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.
Full textENGLISH 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.
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.
Full textKrainin, 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.
Full textCartmill, Patricia R. "Building trust in the physician/patient encounter." Online version, 2001. http://www.uwstout.edu/lib/thesis/2001/2001cartmillp.pdf.
Full textBambino, Linda E. "Physician Communication Behaviors That Elicit Patient Trust." Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etd/2185.
Full textLabuda, 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.
Full textAhmed, 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.
Full textPatient 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.
Schmidt, Cindy. "Physician-Patient Relationships and Their Effect on T2DM Patient Treatment Adherence." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5655.
Full textAshley, 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.
Full textSewitch, 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.
Full textObjectives. 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.
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/.
Full textBreslin, Jonathan M. Gedge Elisabeth Boetzkes. "A care-based model of the physician-patient relationship /." *McMaster only, 2003.
Find full textMercado, David (David Eduardo). "Measurement of physician hand & patient tissue mechanical impedance." Thesis, Massachusetts Institute of Technology, 2017. http://hdl.handle.net/1721.1/111709.
Full textCataloged 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.
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.
Full textSantana-Cebollero, DeAnna. "Physician Well Being and Patient Satisfaction Among Employed Physicians." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/167.
Full textBudyn, 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.
Full textTitle 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).
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.
Full textThomas, 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.
Full textDepartment of Counseling Psychology and Guidance Services
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.
Full textKuo, I. fan. "Physician and patient preferences for stroke prophylaxis in atrial fibrillation." Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/46554.
Full textGlenn, 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.
Full textAcquah, 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.
Full textGrifone, 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.
Full textCurran, 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.
Full textTitle 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.
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/.
Full textMoine, 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.
Full textHaigler, 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.
Full textJohnston, 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.
Full textJohnston, 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.
Full textDixon, 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.
Full textBachelors
Health and Public Affairs
Legal Studies
Comer, Erin Elizabeth. "Cybermedicine: Web-based Health Care and the Changing Physician-patient Relationship." Thesis, Boston College, 2005. http://hdl.handle.net/2345/363.
Full textThe 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
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.
Full textIvy, Olivia. "Measuring Patient Trust in Their Physician and Its Impact on Telemedicine." Thesis, Mississippi State University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10842600.
Full textThis 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.
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.
Full textCaruso, 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.
Full textDean, 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 textGivan, Veronica L. "Parent/Patient Satisfaction and Physician/Nurse Interaction at a Children's Hospital." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7800.
Full textSchwend, 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 textTitle 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.
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/.
Full textGovender, 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.
Full textMatheson, 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.
Full textApplied Science, Faculty of
Nursing, School of
Graduate
Hung, Fenghuang, and 黃鳳凰. "Physician Body Language, Trust and Patient-Physician Relationships." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/08760969925673641984.
Full text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.
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 textUma 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.
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 text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.
Liu, Yung Hung, and 劉永弘. "Patient-physician relationship, damages and compensation." Thesis, 1996. http://ndltd.ncl.edu.tw/handle/17945750442089428486.
Full text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.
Huang, Wan-Ching, and 黃皖靖. "Physician-Patient Relationship and Regulation System." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/6mv5h7.
Full text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.
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.
Full textPhillips, 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.
Full textCHEN, 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 text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.
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 text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.