova, Emilia, Niels Skipper, and Peter Thingholm. Physician Health Management Skills and Patient Outcomes. Cambridge, MA: National Bureau of Economic Research, February 2020. http://dx.doi.org/10.3386/w26735.

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Fadlon, Itzik, and Jessica Van Parys. Primary Care Physician Practice Styles and Patient Care: Evidence from Physician Exits in Medicare. Cambridge, MA: National Bureau of Economic Research, September 2019. http://dx.doi.org/10.3386/w26269.

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Armstrong, Katrina. Treatment Decisions in Localized Prostate Cancer: Patient, Partner and Physician. Fort Belvoir, VA: Defense Technical Information Center, April 2001. http://dx.doi.org/10.21236/ada394110.

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Armstrong, Katrina. Treatment Decisions in Localized Prostate Cancer: Patient, Partner, and Physician. Fort Belvoir, VA: Defense Technical Information Center, April 2002. http://dx.doi.org/10.21236/ada406057.

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Armstrong, Katrina. Treatment Decisions in Localized Prostate Cancer: Patient Partner and Physician. Fort Belvoir, VA: Defense Technical Information Center, April 2004. http://dx.doi.org/10.21236/ada427921.

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Armstrong, Katrina. Treatment Decisions in Localized Prostate Cancer: Patient, Partner and Physician. Fort Belvoir, VA: Defense Technical Information Center, April 2003. http://dx.doi.org/10.21236/ada416151.

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Alexander, Diane, and Molly Schnell. The Impacts of Physician Payments on Patient Access, Use, and Health. Cambridge, MA: National Bureau of Economic Research, July 2019. http://dx.doi.org/10.3386/w26095.

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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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Currie, Janet, W. Bentley MacLeod, and Jessica Van Parys. Physician Practice Style and Patient Health Outcomes: The Case of Heart Attacks. Cambridge, MA: National Bureau of Economic Research, May 2015. http://dx.doi.org/10.3386/w21218.

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