Dissertations / Theses on the topic 'Physician-patient'
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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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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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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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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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Levine, Kiera S. "Beyond patient satisfaction physician ambivalence, authenticity, and the challenges to patient-centered medicine /." [New Haven, Conn. : s.n.], 2008. http://ymtdl.med.yale.edu/theses/available/etd-12092008-114134/.
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Breslin, Jonathan M. Gedge Elisabeth Boetzkes. "A care-based model of the physician-patient relationship /." *McMaster only, 2003.
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Mercado, David (David Eduardo). "Measurement of physician hand & patient tissue mechanical impedance." Thesis, Massachusetts Institute of Technology, 2017. http://hdl.handle.net/1721.1/111709.
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Thesis: S.M., Massachusetts Institute of Technology, Department of Mechanical Engineering, 2017.Cataloged from PDF version of thesis.
Includes bibliographical references (pages 195-198).
This study investigates various methods by which a previously developed hand-operated actuated device is capable of measuring the mechanical impedance of both the compliant patient tissue in contact with its end effector and of the hand of the operator holding the device. The particular device being investigated is an actuated ultrasound probe originally designed to regulate the amount of force exerted by a sonographer to their patient during an ultrasound scan. We expect that quantifying the effective mechanical impedance of the operator hand will lead to improvements in the design and control of hand-operated devices. Improvements are being considered not only to improve the quality and reliability of the ultrasound scan, but to alleviate the chronic muscular and joint stress endured by sonographers over the course of their careers. An additional motivation behind this study is to augment the capabilities of physicians to diagnose medical conditions, such as breast cancer and liver cirrhosis, on the basis of tissue impedance without the need for an additional mechanism. Several methods were developed for approximating mechanical impedance using the actuated ultrasound probe, based on the sensors available and models of the device dynamics. Due to sensor limitations, impedance measurement could only be effectively implemented for a single interface, instead of both concurrently. These methods involved immobilizing one end of the device. Experiments were conducted on artificial tissues in order to confirm that the methods developed were valid and reliable for measuring mechanical impedance of the body in contact with either the sonographer or patient end of the device.
by David Mercado.
S.M.
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Wagner, Rachel N. "The Role of Autonomy in the Physician-Patient Relationship." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/honors/303.
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Maintaining the proper physician-patient relationship in health care is vital to the well-being of patients, especially when considering end of life decisions such as euthanasia. Because this topic has been in the forefront of media in recent years, there appears to be a need to understand how the relationship between physician and patient works in these practical situations, as well as understand what the most appropriate model of patient care is in regards to maintaining patient autonomy. However, before this can be done this paper will begin with a brief look at the overall permissibility of euthanasia, using the arguments of Dan Brock and Leon Kass.
Once the issue of permissibility is discussed, I continue by investigating three main models of patient care presented by Linda and Ezekiel Emanuel: informative, interpretive, and deliberative. Each of these models presents a different view of patient autonomy that changes how the physician and patient interact. By discussing the philosophical requirements of autonomy presented by philosophers such as Harry Frankfurt, Susan Wolf, and Andrea Westlund, I argue that the deliberative model of patient care provides the most sufficient view of autonomy while also protecting the physician-patient relationship and patient well-being.
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Santana-Cebollero, DeAnna. "Physician Well Being and Patient Satisfaction Among Employed Physicians." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/167.
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Understanding physician well-being may help prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Using the biopsychosocial-spiritual theory as the conceptual framework, this quantitative study examined the relationship between: (a) physician well-being and patient satisfaction, (b) physician gender and physician well-being, (c) primary care providers' and specialists' well-being, (d) patient satisfaction based on physician specialty, and (e) the duration of practice and physician well-being. All of the 87 employed physicians in a Florida regional hospital were invited to respond to a physician well-being questionnaire; a response rate of 58.4% was achieved. Patient satisfaction information was obtained through archived data of 4,500 patient surveys. Data were analyzed utilizing linear regression to examine the relationship between patient satisfaction and duration of physicians' practice, with the dependent variable, physician well-being. Two logistic regression analyses were utilized to examine (a) differences between physician well-being, gender, and specialty; and (b) differences between patient satisfaction and physician specialty. There were no significant relationships evident; however, it was speculated that the nonsignificance may be due to the small available sample of physicians. Future research on physician well-being may use the current findings to refine the conceptual framework and increase the understanding of how physician well-being can prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Future research in this area will have the potential to increase the quality of patient care that will address positive social change.
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Budyn, Cynthia Lee. ""Great Expectations" communication between stadardized patients and medical students in Objective Structured Clinical Examinations." Connect to resource online, 2007. http://hdl.handle.net/1805/1187.
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Thesis (M.A.)--Indiana University, 2007.Title from screen (viewed on January 9, 2008). Department of Communication Studies, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Stuart M. Schrader, Kim D. White-Mills, Elizabeth M. Goering, Jane E. Schultz. Includes vitae. Includes bibliographical references (leaves 85-94).
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Fagerlind, Hanna. "Patient-Physician Communication in Oncology Care : The character of, barriers against, and ways to evaluate patient-physician communication, with focus on the psychosocial dimensions." Doctoral thesis, Uppsala universitet, Institutionen för farmaci, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-183841.
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The overall aim of this thesis was to characterize patient-physician communication in oncology care with focus on the content and quality of the consultations from the perspectives of patients, oncologists and observer. Further, the aim was to explore oncologists’ perceived barriers against psychosocial communication in out-patient consultations. Finally, the aim was to evaluate different methods for evaluating communication in this setting. Routine oncology out-patient consultations from two different hospitals were audio-recorded. After the consultations, patients and oncologists perceptions of the content and quality of the communication were assessed using a self-report questionnaire. A nation-wide survey was performed to assess oncologists’ perceived barriers against psychosocial communication. Finally, the audio-recorded consultations were used for evaluating inter-rater reliability and feasibility of two different communication analysis instruments. Patient-physician consultations in oncology care are focused on the physical aspects of disease and treatment, both in terms of how often these issues were discussed and in terms of the amount of time spent on discussing them. Psychosocial issues, such as the disease’s effects on patients’ emotional or social functioning, are not always discussed during consultations, and the time spent on such discussions is limited. When psychosocial issues are discussed during the medical consultations, they are most often patient-initiated. Reasons for why psychosocial aspects are seldom discussed during the medical consultations can be the barriers concerning this kind of communication perceived by a large majority (93%) of the oncologists. Barriers against psychosocial communication were identified at organizational levels (including guidelines, routines, and resources) and individual levels (including physicians’ knowledge and attitudes). Furthermore, this thesis shows that there are methods with high feasibility and reliability for evaluating the content of patient-physician communication, in large study samples in oncology care. The method (observation/self-report) and perspective (patient, physician, and observer) used when evaluating communication affects the results. This needs to be considered when choosing evaluation methods in intervention studies. There are reasons to continue to evaluate, promote and implement promising ways of achieving better communication in clinical practice. Research should focus on how to overcome barriers against psychosocial communication.
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Thomas, Nancy A. "The physician-patient relationship : empathy, trust, and intentions to adhere to medical recommendations." Virtual Press, 2004. http://liblink.bsu.edu/uhtbin/catkey/1301633.
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The main purpose of this research study was to identify variables within the physician-patient relationship that may have a relationship to patients' intentions to adhere to medical recommendations. A literature review regarding the physician-patient relationship identifies two important variables: trust and empathy. This study investigated the impact of trust and empathy on patients' intentions to adhere to medical recommendations. Ajzen's Theory of Planned Behavior (Ajzen, 1988) (Figure 1) was used as a theoretical cognitive framework to help conceptualize the proposed study. Trust and perceived empathy were proposed as variables in the physician-patient relationship that influence a patient's subjective norm, attitude toward the behavior, and perceived behavioral control sufficiently to affect the patient's intentions to adhere to medical recommendations (Figure 2).The participants in this investigation included 128 adult Family Practice Clinic patients, who completed a set of questionnaires following an appointment with their physician. Participants completed the measures of the Perceived Empathy Scale (Plank, Minton, & Reid, 1996), the Trust in Physicians Scale (Anderson & Dedrick, 1990), and a short author generated measure of intentions to follow medical recommendations. The survey included four demographic variables: sex, age, marital status, and number ofphysicians' appointments.A hierarchical regression was performed which indicated that trust in the physician was not a statistically significant predictor of intentions to adhere to medical recommendations. However, patient perceived empathy from the physician was a statistically significant predictor of patients' intentions to adhere to medical recommendations. The only statistically significant demographic predictor of intentions to adhere to medical recommendations was marital status, indicating that participants who were married were more likely to express intentions to follow medical recommendations that those who were not.Department of Counseling Psychology and Guidance Services
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Svensson, Staffan. "Medication adherence, side effects and patient-physician interaction in hypertension /." Göteborg : Department of Clinical Pharmacology, Institute of Internal Medicine, The Sahlgrenska Academy at Göteborg University, 2006. http://hdl.handle.net/2077/635.
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Kuo, I. fan. "Physician and patient preferences for stroke prophylaxis in atrial fibrillation." Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/46554.
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Glenn, L. Lee. "Patient-Reported Medical Outcomes According to Physician Type and Region." Digital Commons @ East Tennessee State University, 1995. https://dc.etsu.edu/etsu-works/7548.
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The purpose of the present study was to determine whether patients with common foot disorders have different medical outcomes depending on whether podiatrists, orthopedic surgeons, or other physicians provided their medical care in rural or urban areas. A validated medical effectiveness score was formulated using indirect standardization of risk-adjusted morbidity, based on patient reports from a national random household interview survey of 3,270 subjects. Patients in rural and urban areas did not differ significantly in medical outcomes across provider types, but there was a trend for patients in rural areas to have poorer outcomes. The medical effectiveness score of podiatrists was 3.9 times higher (indicating more beneficial outcomes) than that of orthopedic surgeons or other physicians (p < 0.01). Patients that visited podiatrists for common foot problems reported significantly more beneficial outcomes than those who visited other types of health care providers.
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Acquah, Shirley A. "Physician-Patient Communication in Ghana: Multilingualism, Interpreters, and Self-Disclosure." Ohio University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1305026002.
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Grifone, Rose. "Personal investment : five physicians' core experience of relating with patients /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ56231.pdf.
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Curran, Leah Jane. "The development of new instruments to assess and predict patient involvement in medical decision-making." Connect to full text, 2006. http://hdl.handle.net/2123/4014.
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Thesis (D.C.P. / M. Sc.)--School of Psychology, Faculty of Science, University of Sydney, 2007.Title from title screen (viewed on February 3, 2009) Degree awarded 2007; thesis submitted 2006. Submitted in fulfilment of the requirements for the degree of Doctor of Clinical Psychology/Master of Science to the School of Psychology, Faculty of Science. Includes bibliographical references. Also issued in print.
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Gillmore, Elizabeth Hardy Sprowls. "Improving patient satisfaction by training emergency department physicians to respond to patient behavior." Diss., This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-06062008-171308/.
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Moine, Cortney Taylor. "Patient-Physician Relationships and Regimen Adherence in Hispanic Youth with Type 1 Diabetes." Scholarly Repository, 2008. http://scholarlyrepository.miami.edu/oa_theses/139.
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Adult literature has shown that quality of patient-physician relationships is associated with better patient adherence to treatment recommendations across chronic illnesses. However, few studies have examined this in youth with type 1 diabetes, particularly those of Hispanic origin. Evidence indicates that minority youth with type 1 diabetes are at higher risk for poorer metabolic control and experience less satisfaction in patient-provider relationships compared to their white, non-Hispanic counterparts. This study examined the association between satisfaction with the physician-patient relationship and regimen adherence and glycemic control in 120 Hispanic youth with type 1 diabetes. Most caregivers who participated were mothers (82.5%) and youths were primarily female (51.7%). Children ranged in age from 10 to 17 (M age = 13.63 ± 2.18 years). Mean duration of diabetes was 6.26 ± 3.72 years. Most caregivers were married (64.7%). Mothers? highest level of education included 35.3% who had a high school education or less, 34.5% who had some college, and 30.2% who completed college. Mean HbA1c level on recruitment date was 7.68 ± 3.56. Adolescents and their parents independently completed an adapted version of the Medical Interview Satisfaction Scale (MISS-21) (Meakin & Weinman, 2002), which assessed their personal satisfaction with their endocrinologist?s consultation, and the Diabetes Self Management Profile (DSMP) (Harris et al., 2000), which measures adherence over the past 3 months across multiple self-care domains. Spanish translations of both forms were used when appropriate in obtaining caregiver report. Also, physicians rated their patients? regimen adherence using an average of eight items concerning patient adherence. Youth and parents shared similar perceptions concerning youth regimen adherence, as measured by the DSMP (r=.68, p<.001). Youth and parent report of their relationship with their endocrinologist was modestly correlated (r=.27, p<.01). Due to high concordance between parent and child adherence scores, further analyses used a combined DSMP score, while separate scores were used for parent and child reports of satisfaction. Age, mother?s education, and single parent status were used as control variables and were correlated with parent and child satisfaction and a combined DSMP score. Including control variables, parent and child satisfaction did not significantly predict glycemic control (R2∆=.02, p<.10). Parent and child satisfaction also did not significantly predict adherence (R2∆=.02, p=.06). Due to these unexpected findings, further exploratory analyses were conducted. Parent and child satisfaction did not predict physician report of adherence. Interestingly, parent and child report of satisfaction with communication comfort with the physician predicted physician report of adherence (R2∆=.05, p<.01). More specifically, child report of communication comfort predicted physician report of adherence (ß=.26, p<.01), while parent report did not. No subscales of the satisfaction measure (MISS) or the adherence measure (DSMP) predicted glycemic control. Findings suggested that more positive patient-physician relationships are associated with better physician-reported regimen adherence, but not with family report of adherence. However, it is unclear whether better patient-physician relationships enhance adherence or whether more adherent patients are likely to be satisfied with their provider. Further studies are needed to prospectively examine the directionality of these relationships, as well as examine methods to improve the quality of physician-patient relationships in order to increase positive health outcomes.
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Haigler, Susan Lynne. "The persuasive implications of therapeutic touch in doctor-patient relationships /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/8230.
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Johnston, Sharon. "Double agent dilemma, the Canadian physician : patient advocate and social agent." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ64284.pdf.
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Johnston, Sharon 1972. "Double agent dilemma : the Canadian physician: patient advocate and social agent." Thesis, McGill University, 1999. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=30308.
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This thesis considers the rationalization of health care in Canada. It focuses on the conflicting roles modern physicians play in our system, acting as both patient advocate and social agent. It begins by tracing the origin of both of these duties. It then examines the ethical, professional, and legal issues which arise in the limited circumstances where front-line physicians must participate in the rationing of health care. It offers a framework for resolving the double agent dilemma and states five interlocking recommendations which are the building blocks of the resolution.
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Dixon, Laura Marie. "Physician-assisted suicide for the terminally ill patient : a constitutional right?" Honors in the Major Thesis, University of Central Florida, 1997. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/168.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Legal Studies
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Comer, Erin Elizabeth. "Cybermedicine: Web-based Health Care and the Changing Physician-patient Relationship." Thesis, Boston College, 2005. http://hdl.handle.net/2345/363.
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Thesis advisor: John J. MichalczykThe internet is changing health care right under out very noses. In doing so, it may have great impact on the physician-patient relationship. This relationship exists along a continuum, with paternalism at one end and total patient autonomy at the other. Various aspects of web-based health care (eHealth) are pushing the equilibrium one way or the other. Aspects of eHealth considered include: general health information websites, internet pharmacies, health communication infrastructures (as in physician-patient email and electronic medical records), and finally web-brokered organ transplantation. While there is obviously much to be aware of in terms of quality on the internet, it is concluded that an integration of eHealth into traditional medicine (thus creating cybermedicine) may not only help to mitigate the managed care crisis, but may also change the physician-patient relationship—hopefully for the better
Thesis (BS) — Boston College, 2005
Submitted to: Boston College. College of Arts and Sciences
Discipline: College Honors Program
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Eger-Dreyfuss, Leora. "The impact of intercultural communication on physician-patient relations in Israel." Thesis, University of Liverpool, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.425457.
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Ivy, Olivia. "Measuring Patient Trust in Their Physician and Its Impact on Telemedicine." Thesis, Mississippi State University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10842600.
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This dissertation explores patient trust in their physician and its impact on telemedicine. Telemedicine is using any technology to remotely communicate with a healthcare professional. The first study explores patient trust in their physician by validating the Wake Forest Trust in Physician scale for use in telemedicine research. The original (TIP) scale consists of 10 items and measures four of the five dimensions of trust: Fidelity, Competence, Honesty, and Global Trust. The final validated scale for telemedicine use (T-TIP) consisted of 12 items measuring three subscales: trustworthiness, interpersonal skills, and confidentiality. Study two explores the relationship between patient trust and delivery mode (telemedicine versus traditional interactions). The results from Study 2 indicate that patients trust their physician more in the telemedicine interaction than in the traditional interaction. There was also an effect of location, ethnicity, and frequency of doctor visits on patient trust. Study three delves further into the relationship between patient trust and telemedicine by examining the impact of communication mode on patient trust. Additionally, study three explores the relationship between usability and trust. There was no difference in patient trust scores between text and verbal communication. However, study three did find that as perceived usability of the interface increases, patient trust in their physician also increases. Also, this study found that the text interface had a higher fixation rate and shorter fixation duration than the video interface, indicating that the text interface had less cognitive load. These studies not only provide a tool for measuring patient trust in their telemedicine physician but also demonstrate that there is an impact of patient trust on telemedicine. The fact that patient trust in their physician is higher in telemedicine means that telemedicine could be used to increase patient participation in their own healthcare. Additionally, the relationship between usability and patient trust could be used to increase telemedicine use.
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Jorina, Maria. "Determinants of Satisfaction and Willingness to Recommend: Physician and Patient Perspectives." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1376905286.
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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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Dean, Patricia Sacht. "The physician-patient interaction as perceived by individuals with severe disabilities." Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186180.
Full textAbstract:
Very little has been written about the physician-patient interaction from the perspectives of individuals with severe disabilities. It has been reported that satisfaction with the physician-patient relationship can affect continuity of care and compliance with therapeutic regimens. While it is feasible that these issues could be of less consequence to the health of patients who are non-disabled, discontinuity of care or noncompliance with treatment plans could result in critical, life-threatening situations for individuals with severe disabilities. This study explored factors of the physician-patient interaction that are important from the perspective of individuals with severe disabilities. Research questions addressed the nature of the interaction, similarity with factors considered fundamental by individuals without disabilities, and whether there were factors important to individuals with severe disabilities that previously had not been reported in the patient satisfaction literature. The six individuals selected to participate in the study represented a range of disabilities that met the Rehabilitation Services Administration (RSA) criteria to be considered severe: blind, cerebral palsy, deaf, post-polio, spinal cord injured, and systemic lupus erythematosus. These participants also met all criteria as "key informants" for the purpose of qualitative research. A qualitative design was selected, employing two in-depth ethnographic interviews with each participant to elicit responses to focused, open-ended questions about the physician-patient interaction. The questions were patterned after those used in the development of the Smith-Falvo Patient-Doctor Interaction Scale (PDIS). Permission from the senior author was granted for "fair use" of the PDIS, and the related findings were used as comparison measures to responses of participants in this study. Findings of this research indicate that the interactional dynamics (eye contact, greeting, familiarity and evidence of respect) of first impressions for each individual in the physician-patient dyad influence to a large degree whether a satisfactory relationship can be established. In addition, participants with severe disabilities need to be considered by their physicians as equal partners in the management of their health care.
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Givan, Veronica L. "Parent/Patient Satisfaction and Physician/Nurse Interaction at a Children's Hospital." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7800.
Full textAbstract:
Walden University
College of Health Sciences
This is to certify that the doctoral dissertation by
Veronica Laviece Givan
has been found to be complete and satisfactory in all respects,
and that any and all revisions required by
the review committee have been made.
Review Committee
Dr. Diana Naser, Committee Chairperson, Health Services Faculty
Dr. Nicoletta Alexander, Committee Member, Health Services Faculty
Dr. Michael Brunet, University Reviewer, Health Services Faculty
The Office of the Provost
Walden University
2019
Parent/patient satisfaction surveys are important tools used to measure quality of health care provided by physicians, nurses, and hospitals. Research has been conducted on patient satisfaction in adult settings; however, a gap exists in the research about pediatric patient satisfaction in relationship to nurse interactions and interactions with physicians in various clinical settings. The purpose of this descriptive quantitative study was to determine whether a significant difference exists in overall parent/patient satisfaction scores and interaction of patients with nurses, and physicians, as well as interaction with anesthesiologists in terms of pain management in the pediatric surgical service in comparison to the medical inpatient unit and intensive care unit. Watson's caring science theory served as the framework for this study. Research questions evaluated parent/patient satisfaction scores and tested interactions between the parent/patient and the physicians, nurses, and anesthesiologists in a children's hospital. A total of 675 parent/patient satisfaction surveys from a children's hospital were analyzed using an independent samples t test, Levene's test, and regression analysis. The data analysis revealed a significant difference between overall parent/patient satisfaction scores (p = .021) in the pediatric surgical service as compared with the medical unit and for the parent/patient satisfaction survey responses (p = .004) for the interaction with nurses and physicians in the pediatric surgical service as compared with intensive care units. The potential social change that could result from this study is that health care organizations should record patient experiences to facilitate and improve the quality of care, interactions with physicians and nurses, and clinical outcomes
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Schwend, Kelly Hines Edward R. "The relationship between primary care physician satisfaction and emergency department qualities." Normal, Ill. : Illinois State University, 2003. http://wwwlib.umi.com/cr/ilstu/fullcit?p3115179.
Full textAbstract:
Thesis (Ph. D.)--Illinois State University, 2003.Title from title page screen, viewed Dec. 16, 2004. Dissertation Committee: Dissertation Committee: Edward R. Hines (chair), Kenneth H. Strand, Ross A. Hodel, Zeng Lin. Includes bibliographical references (leaves 79-83) and abstract. Also available in print.
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Hicks, Michelle B. "Informed Consent in Obstetric Anesthesia: The Effect of the Amount, Timing and Modality of Information on Patient Satisfaction." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9771/.
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Using mainly quantitative methods of evaluation, as well as patient comment assessment, this study evaluated whether changing the current informed consent process for labor epidural analgesia to a longer, more informational process resulted in a more satisfied patient. Satisfaction with the labor epidural informed consent process was evaluated using a questionnaire that was mailed and also available online. Half of the patient population was given a written labor epidural risk/benefit document at their 36-week obstetric check up. All patients received the standard informed consent. Survey responses were evaluated based on three independent variables dealing with the modality, timing, amount of informed consent information and one dependent variable, whether the patient's expectations of the epidural were met, which is equated with satisfaction. Patients in this study clearly indicated that they want detailed risk/benefit information on epidural analgesia earlier in their pregnancy. A meaningfully larger percentage of patients who received the written risk/benefit document were satisfied with the epidural process as compared to those who did not receive the document.
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Govender, Veloshnee. "The role of gender in patient-provider trust for tuberculosis treatment." Doctoral thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27432.
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Background: In South Africa, tuberculosis (TB) is the leading cause of death, and Cape Town is among the three cities in the country with the highest TB burden. Despite implementation of Directly Observed Treatment Short-Course (DOTS), and improvements in the organisation and delivery of TB care, poor treatment adherence challenges treatment outcomes and the health system's ability to reach international targets. TB requires long-term care, where the relationship with healthcare providers is one of the important influences on decisions to seek care and adhere to treatment. This study sought to explore and deepen insight into how trust is built and experienced between patients and healthcare providers for TB treatment in primary care settings from a gender perspective. Methods: The research was located in three local government-managed clinics in the City of Cape Town's Metropole health district, similar in TB patient load and performance indicators, but differing in level of TB-HIV integrated services. A case study design employing qualitative data collection approaches (non-participant observations in clinics, focus group discussions and in-depth interviews with patients and providers) was applied. Findings: Trust plays a central role for both patients and providers in treatment for TB. On the part of patients, many expressed a deep desire and motivation to complete their treatment. However, patient vulnerability, a complex outcome of intersecting factors at all levels (personal, community and health service level), across which gender was an underlying influence, emerged as a critical influence over patient trust in providers and the health system, with consequences for a range of outcomes including treatment adherence. The ability of providers and the health system as an institution to recognise and respond to patient vulnerability and needs beyond the illness, including to access socio-economic and psycho-social support for the patient, was critical for building trust and enabling adherence. On the part of healthcare providers, vulnerability was a consequence of a range of factors, including professional status and gender, with implications for how trust was built in patients and managers and its outcomes. Patient trustworthiness was based on judgements of competency, integrity and recognition. The ability of managers to mitigate the challenges healthcare providers faced, through providing a supportive and enabling work environment, had implications for providers' experiences and judgements of institutional trustworthiness. Conclusion: Reflecting on the findings within broader national, provincial and global health policy reforms, specific strategies for building patient and provider trust in each other, and in the health system, are proposed. Recommended strategies addressing both patient and provider vulnerabilities rooted in the personal, community and health facility environment are considered. While many of the recommendations are specific to the TB and TB/HIV model of care, they have wider relevance for building mutual trust between patients and providers and enhancing the responsiveness of the health system as a whole. This is important in the context of South Africa, where the vision espoused under proposed National Health Insurance reforms towards universal coverage is transformative, even revolutionary, but its implementation and ultimate achievements are likely to be dogged by challenges of patient and provider trust in the health system, unless themselves addressed. Globally, the study's conclusions also offer important insights about patient-provider trust relevant to health system development, as well as ideas for future, related research.
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Matheson, Karen Ann. "Learning needs of cancer patients receiving chemotherapy : patient, nurse, and physician perceptions." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26133.
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Accurate assessment of educational needs is central to the planning of effective patient education programs. Adult learning theory holds that the more agreement that exists in the educator's and the learner's assessment of learning needs, the higher the probability that effective learning will occur. This descriptive survey was carried out to compare the learning needs of cancer patients receiving chemotherapy as perceived by three groups involved in patient education: nurses, physicians, and patients themselves.
Using the Assessment of Learning Needs Questionnaire (ALNQ) developed by Lauer, Murphy, and Powers (1982) and demographic data questionnaires developed by the researcher, the perceptions of patients' learning needs held by a convenience sample of 20 lymphoma patients, 24 nurses, and ten physicians were studied. Responses to the rating and ranking scales of the ALNQ were analyzed using nonparametric statistical techniques to determine the existence and location of differences in perceptions among the three groups. General comments about patient education and the ALNQ were gathered from the patient group in an interview setting and from the two care giver groups through responses to two open-ended questionnaire items.
Findings revealed that the learning needs of patients undergoing chemotherapy tend to focus on concerns related to the treatment experience, and the knowledge and skills required to cope with the impact of the disease and treatment on their lives. Patients described themselves as most knowledgeable in areas relating to life experience, rather than disease or treatment related areas, and were oriented to survival in their learning needs. The three groups demonstrated considerable similarity in their perceptions of areas problematic to patients and areas in which patients have the most knowledge. However, despite presumed knowledge and expertise in dealing with the concerns of chemotherapy patients, nurses' and physicians' perceptions of patients' learning needs differed from those held by patients. The care givers perceived patients to be more concerned with learning needs related to activities of daily living than patients reported. Implications for nursing practice and education are suggested, and recommendations made for further study.Applied Science, Faculty of
Nursing, School of
Graduate
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Hung, Fenghuang, and 黃鳳凰. "Physician Body Language, Trust and Patient-Physician Relationships." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/08760969925673641984.
Full textAbstract:
碩士義守大學
管理學院管理碩士在職專班
101
The main purpose of this study is to explore the correlations among physician body language, patient’s trust, and physician-patient relationships. Currently, the promotion of physician-patient relationships has become a very important issue. It has been proven by researchers that physician body language and patient’s trust were key factors that enhanced physician-patient relationships. Using the cross-sectional correlational design, structured questionnaires, and purposive samplings, data were collected. Questionnaires were given to physicians from hospitals in southern Taiwan and 211 samples obtained, resulting in a 84.4% response rates., were160 physicians, 6330 and valid patient questionnaires. Research results show that there were more male physicians than female physicians; most of them were in the 31-50 age groups, had bachelor’s degrees, belonged to regional hospitals, and worked in general surgery. Research on physician body language, physician satisfaction, patient’s trust, and physician-patient relationships showed that physicians with humor and responsibility, who provided more eye contacts and are friendlier, would resulted in greater trust and satisfaction from patients. Their kind greetings were one of the most important elements in physician-patient relationships. Our results showed that physicians with humor and responsibility, who provided more eye contacts and were friendlier, resulted in greater trust and satisfaction from patients. Their kind greetings to patients are also one of the most important elements in physician-patient relationships.
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Jian, Shen. "Influence of physician-patient communication skills training of resident physicians on physician-patient relationship." Doctoral thesis, 2016. http://hdl.handle.net/10071/13179.
Full textAbstract:
An in-depth analysis of the recent medical disputes in China would reveal that their occurrences can be attributed to the following factors: first, the current medical system reform in China has weakened the trust between patients and doctors; second, a lack of effective communication between doctors and patients has caused the misunderstanding and conflicts which further deteriorate to become medical disputes. Because most medical disputes arise from the poor communication between doctors and patients, it is crucial for the doctors to improve their communication skills in order to enable patients actively cooperate in the clinical care process. This is a key step towards improving physician-patient relationships. In recent years, the health departments and hospitals at various levels in China have come to realize the importance of physician-patient communication ability, and have actively enhanced the physician-patient communication skills training for resident physicians in standardized training in an effort to harmonize the physician-patient relationship through improving physician residents’ medical skills and service attitudes. However, due to the lack of scientific and standard training system and assessment criteria, such training is often a mere formality and turns out to be ineffective. Therefore, the tension between doctors and patients has not been effectively alleviated and the patient trust has not been restored.
Based on the current reality of frequent medical disputes in China and on the need to enhance formalized trainings for resident physicians, this study attempts to address the following research problems: (1) What are the key factors that influence the effectiveness of physician-patient communication training of resident physicians? (2) What effects does physician-patient communication training of resident physicians have on physician-patient relationship, physician satisfaction and patient satisfaction?
In this study, both qualitative and quantitative analysis methods have been used. First, interviews with key stakeholders including resident physicians, training instructors as well as patients and their family members, are conducted; second, the measurement scales for the variables covered in the study, including a measurement instrument for resident physicians and one for patients, are developed; third, the questionnaire survey is administered among study participants to collect research data; finally, the study measures are validated and the relationships among the variables are tested SPSS based on reliability analysis, construct convergent and discriminant analyses, and regression analyses.
The Kirkpatrick's 'four level' model is used to evaluate the effectiveness of physician-patient communication training. This study represents the first time that the Kirkpatrick Model is used to evaluate the physician-patient communication training in China. The four levels of the Kirkpatrick's evaluation model are as follows: reactive evaluation (assesses how the resident physicians respond to the training); learning evaluation (assesses if the resident physicians actually learned the knowledge); behavioral evaluation (considers if the resident physicians are using what they learned on the job); and outcome evaluation (evaluates if the training has positively impacted the physician-patient relationship, resident physician satisfaction, and patient satisfaction).
The study has reached the conclusions that the physician-patient communication training can significantly improve physician-patient relationship, physician satisfaction, and patient satisfaction; the training contents, training methods and the incorporation of Kirkpatrick Model into this study can effectively improve the effectiveness of the training, increase the physician intention to use learned knowledge, promote effective physician-patient communication practices, enhance patient satisfaction and physician satisfaction, and improve physician-patient relationship. The research results and conclusions provide useful guidelines for improving the effectiveness of physician-patient communication training of resident physicians, and for enhancing physician-patient relationship in China. Limitations of the research and directions for future research are also discussed.Uma análise mais profunda das recentes disputas médicas na China revelaria que as suas ocorrências são devidas aos fatores seguintes: 1) a recente reforma médica na China enfraqueceu a confiança entre os pacientes e os médicos, 2) uma falta de comunicação entre os médicos e os pacientes causou incompreensões e conflitos que culminaram em disputas médicas. Muitas disputas médicas provêm da comunicação pobre entre médicos e pacientes e por essa razão, torna-se crucial para os médicos a melhoria dos seus dotes comunicacionais no sentido de permitirem aos doentes participarem ativamente no processo clínico. Este é um passo importante para a melhoria do relacionamento médico-doente. Muito recentemente, os departamentos de saúde e os hospitais Chineses nos diferentes níveis compreenderam a importância da comunicação entre médicos e doentes e desenvolveram cursos standard sobre comunicação para os médicos residentes num esforço de harmonizar a relação médico-paciente através da melhoria das habilidades comunicacionais e atitude dos médicos. Contudo, devido à falta de um sistema científico de formação e de critérios de avaliação, a formação transformou-se numa mera formalidade e deste modo ineficaz. A tensão entre médicos e pacientes não foi aliviada e a confiança não foi reestabelecida. Tomando por base a existência das disputas frequentes na China e a necessidade de incentivar formação para os médicos residentes, este tese pretende estudar os seguintes problemas de pesquisa: (1) quais os fatores chave que influenciam a eficácia da formação em comunicação dos médicos residentes? (2) quais os efeitos que a formação em comunicação têm na relação entre médicos e pacientes e sobre a satisfação dos médicos e dos pacientes? Neste estudo, utilizamos métodos quantitativos e qualitativos. Primeiramente, realizamos entrevistas com stakeholders chave incluindo médicos residentes, formadores assim como a pacientes e seus familiares: em segundo lugar, as escalas de medida para as variáveis utilizadas neste estudo, incluindo o instrumento de medida para os médicos residentes e para os pacientes, foram desenvolvidas; em terceiro lugar, o questionário foi distribuído pelos participantes no estudo para a recolha de dados: finalmente, as medidas foram validadas e a relação entre as variáveis foram testadas utilizando o SPSS. O Modelo de quatro níveis de Kirkpatrick foi utilizado para avaliar a eficácia da formação em comunicação. Este é o primeiro estudo, na China, a aplicar o Modelo de Kirkpatrick na avaliação na formação em comunicação médico-paciente. Os quatro níveis do modelo de avaliação de Kirkpatrick são os seguintes: avaliação reativa (avalia como os médicos residentes reagem à formação); avaliação da aprendizagem (avalia se os médicos residentes aprenderam o conhecimento); avaliação comportamental ( considera se os médicos residentes estão a aplicar o que aprenderam no seu trabalho); e avaliação do resultado ( avalia se a formação teve um impacto positivo na relação médico-paciente, na satisfação do médico residente e na satisfação do paciente). Este estudo concluiu que: a formação em comunicação médico-paciente pode melhorar significativamente a relação médico-paciente, a satisfação dos médicos e a satisfação dos pacientes; o conteúdo da formação, os métodos de treino utilizados e a incorporação do modelo de Kirkpatrick pode melhorar a eficácia da formação. Os resultados da pesquisa contribuem para a formulação de orientações para a melhoria da eficácia da formação dos médicos.
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Chen, Yuan-Hong, and 陳淵宏. "Research and Design of an IPv6-based Patient-Physician Interaction Platform to Improve Patient-Physician Relationship." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/14184468882143948419.
Full textAbstract:
碩士聖約翰科技大學
電機工程系碩士在職專班
97
During the medical treatment process, the relationship between a doctor and his/her patient is very important. Such relationship sometimes varies due to different interpretation on certain knowledge. Thus, a considerably large degree of misunderstanding resulting from miscommunication would often cause medical disputes to occur. According to the “2007 Medical Institution Facts and Medical Services Quantitative Statistic Analysis” report of the Health Bureau of R.O.C. Executive Yuan, there were 2,595,639 persons stayed in major domestic medical institutions, which was a 4.2% increase from 2006. Moreover, 95,143,360 persons made doctors’ appointments in hospitals and clinics during 2007, which shows that the health indication of people in Taiwan is generally quite low. It can be burdensome for a doctor to treat a great number of patients. Therefore, it might be worthy of trying to establish a good platform to enable patients to better interact with doctors, and consequently, to improve the doctor-patient relationship and decrease medical disputes. Taiwan Academic network opened IPv6 backbone's academic network in May of 2008.The platform will use IPv6 (Internet Protocol Version 6) as the internet’s major construction environment, applying the design of the IPv6 Service Quality Control System. Such characteristics can be used to provide high quality videos of some medical instruction for basic medical caring. In addition, through members who interact on this platform, even those patients who are under homecare can still send their basic daily physical figures back to the platform to have their health condition be evaluated each day.
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Liu, Yung Hung, and 劉永弘. "Patient-physician relationship, damages and compensation." Thesis, 1996. http://ndltd.ncl.edu.tw/handle/17945750442089428486.
Full textAbstract:
碩士東吳大學
法律學類
85
The mechanism of operation in human body is so complicated that even a professional doctor know just a tiny part of the mystery. In the process of treatment or diagnosis, accident happens frequently, although the life for everybody is priceless. Patient-physician relationship was well in the past, and the patient and family trusted doctor so much. When unexpected outcome occurred, they thought it to be his destiny, and never blamed the helper. However, it changes now. The dispute originating from medical care surges which makes medical fee unacceptable, doctors' liability insurance unaccessible, and the worst of all is it will threatens the public health by smothering the improvment of medical science. Medicine is not only science but also art. In a trial of medical injury or dispute, it is unavoidable to determine if there is negligence and causation between medical intervention and injury. Unfortunately these works are Sisyphus's tasks. It is these special problems that causes legal issues about medicine to be reconsider again and again. Besides, in this country, the Consumer Protection Act and the National Health Insurance Act will complicate the claim of injuried patient beyond the scope of existed Civil Code. It is the basis of the article to study the basic relationship of patient and physician, evaluate the impaction of these new acts about doctors' and hospitals' liability, and to compare the advantage of different compensation systems. By considering contractual theory, tort theory including negligence and no fault liability, the role of liability insurance, and social insurance, with the points of deterrent effect and justice of compensation, a new proposal is developed. It is the gaol to reestablish good ient-physician relationship, enhence public welfare and human integrity.
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Huang, Wan-Ching, and 黃皖靖. "Physician-Patient Relationship and Regulation System." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/6mv5h7.
Full textAbstract:
碩士國立中山大學
中國與亞太區域研究所
107
Since the implementation of the welfare system for universal health insurance in Taiwan, the purpose of this is to promote the health of the people as a starting point, so that it can improve the accessibility of the people and greatly reduce the barriers to the medical economy, thus preventing the people from being poor due to illness or it is impossible to seek medical treatment because of poverty. However, in recent years, medical problems and medical disputes have emerged in an endless stream, leading to defensive medical treatments, which have led to an increasingly tense relationship between medical and medical problems. Many people think that it is related to the lack of medical care in the medical profession. How to make the relationship between doctors and patients receive considerable attention; however, the time of interaction between doctors and patients is usually very short. How to resolve the continuous deterioration of medical relationship is a difficult task. Therefore, in order to enable medical activities to be patient-centered and more in line with the human dignity of patients, this article examines the relationship between medical and medical relationships and how to operate, develop and change under the norms of laws and regulations. Thus, the relationship between rights and obligations between medical treatments is made clearer, and the trust between doctors and patients is also revived, and the moral hazard of physicians'' abuse of power is avoided. It is nothing more than hope that the relationship between medical treatment and disease can be improved and a quality medical care environment can be provided. Because the establishment and development of good medical relationship and interaction will contribute to the improvement of medical service quality and medical care quality, it is possible to successfully achieve universal health. The goal of rational allocation of social medical resources.
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Chang, Chu-Hui, and 張菊惠. "Physician-patient communication on hysterectomy-An Example of Physician''s Informed." Thesis, 1996. http://ndltd.ncl.edu.tw/handle/06660362693387560956.
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Phillips, Christopher Michael. "Social influence in the physician-patient relationship : physician credibility as a predictor of cancer patient treatment adherence /." 2007. http://www.library.wisc.edu/databases/connect/dissertations.html.
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CHEN, SZU-CHIEH, and 陳思潔. "Exploring the Influences of Outpatient Physician-Patient Communication to Physician-Patient Relationship: The Mediating Effect of Trust." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/4az7s4.
Full textAbstract:
碩士弘光科技大學
健康事業管理研究所
107
Nowadays, medical disputes appear frequently, most of which occur due to poor communication between physicians and patients. Good communication helps to establish and maintain physician-patient relationships. Physician-patient communication serves as a channel to enhance patients’ trust in physicians while trust plays an important role in maintaining the relationship between physicians and patients. This study, with outpatients as its research participants, explores the relationships among physician-patient communication, trust and physician-patient relationship. This study uses the questionnaire survey method to investigate the outpatients of a general teaching hospital in central Taiwan. In July of 2018, 1,088 copies of the questionnaire were distributed and 1,060 valid ones were returned. In order to verify the hypothesis, this study uses correlation analysis, structural equation modeling (SEM) and bootstrapping to process data analysis. The study results shows that (1) physician-patient communication has a positive impact on the physician-patient relationship; (2) physician-patient communication has a positive impact on trust; (3) trust has a positive impact on physician-patient relationship; and (4) trust has a partially mediating effect on the relationships between physician-patient communication and physician-patient relationship. This study demonstrates the relationships among physician-patient communication, trust and physician-patient relationship. The research results not only expand the research field of trust, physician-patient communication and physician-patient relationship, but also confirm the mediating role of patients’ trust in physician-patient communication and their relationship. It is recommended that both physicians and patients should value communication and fully discuss important issues through communication, which can enhance patients’ trust in physicians and promote their relationship. In addition, hospitals can actively design and improve physician-patient communication schemes so as to encourage patients to actively participate in their treatment decision-making process. This way, a good physician-patient relationship is expected to be established.
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Chen, Wei-Ling, and 陳韋伶. "A study of patient satisfation by physician-patient communication types." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/24674327854746120866.
Full textAbstract:
碩士義守大學
管理研究所碩士班
96
The purpose of this research is to study patient satisfation affected by physician-patient communication types. Because the communication model is changing to patient-centered model of care, and more and more patients are also tend to participate medical decision-making. This research classified according to patient-centered communication (PCC) and Perceived involvement in care (PIC)—high PCC-high PIC, high PCC-low PIC, low PCC-low PIC and low PCC-high PIC, further, add the health information seeking (HIS) to probe into the physician-patient relationship (PPR), emotions immediately after the visit (EMO), and adherence (ADH) by physician-patient communication types. Subjects were outpatients of E-DA hospital in Kaohsiung, Taiwan. There were 240 questionnaires sent with retrieval rate of 85.83% （N = 206）. The result of study demonstrates high PCC and high PIC patient-doctor relationship, emotions immediately after the visit and adherence have no difference with high PCC and low PIC; but high PCC and high PIC patient-doctor relationship, emotions immediately after the visit and adherence are superior to low PCC and low PIC, low PCC and high PIC; the physician-patient communication types of high or low health information seeking frequency, the physician-patient relationship and emotions immediately after the visit have difference; the adherence have no difference.