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Articles de revues sur le sujet « Doctor visit »
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Wróblewski, Hubert, et Aleksandra Zimna. « Does the age difference between the doctor and the patient matter - communication between the doctor and the young patient ». Journal of Education, Health and Sport 11, no 7 (15 juillet 2021) : 109–15. http://dx.doi.org/10.12775/jehs.2021.11.07.009.
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Introduction and purpose of work: The contact between doctor and patient is an element that builds mutual trust, which translates into the quality and effectiveness of treatment. This is especially important for adolescent patients, who expect attention and understanding of their problems. In addition, they start visiting the doctor themselves, so it is very important that they do not become discouraged by the lack of understanding of the doctors and that they do not avoid visits in the future. Currently, the average age of a doctor in Poland is over 50 years. The aim of the study is to investigate the influence of a doctor's age on his contact with a teenage patient.Material and method: The results of the study were obtained on the basis of the questionnaire survey.Results: 54 respondents aged 16-19 participated in the study. The vast majority (64.8%) consider a person under 30 years of age to be a young doctor, 29.6% under 40 years of age. Almost 67% declare that it is more likely to visit a young doctor. 87% of respondents find it easier to establish contact with a younger medic. For 68.5% of respondents, a visit to a senior doctor is more embarrassing. 88.9% of teenagers find it easier to admit embarrassing matters to younger medics. 66.7% declare that for them being more practiced is more important than easier contact with doctor. Two out of three teenagers are more stressed about visiting older doctor.Conclusions: Teen patients definitely prefer visits to younger doctors. Despite the greater stress and resistance to visiting older, more experienced doctors, young patients choose them. Training for senior physicians on contact with young people should be considered to reduce the proportion of people avoiding medical appointments due to difficulties in making contact in the future.
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Lacombe, Michael A. « Visit to the doctor ». American Journal of Medicine 89, no 6 (décembre 1990) : 789–93. http://dx.doi.org/10.1016/0002-9343(90)90223-z.
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Bradshaw, Deborah Young. « A Visit to the Doctor ». Annals of Internal Medicine 131, no 8 (19 octobre 1999) : 627. http://dx.doi.org/10.7326/0003-4819-131-8-199910190-00015.
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NANKERVIS, M. AX. « A VISIT TO THE DOCTOR ». Australian Planner 33, no 2 (janvier 1996) : 91–96. http://dx.doi.org/10.1080/07293682.1996.9657722.
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Khandagale, Gandhar Anirudha. « Digital Medical Record System using Blockchain Technology : A Survey ». International Journal for Research in Applied Science and Engineering Technology 9, no 9 (30 septembre 2021) : 2145–50. http://dx.doi.org/10.22214/ijraset.2021.38309.
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Abstract:In these modern times where diseases, viral flu, and infections are too common for the human being, to tackle this problem sometimes it gets hard, as the patient has incomplete documents of their diagnostics in case the document get lost for certain reason or patient left some important reports at home, and carrying a file every single time when patients visit a doctor is quite a burden, and some doctors give fake medication to the patients, and as patient migrate to a new place and visits a doctor then that particular doctor would need all patients previous medication and hereditary diseases information if any, doctor has to go through the whole check-up in order to get any allergies for certain medication or any lab reports if there are missing any. Keywords: Blockchain, Hyperledger Fabric, Medical Records, Orderers, Radiologist, Tester, Patient, Doctor
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et al., Truong. « Impacts of health insurance on healthcare in the poor and near-poor households in Vietnam ». International Journal of ADVANCED AND APPLIED SCIENCES 8, no 6 (juin 2021) : 57–66. http://dx.doi.org/10.21833/ijaas.2021.06.007.
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Improving health and reducing catastrophic healthcare expenditure for the poor and near-poor are the major concerns of the Vietnam Government. This research analyses the impacts of health insurance schemes for the poor and near-poor households in Vietnam on two aspects, including healthcare utilization and out-of-pocket expenditure. The study applies the zero-inflated model and pooled OLS regression on the data that is extracted from the Vietnam Household Living Standard Surveys in two years 2014 and 2016. The findings show that health insurance significantly increases the probability of having a doctor visit and the number of doctor visits for a health check or outpatient treatment. For inpatient treatment, insurance does not increase the probability of having a doctor visit or the number of doctor visits. Having insurance significantly reduces out-of-pocket expenditures for both inpatients and outpatients.
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Bessho, Shun-ichiro, et Yasushi Ohkusa. « When do people visit a doctor ? » Health Care Management Science 9, no 1 (février 2006) : 5–18. http://dx.doi.org/10.1007/s10729-006-6276-8.
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Greenberg, Keren L., Elisheva Leiter, Milka Donchin, Nisreen Agbaria, Mayada Karjawally et Donna R. Zwas. « Cardiovascular health literacy and patient–physician communication intervention in women from disadvantaged communities ». European Journal of Preventive Cardiology 26, no 16 (12 juin 2019) : 1762–70. http://dx.doi.org/10.1177/2047487319853900.
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Background For many women in low socioeconomic status communities, limited health literacy is an obstacle to following medical guidance and engaging in health-promoting behaviours. Low health literacy skills are also associated with an increased risk of cardiovascular disease. Design A health literacy intervention was designed through focus groups with women in low socioeconomic status communities. The primary health literacy issue identified was communication challenges at doctors’ visits. A unique intervention tailored to the participants’ preferences was designed consisting of three workshops conducted in community women’s groups in low socioeconomic status Jerusalem communities. The intervention aimed to increase patient–physician communication skills through doctor visit preparation and better visit management, improve perceived efficacy in patient–physician interaction and expand cardiovascular disease knowledge. Methods Questionnaires were completed before and 3 months after the intervention, assessing knowledge of cardiovascular disease risk factors and symptoms, self-report of behaviours in preparations for a doctor’s visit, and perceived efficacy in patient–physician interaction. Results A total of 407 women from low socioeconomic status communities completed questionnaires. Post-intervention, the percentage of women that reported preparing for doctors’ visits increased significantly. Women with initially low levels of perceived efficacy in patient–physician interaction showed a significant increase in perceived efficacy, while initially higher perceived efficacy in patient–physician interaction participants showed a decrease. Participants also demonstrated an increase in knowledge of several risk factors for cardiovascular disease and heart attack symptoms. Conclusions A community-based cardiovascular health literacy intervention improved cardiovascular knowledge and reported doctor visit preparation in low socioeconomic status women as well as increased perceived efficacy in patient–physician interaction among participants with low baseline perceived efficacy in patient–physician interaction. This may lead to improved health care utilisation, preventing chronic illness. Registered at ClinicalTrials.gov, https://www.clinicaltrials.gov , registration number: NCT03203018
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Schatzki, S. C. « Visit from the doctor--a serious case. » American Journal of Roentgenology 158, no 5 (mai 1992) : 970. http://dx.doi.org/10.2214/ajr.158.5.1566698.
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Stone, Kathy. « Making the Most of Your Doctor Visit ». Neurology Now 1, no 2 (2005) : 39–40. http://dx.doi.org/10.1097/01222928-200501020-00012.
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Hajek, André, et Hans-Helmut König. « The Association of Post-Materialism with Health Care Use. Findings of a General Population Survey in Germany ». International Journal of Environmental Research and Public Health 17, no 23 (28 novembre 2020) : 8869. http://dx.doi.org/10.3390/ijerph17238869.
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(1) The aim of this study was to identify the association between post-materialism and health care use (in terms of the frequency of doctor visits and the reason for doctor visits). (2) Data were taken from the German General Social Survey (a representative sample of individuals aged 18 years and over, n = 3338). The Inglehart’s post-materialist index was used to quantify post-materialism. The doctor visits (self-reported) in the past three months served as an outcome measure. The reasons for seeing a doctor served as an additional outcome measure (acute illness; chronic illness; feeling unwell; requesting advice; visit to the doctor’s office without consulting the doctor (e.g., need to get a prescription); preventive medical check-up/vaccination). (3) After adjusting for several covariates, negative binomial regressions revealed that compared with materialism, post-materialism was associated with decreased doctor visits (total sample; women). Moreover, the likelihood of visiting the doctor for reasons of chronic illnesses was lower in post-materialistic women, whereas the likelihood of visiting the doctor for reasons of preventive medical check-up/vaccination was higher in post-materialistic women. (4) Study findings identify an unexplored link between post-materialism and doctor visits in women. One may conclude that in the long-term, the increased likelihood of preventive medical check-ups in post-materialistic women will be beneficial in decreasing the need for doctor visits for reasons of chronic illnesses. However, future research is required to elucidate the underlying mechanisms.
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Chen, Shih-Chuan. « Information-seeking behavior of female doctor shoppers : results from an interview study ». Electronic Library 39, no 1 (7 mai 2021) : 208–23. http://dx.doi.org/10.1108/el-04-2020-0092.
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Purpose This study aims to explore the information-seeking behavior of female patients engaged in doctor shopping. An investigation was conducted on the following aspects: the reasons for doctor-shopping behavior (DSB), patients’ information needs and sources, patients’ use of the obtained information and the degree of satisfaction with the information collected. Design/methodology/approach In-depth interviews were conducted in this study. In total, 30 female participants who lived or worked in the Taipei metropolitan area, Taiwan, were recruited. Findings Dissatisfaction with treatment, confirmation of illness conditions, inconvenient treatment locations and hours and dissatisfaction with doctor’s attitude were the main reasons for DSB. Family members, friends, the internet and mass media were sources of information for participants when they sought second and successive doctors. In most cases, the degree of satisfaction toward the obtained information increased after each visit to a doctor during the doctor-shopping journey. However, not all participants shared information with doctors. The participants suggested that detailed explanations provided by doctors and better communication with doctors may reduce the occurrence of doctor shopping. Originality/value The findings of this study help medical personnel better understand DSB. The findings revealed the significance of information to patients and indicated that the information collected during doctor shopping is beneficial for patients.
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Krylova, Irina, et Irina Matʼkova. « A patient with heartburn practicing self-treatment, on an outpatient visit ». I.P. Pavlov Russian Medical Biological Herald 28, no 4 (15 décembre 2020) : 514–24. http://dx.doi.org/10.23888/pavlovj2020284514-524.
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More than 40% of adult Russians periodically feel heartburn. Progression of the disease leads to a number of complications shortening patients life. However, patients try to cope with problems by themselves, without receiving adequate early treatment. Only when the life quality worsens, which evidences progression of the disease, they turn to a doctor. Success of treatment depends on the level of the patients compliance, life-long complete and regular adherence to treatment recommended by the doctor. With this, an outpatient with a chronic disease should provide the most part of the required medical service by himself. However, patients often change the therapeutic measures on their own impairing the result of treatment.
The given below clinical case of patient Zh., 38 years old, with heartburn and existing risk factors of other non-infectious diseases is a typical illustration of the interaction of a general practitioner and an outpatient practicing self-treatment. Facing the situation of necessary regular medical monitoring and life-long complex intervention, the patient uses only easy-to-follow doctors recommendations and understandable for him treatment methods.
Conclusion. On an example of this clinical case, a possible necessary and sufficient plan o f informing outpatient is presented containing information of the tactics of his behavior for full realization of medical recommendations. For successful adaptation of an outpatient with chronic health problems and harmonic attitude to the disease, the doctor should be maximally specific about necessary and adequate measures for correction of the patients behavior for the fullest realization of therapeutic recommendations. Recommendations should contain understandable information of basic medicinal and non-medicinal therapy in remission (the essential vital stereotypes work-rest regime, type and regime of nutrition, physical activity and principles of monitoring the condition), of signs of exacerbation and methods of therapy on demand and also information of symptoms requiring urgent assistance, of risks of self-treatment, of visiting the doctor in case new or vivid symptoms appear, of the dates of planned examinations by the doctor. These recommendations are not applicable to patients with severe and manifest course of the disease, with disharmonic attitude to the disease, and in case of inadequate organization capacities and low compliance of the patient.
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Rzadkiewicz, Marta, Gorill Haugan et Dorota Włodarczyk. « Mature Adults at the GP : Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics ». Medicina 58, no 2 (20 janvier 2022) : 159. http://dx.doi.org/10.3390/medicina58020159.
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Background and objectives: The consultation time for more mature adults is often perceived as longer, increasing with the patient’s age and boosting their satisfaction with the visit. However, factors determining patient satisfaction (PS) or the consultation time (CT) in the population aged 50+ are not clearly identified. A cross-sectional design was used to identify factors specific to the facility (e.g., size, staff turnover), doctor (e.g., seniority, workload), and patient (e.g., self-rated health, impairment of activities) that are related to PS and the CT. Our secondary focus was on the relation of PS to the CT along with the role of the patient’s age and gender for both. Materials and Methods: Doctors (n = 178) and their 1708 patients (aged 50–97) from 77 primary care facilities participated in the study. The Patient Satisfaction with Visit Scale score and the CT were the outcome measures. Results: We identified associations with the CT in terms of the facility-related factors (number of GPs, time scheduling); doctors’ workload and health; and patients’ education, time attending GP, and impairments. PS was additionally governed by doctors’ perceived rate of patients aged 65+, as well as the patients’ hospitalization in the prior year, frequency of visits, and impairments. For adults aged 50+ the CT was unrelated to PS and both remained independent of patients’ age. Conclusions: Specific factors in terms of the facility, GP, and patient were identified as related to PS and the CT for participating adults in primary care. During visits of patients aged 50+ at their GP, there is scope for both time-savings and patient satisfaction improvements, when paying attention, e.g., to the time scheduled per visit, the number of doctors employed, and the patients’ impairments.
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Shacham Abulafia, Adi, Irina Amitai, Oren Pasvolsky, Orit Uziel, Dalia Zoref, Ariela Yosefi, Baruch Brenner, Pia Raanani et Uri Rozovski. « How Patients and Doctors' Characteristics Affect the Length of Doctor-Patient Visit in the Oncology and the Hemato-Oncology Outpatient Clinics ». Blood 132, Supplement 1 (29 novembre 2018) : 4794. http://dx.doi.org/10.1182/blood-2018-99-118818.
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Abstract Introduction: The relationship between doctors and their patients has received philosophical, sociological, and literary attention throughout history. Patients with cancer perceive their doctors as their primary source for information and support. In this study we narrowed our perspective on patient-doctors' bonding to a single dimension, the length of time doctors spends with their patients. A recently published study found that doctors estimate that they spend on average between 13 to 16 minutes with a patient. However, to our knowledge visit-time was never quantified. Methods: This study was conducted at the Davidoff Cancer Center, Rabin Medical Center, Israel. Since 2005 a customer-time management software (Q-Flow®) is routinely used in our institute. This software records the length of patients-physicians' meetings and provides patients' demographic data. With this software we collected data on all consecutive visits at the hemato-oncology and oncology outpatient clinics between January and December 2017. Additional data was collected from patients' electronic medical records. Results: During 2017, 10,513 patients visited the oncology and 3,314 patients visited the hemato-oncology outpatient clinics in our institute. The median number of visits per patient was 2 (range: 1 to 49). Altogether 57,922 visits were recorded in our Q-flow system. To exclude technical outliers, we analyzed 33,371 visits that ranged in length between the 25th and the 75th percentile. The median age of our patients was 67 years (range: 18 to 102) and 7,292 were females (54%). The median length of visit was 12.2 minutes (range: 2.1 to 21.5). It was longer during winter time (P<0.0001) and morning sessions (P<0.0001). 6,813 patients (68%) were seen by oncologists, 2,852 patients (28%) by hematologists and 347 patients (4%) were followed by both. Unexpectedly, we found that the median visit length at the oncology clinics was 13.5 minutes (range: 2.1 to 21.5) but only 10.5 minutes (range 2.1 to 21.5) in the hemato-oncology clinic (P<0.0001). This trend was kept also for the 347 patients that were followed in both clinics (P <0.0001). Yet, the mean number of visits per patient in the hematology clinic was 3.9 (s.d. = 4.4) and only 2.1 (s.d. 1.7) in the oncology clinic (p<0.0001). Both patients' and doctors' characteristics affected visits' length. For example, compared with their male colleagues, female doctors spent more time with their patients (p<0.0001) and senior doctors with more than 10 years' experience in hem/oncology spent significantly less time with patients compared with younger seniors (p<0.0001) or fellows (p<0.0001). Working burden defined by the number of visits per day that were assigned for each doctor was mildly and inversely correlated with visits' length (rp = -0.15 p<0.0001). As for patients' characteristics, regardless of doctors' gender, female patients had longer visits. On the other hand, across a wide age range (in patients younger than 70 years) visits were similar in length. Yet, above the age of 70 years, there was a strong correlation between age and visit length (rp =0.56, p = 0.002). Conclusions: Analyzing the length of visits in these clinics provided intriguing insights. Female doctors spend significantly more time with their patients. This is in line with recent studies showing superior outcome for patients treated by female doctors and might reflect a more thorough approach, a more empathic attitude or a more talkative behavior. Longer visits were also recorded for female patients regardless of doctors' gender. Likewise, senior doctors spend significantly less time with their patients. Working burden had only minor effect on visits' length. Nevertheless, we found a tradeoff between the number of visits per patient and the length of visits. In the hematology clinic patients were followed more frequently with shorter visits compared with those in the oncology clinics. Disclosures No relevant conflicts of interest to declare.
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Lewis, Jay, Grace Ma, Freda Patterson et Min Qi Wang. « Correlates of Blood Pressure Control Behaviors among Korean Americans in the Greater Philadelphia Area ». Psychological Reports 113, no 3 (décembre 2013) : 908–20. http://dx.doi.org/10.2466/13.10.pr0.113x26z3.
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This cross-sectional study was designed to identify correlates of blood pressure control behaviors, including participation in physical activity, maintaining a healthy diet, limiting alcohol and tobacco use, discussing blood pressure with a doctor, and getting screened for blood pressure. The study sample included 116 Korean American men and women aged 42 to 77 years ( M = 58.7) who resided in the greater Philadelphia area. Intention to exercise, comfort exercising in the neighborhood, and confidence in the ability to find time to exercise were positively correlated with participating in physical activity. Knowledge about the benefits of a healthy diet and confidence in the ability to maintain a healthy diet were positively correlated with maintaining a healthy diet. Intention to visit a doctor, having a regular doctor, satisfaction with the doctor, having confidence in the doctor, and confidence in the ability to ask doctors about health issues were positively correlated with medical adherence (including adhering to medication regimen and seeing a doctor regularly).
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Bharti, Sapna, et Varuna Sugha. « Repeated Doctor Shopping in Functional Abdominal Pain Patient and Its Impact : A Case Report ». International Journal of Science and Healthcare Research 7, no 3 (28 septembre 2022) : 408–9. http://dx.doi.org/10.52403/ijshr.20220759.
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Doctor-shopping involves visiting multiple doctors with the same health problem and is often observed in outpatient clinics.[1] Patients visit more doctors when they have a chronic disease or a drug addiction and their health problem remains unresolved despite receiving treatment.[2] The provider-patient relationship is essential to treatment of patient. If patient is visiting multiple doctors at same time without any previous records and even not disclosing previous checkups leads to repeated prescription of medication, increased drug dose consumption and increased healthcare cost as well. Here we report a case of 54 year female with chronic functional abdominal pain with once to twice weekly checkups at different hospital and with different specialist consultations. Keywords: doctor shopping, healthcare cost, drug abuse
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Sari, Vina Winda, Muhammad Zunaidi, Asyahri Hadi Nasyuha et Marsono Marsono. « Penerapan Metode Dempster Shafer Untuk Diagnosa Penyakit Batu Karang ». JURNAL MEDIA INFORMATIKA BUDIDARMA 6, no 3 (25 juillet 2022) : 1686. http://dx.doi.org/10.30865/mib.v6i3.4140.
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Rocks or urinary tract stones are small and hard deposits that form in the kidneys, urinary tract and often cause pain when urinating, due to lack of public knowledge about the problem of coral disease, and to find out about this situation, people usually do an examination at the home. Sick or Doctor. However, not everyone can do this, this can be due to insufficient economic factors or long distances to visit the doctor, there are also weaknesses in the limited working hours of the doctor's practice. Therefore, innovations and solutions are needed in these conditions, namely by utilizing computer technology to build an expert system that has the ability as a doctor in making diagnoses. This study aims to create an expert system analysis with the Dempster Shafer method that can help doctors and physician assistants, or the general public in diagnosing coral stone disease. The results of this study indicate that with the analysis of the Dempster Shafer method, more optimal and accurate diagnostic results related to coral disease are available to the general public and can assist in the examination of coral disease.
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Bakow, Brianna R., Fred Schiffman et Anthony E. Mega. « Where’s my doctor ? the impact of the primary oncologist’s visit with their hospitalized patients. » Journal of Clinical Oncology 37, no 15_suppl (20 mai 2019) : 6603. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.6603.
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6603 Background: Continuity of care is a cornerstone of the patient-practitioner relationship and patient satisfaction. The inpatient continuity visit (ICV), a face-to-face patient-provider interaction, involves a discussion regarding hospital course and care goals and decisions. We theorize that the ICV influences patient satisfaction. Previously, patient satisfaction has been related to patient perception of physician conduct, including communication skills. Currently, there are no studies investigating the impact of an ICV on inpatient oncology patients on a hospitalist service. Objectives: To assess the relationship between the ICV and patient satisfaction. We hypothesized that one or more visits by the outpatient oncologist would enhance satisfaction of oncology inpatients. Methods: Subjects (N=82) were comprised of adult inpatients on the oncology unit at Miriam Hospital, a teaching hospital of the Alpert Medical School of Brown University. All participants had an oncologist at the hospital based cancer center. A survey, given at discharge, included a 5-point Likert scale ranging from greatly worsened to greatly improved to assess the impact of the ICV on patient satisfaction. Results: Of 82 participants, 46 reported a visit by their outpatient oncologist. Forty-two (91.3%) reported that this visit either greatly or somewhat improved satisfaction with their hospital stay, while 8.7% reported no impact. Of patients whose oncologist visited once, 94.4% reported either greatly or somewhat improved satisfaction compared to 89.3% who had more than one visit. Out of 36 subjects who did not receive a visit, 16.7% reported that the lack of visit either greatly or somewhat worsened their hospital stay, while 83.3% reported no impact. Conclusions: Our study suggests that an ICV improves satisfaction of care in cancer patients on a hospitalist service. Furthermore, one of every six subjects who did not receive an ICV reported a negative impact on satisfaction. Results highlight a possible intervention to the discontinuity of care that may be perceived by patients. While the practicality of this intervention requires evaluation, the efficacy of a single continuity visit to improve satisfaction is reassuring.
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Friend, Stephen H., et Trey Ideker. « POINT : Are we prepared for the future doctor visit ? » Nature Biotechnology 29, no 3 (mars 2011) : 215–18. http://dx.doi.org/10.1038/nbt.1794.
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Krupat, Edward, Carter M. Yeager et Samuel Putnam. « Patient role orientations, doctor-patient fit, and visit satisfaction ». Psychology & ; Health 15, no 5 (septembre 2000) : 707–19. http://dx.doi.org/10.1080/08870440008405481.
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Shah, Dimple, Shreya Patel et Varsha J Patel. « Perception of patients with chronic respiratory disorders regarding doctor-patient communication at a tertiary care hospital ». IP International Journal of Comprehensive and Advanced Pharmacology 6, no 2 (15 août 2021) : 71–75. http://dx.doi.org/10.18231/j.ijcaap.2021.012.
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It is believed that doctor-patient relationship is an important determinant in patient’s adherence to the treatment. The doctor-patient relationship can be seen as the perception of the patient concerning shown by the doctor, and the attitude and behaviour of the doctor towards the patient. For management of chronic illness where patient adherence to treatment is challenging, good doctor patient communication is very essential. This study was planned to assess the doctor patient communication status, effectiveness and patient satisfaction resulting after consultation with the doctor in a tertiary care setting.This study aims to assess the doctor-patient communication status, patient satisfaction level and identify the factors affecting the communication with the patients. This was a cross-sectional questionnaire based analytical study. The questionnaire mainly included various questions to assess the patient satisfaction in terms of time spent by doctor during visit, examination performed, discussion on treatment plan, medication dosage and side effects explained, response to patient questions and concern and overall satisfaction of the site visit. The study population included patients of Chronic Obstructive Pulmonary Diseases (COPD) and bronchial asthma attending the outpatient departments of Medicine and Respiratory Medicine of a tertiary care hospital. Total 70 patients had filled the questionnaire and all of them were satisfied with their visit with attending physician in OPD. Age, education level and income class affect the satisfaction score of participants.Overall the study showed a good level of satisfaction of patients with services obtained from this tertiary care centre. Physician can improve the doctor-patient communication by empathising with the patients and rendering them sufficient time to explain the treatment regimens.
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Põlluste, Kaja, Riina Kallikorm, Kersti Meiesaar et Margus Lember. « Satisfaction with Access to Health Services : The Perspective of Estonian Patients with Rheumatoid Arthritis ». Scientific World Journal 2012 (2012) : 1–10. http://dx.doi.org/10.1100/2012/257569.
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In this cross-sectional study we explained the possible determinants of satisfaction with access to health services in patients with rheumatoid arthritis (RA). Of the 2000 randomly selected Estonian adult patients with RA, a total 1259 completed the survey. Regression analysis was used to analyse the predictors of patients' satisfaction with access to health services. Half of the respondents were satisfied with their access to health services. Factors that had a negative impact on satisfaction included pain intensity, longer waiting times to see the doctors, as well as low satisfaction with the doctors. Transportation costs to visit a rheumatologist and higher rehabilitation expenses also affected the degree of satisfaction. Patients who could choose the date and time at which they could visit the rheumatologist or who could visit their “own” doctor were more likely to be satisfied than patients whose appointment times were appointed by a healthcare provider.
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Thi Linh Nguyen, Huong, Gavin Austin, Dung Duc Chau, Hien Quang Nguyen, Khanh Hoang Bao Nguyen et Manh The Duong. « Eliciting Patients’ Health Concerns in Consulting Rooms and Wards in Vietnamese Public Hospitals ». International Journal of Applied Linguistics and English Literature 7, no 2 (1 mars 2018) : 121. http://dx.doi.org/10.7575/aiac.ijalel.v.7n.2p.121.
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This article examines the doctor’s elicitation of the patient’s presenting health concern in two clinical settings in the Vietnamese public hospital system: the consulting room and the ward. The data were taken from 66 audio-recorded consultations. Our analysis shows that the elicitors used by the doctor in the consulting room often communicate a weak epistemic stance towards the patient’s health issue, while those used in the ward tend to signal a strong epistemic stance. In addition, this contrast between the elicitors employed in the consulting room and the ward is evident in our data regardless of whether the consultation is a first visit or a same follow-up (in which the doctor is the same one that treated the patient on their last visit), though the contrast is less clear for different follow-ups (in which the doctor has not treated the patient before). An additional finding is that the clinical setting has some bearing on the use of inappropriate elicitation formats (in which the doctor opens the visit with an elicitor which is more appropriate for another type of visit). The precise way in which each of the consulting room and the ward operates is, of course, a feature of the Vietnamese public hospital system itself. Hence, the overall contrast between the elicitors and elicitation formats used in these two settings illustrates how, on a more general level, the institutional context can have an impact on doctor-patient communication.
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Naidu, Balaji, Gaurav Turak, Yash Kadao, Vishal Wasnik et K. Chandwani. « Patient Tracking System ». International Journal of Computer Science and Mobile Computing 11, no 4 (30 avril 2022) : 9–13. http://dx.doi.org/10.47760/ijcsmc.2022.v11i04.002.
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Aims: In day to day life everyone is busy; according to schedule we cannot provide more visibility on health related issues. We have to visit doctors and wait for the queue. When we get number we can checkup our self. To remove all this issues we have designed an app that can easily connect to any doctor according to requirement and can checkup our self through doctor without any further delay. This is the main point of our application that we focus to make contactless checkup and provide better option for patients and doctors also. Methods: This application is android based so we have used GPS system in our system to track patient’s activity; data will collect from patients and send on servers. Using data from server medical care team will easily track patients activity and data will collected periodically. Results: Patient’s all record stored on server where patient’s doctor can easily fetch the data and inform the patient’s status and position. Conclusion: In this system we are using android device to fetch the patient’s data and provide related data to patient’s doctor for better diagnosis.
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Shapiro, Johanna. « A visit to the doctor : An illustration of implicit meanings in the doctor-patient relationship. » Family Systems Medicine 6, no 3 (1988) : 276–89. http://dx.doi.org/10.1037/h0089750.
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Chen, Yi. « Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis ? » Innovation in Aging 5, Supplement_1 (1 décembre 2021) : 17. http://dx.doi.org/10.1093/geroni/igab046.061.
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Abstract Dementia is a costly disease that places great burden on individuals and families. The substantial time and financial resources taken away by living with persons with dementia (PWDs) may make their spouses forgo essential health care, thus deteriorating long-term health and increasing downstream healthcare costs. However, such negative externality is understudied. This paper studied the impacts of spouse's incident dementia diagnosis on an individual's use of needed care, defined as annual flu shot and regular doctor visits for those with preexisting conditions. Using HRS linked to Medicare claims, I employed a fixed effects approach to compare the use of flu shot and doctor visit during 1 year before and after the index, for individuals whose spouse had dementia (N=691) and otherwise similar controls (N=5,073). After adjusting for time-varying health, caregiving roles, and other socio-demographic factors, spouse’s dementia onset was associated with greater likelihood of getting flu shot and seeing doctors. Among those transitioning into caregiving, spouses of PWDs had a marginally higher risk of skimping on doctor visits, compared to controls (p=0.053). In this broadly representative sample, there lacks evidence for rationed health care ensuing spouse’s dementia incidence, at least within a 1-year time frame. However, for new spousal caregivers, the impact of dementia is more profound and complex than deprivation of time. This group may face a trade-off between caring for spouses with dementia and caring for themselves, for whom policy support merits further study and consideration.
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Choi, Jin Guk, Byung Ju Yi et Ji Sung Song. « A Study on the Improvement of UX/UI of the Pre-Question Form for Initial Treatment of Otorhinolaryngology Department of Secondary Hospital for Patient-centered Medical Service ». Korea Institute of Design Research Society 7, no 4 (31 décembre 2022) : 442–52. http://dx.doi.org/10.46248/kidrs.2022.4.442.
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In order to improve the satisfaction of patients and doctors in terms of patient-centered medical services, the results of this study approached from the perspective of medical examination and conducted research and analysis of literature, case studies, and hospital visits. It was designed intuitively by applying the questionnaire, which is the basis, as a responsive box according to the Fitts Law, focusing on readability to fit the mobile screen with symptoms and items for each part. Second, an environment in which in-depth medical interviews can be created was created by reducing questioning time by providing a space for users to describe questions that may be missed in a short medical treatment time. Third, the pre-diagnosis questionnaire prepared for first visit suggested the possibility of in-depth medical care by reducing closed conversations between patients and doctors and reducing unnecessary questioning time with open-ended questions. Fourth, the mobile access to the pre-first visit medical questionnaire resulted in technical limitations in applying the integrated hospital system. The significance of this study is to propose a design for improving patient-doctor communication and treatment satisfaction during limited treatment hours. We expect a medical environment that can increase the satisfaction of patients and doctors in terms of patient-centered medical services and the use of basic data that can be provided in a mobile environment for the preparation of patient questionnaires necessary for first visits and outpatients.
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Saxena, Tanupriya, Ruchi Srivastava et Chetan Chandra. « Role of telemedicine in COVID-19 pandemic – An overview ». Asian Journal of Oral Health and Allied Sciences 12 (5 janvier 2022) : 1. http://dx.doi.org/10.25259/ajohas_10_2021.
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COVID-19 pandemic has caused worldwide havoc. The present healthcare system is ruined, distancing both patients and doctors. To avoid transmission of infection, travel restrictions were made, making the patient’s visit to the doctor difficult. However, routine checkups for patients not infected with COVID-19 should be given without the threat of getting exposed to other patients in the hospital. In this respect, telemedicine becomes a reliable source that provides health services as well as reduces the infection spread. The first known evidence of real-time (live) video consultation occurred in 1959 at the University of Nebraska where doctors used telemedicine to transmit neurological examinations to students. During the first 3 months of 2020, there was a 50% increase in telehealth visits. Most patients from January to March 2020 approached for a condition other than COVID-19. Many telemedicine applications have been launched for teleconsultation such as Practo, Mfine, TATA Health, and Doctor 24 × 7 provide teleconsultation. Telemedicine has shown a huge impact on the present healthcare system during this pandemic and has placed itself in the spotlight during recent times. Through this paper, the role of telemedicine in the current scenario of pandemics and its development through recent times is discussed.
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Bokhare, Jaya, Damyanti Mahajan, Kanchan Mahajan et Raj Kumar Verma. « Online E-Clinic Service System ». Journal of Big Data Technology and Business Analytics 1, no 1 (12 mai 2022) : 19–22. http://dx.doi.org/10.46610/jbdtba.2022.v01i01.004.
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In Today’s time the health is a priority factor to all. The medical sector proven very useful in pre and post corona time. But people’s fears to visit hospitals as there were possibility of spreading of diseases in the hospital. Peoples mostly consider consulting doctors on calls or chats. Our application focuses on the same issue and creates a medium of communication between doctor and patients via call.
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Mendoza-Sassi, Raúl, Jorge U. Béria et Aluísio J. D. Barros. « Outpatient health service utilization and associated factors : a population-based study ». Revista de Saúde Pública 37, no 3 (juin 2003) : 372–78. http://dx.doi.org/10.1590/s0034-89102003000300017.
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OBJECTIVE: To identify factors that lead people to visit a doctor in Brazil and assess differences between socioeconomic groups. METHODS: A cross-sectional study comprising 1,260 subjects aged 15 or more was carried out in southern Brazil. Demographic, socioeconomic, health needs and regular source of care data were analyzed concerning visits to a doctor within two months from the interview. Adjusted prevalence ratios and 95% confidence intervals were calculated using Poisson regression. RESULTS: Adjusted PR showed that women having stressful life events, health insurance, and a regular doctor increased the outcome. A dose-related response was found with self-reported health, and the probability of visiting a doctor increased with health needs. Analysis in the chronic disease group revealed that uneducated lower income subjects had a 62% reduction in the chance of visiting a doctor compared to uneducated higher income ones. However, as it was seen a significant interaction between income and education, years of schooling increased utilization in this group. CONCLUSIONS: Results suggest the existence of health inequity in the poorest group that could be overcome with education. Specific measures reinforcing the importance of having a regular doctor may also improve access in the underserved group.
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Xing, Wen, Ping Yu Hsu, Yu-Wei Chang et Wen-Lung Shiau. « How does online doctor–patient interaction affect online consultation and offline medical treatment ? » Industrial Management & ; Data Systems 120, no 1 (2 décembre 2019) : 196–214. http://dx.doi.org/10.1108/imds-05-2019-0261.
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Purpose The purpose of this paper is to investigate factors that influence the patients’ intentions to visit doctors face-to-face for consultations from the perspective of online doctor–patient interaction. Justice theory, SERVQUAL and the halo effect are integrated to develop a research model based on the performance-evaluation-outcome framework. The authors hypothesize that perceived justice and service quality are the significant factors in reflecting the performance of online doctor–patient interaction, which influences patient satisfaction evaluation and online and offline behavioral intentions. Design/methodology/approach The study conducted an online survey to collect data. Patients on a healthcare consulting website were invited to participate in the survey. The research model and hypotheses were tested with 254 collected data from patients and analyzed using the partial least squares method. Findings The results show that perceived justice and service quality have a positive effect on patient satisfaction, and satisfaction and the intention of online consultation have a positive effect on the intention of face-to-face consultation. Practical implications This study offers suggestions on how doctors interact with patients and build their brand image. The findings also offer effective insights into improving doctors’ online services to retain patients and even encourage patients to go to clinics. Originality/value Online health consultation is one of the most popular online health services and is growing quickly. After patients consult online doctors, they are able to visit their doctors in person for further diagnosis and treatment if they have the need. This study investigates how patients’ online interactive experience influences their offline behavioral intentions, which are different from most of the past literature on eHealth.
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Zaikov, Alexandr. « “Telemedicine does not replace a real visit to the doctor…” ». Chelovek.RU, no 17 (2022) : 182–90. http://dx.doi.org/10.32691/2410-0935-2022-17-182-190.
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Kumar, Deepika, Nancy P. Gordon, Elad Neeman, Constanza Zamani, Tammy Rene Sheehan, Ernesto Martin, Jessica Payne, Olga Egorova, Tatjana Kolevska et Raymond Liu. « Patient preferences for telehealth versus in-person oncology visits. » Journal of Clinical Oncology 40, no 28_suppl (1 octobre 2022) : 386. http://dx.doi.org/10.1200/jco.2022.40.28_suppl.386.
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386 Background: The COVID-19 pandemic led to rapid adoption of telehealth (video or phone) visit modalities for oncology encounters not requiring in-person visits. We surveyed oncology patients regarding preferences for in-person versus telehealth modalities for different types of clinical encounters. Methods: We surveyed adults who were undergoing treatment at Kaiser Permanente Northern California infusion centers between 11/2021 – 05/2022 using a self-administered questionnaire. Patients were asked about modality preferences for 6 types of clinical discussions, overall advantages and disadvantages of telehealth versus in-person encounters, and barriers to video visit use. Results: A total of 757 patients who completed surveys in English answered questions about visit modality preferences for different types of discussions with their oncologist. Respondents were 63% female, median age 63y, and majority White (61% White, 19% Asian, 11% Latino, 7% Black) and college-educated (28% some college, 45% ≥ bachelor’s degree). For the first post-diagnosis discussion, most patients preferred in-person (IP) visits (83%), followed by video visits (27%) and phone visits (18%). For follow-up visits during treatment, patients preferred IP (52%), video (50%) and phone (37%) visits. For discussions of bad news and sensitive topics, IP visits were preferred by 68% and 62%, video visits by 44% and 48%, and phone visits by 32% and 41%, respectively. Good news could come at IP (49%), video (52%) or phone (49%) visits. Approximately 20% of patients had no overall preference for IP versus telehealth visits. However, 58% of patients felt more personally connected with their doctor at IP visits. Patients also had more confidence in IP examinations (73%) and felt IP was easier for showing things (67%) and talking (51%) to the doctor. Patients felt telehealth visits saved them time (72%), reduced infection exposure (64%) and travel issues (45%), were cheaper (38%), and enabled inclusion of more people (28%). Of 24% of patients who felt video visits would be hard, 51% cited poor internet, 41% lack of an adequate device, and 28% difficulty signing on. Conclusions: The majority of oncology patients consider telehealth visits acceptable for most types of clinical discussions, with the exception of the first post-diagnosis visit. Only one-fourth of patients indicated potentially modifiable barriers to video visits. Our results support use of telehealth visits for most types of oncology encounters.
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Chamberlin, Steven R., Erica Oberg, Douglas A. Hanes et Carlo Calabrese. « Naturopathic Practice at North American Academic Institutions : Description of 300,483 Visits and Comparison to Conventional Primary Care ». Integrative Medicine Insights 9 (janvier 2014) : IMI.S14124. http://dx.doi.org/10.4137/imi.s14124.
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This study collected patient visit data to explore similarities and differences between conventional and naturopathic primary care (PC). Administrative data from practice management software systems from the main teaching clinics of four of the eight accredited North American naturopathic academic institutions were abstracted into an integrated database containing five years (2006–2010) of visit, patient, laboratory, and prescribing data. Descriptive analyses of healthcare services were compared to the National Ambulatory Medical Care Survey (NAMCS). Over the five-year period, 300,483 patient visits to naturopathic doctors occurred at clinics, excluding visits at clinics operated by the schools in community settings. Patients were 69% female; mean age was 39 (SE 0.09). Older adults (>65) comprised 9% of the population and children (<16) comprised 8%. Comparing academic naturopathic clinics to national conventional PC (NAMCS), we found more patients paid out of pocket at naturopathic clinics (50 vs. 4%) and naturopathic clinics more frequently offered discounted care (26 vs. 0.3%). There was a 44% overlap in the most frequent 25 diagnoses for PC at conventional community clinics. Overall, these data suggest substantial similarities in care offered by academic naturopathic clinics, at which most Naturopathic Doctor (ND) students are trained, and by conventional PC practices.
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Harada, Yuriko, Nada Abu Kishk, Shakoor Hajat, Mio Akita, Masako Horino, Shatha Albaik, Khalil Abu Naqera, Majed Hababeh, Rami Habash et Akihiro Seita. « Adherence to UNRWA’s anaemia treatment guidelines in the Jerash Camp Health Centre, Jordan : a retrospective observational study ». BMJ Open 12, no 3 (mars 2022) : e056490. http://dx.doi.org/10.1136/bmjopen-2021-056490.
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ObjectiveThe United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) provides primary healthcare to 2.2 million Palestinian refugees in Jordan. This study aimed to measure patient and doctor adherence to the UNRWA guidelines for the prevention and treatment of iron deficiency anaemia in moderate to severe anaemia children, defined as haemoglobin (Hb) level <10.0 g/L.Design, setting and participantsA retrospective observational study was conducted by analysing the electronic health records of 717 children (353 boys and 364 girls) children aged 12 months old in 2018 in the Jerash Camp Health Centre, Jordan.OutcomePatient adherence to the UNRWA guidelines was calculated by the proportion of health centre visits and doctor adherence by the proportions of Hb tests and iron supplementation among moderate to severe anaemia children at screening, first, second and third follow-up visits, respectively using STATA.ResultsThe prevalence of moderate to severe anaemia was 15.6% among 12-month-old children. After 1 month of iron supplementation, 83.7% of anaemic children improved their Hb status: mean±SD from 9.1±0.6 g/L to 10.1±1.0 g/L. Patient and doctor adherence to the UNRWA guidelines was above 80% at the screening visit but progressively decreased at follow-up visits, especially patient adherence at the third follow-up visit of 34.4%. The analysis revealed unnecessary health centre visits and iron supplementation being given to mildly anaemic children (Hb level=10.0 g/L–10.9 g/L). Additionally, children visited the health centre at an age significantly later compared with that recommended by the UNRWA guidelines for the screening, first and second follow-up visits (p-value<0.05).ConclusionAdherence to the UNRWA guidelines was above 80% at screening but much lower at follow-up visits. Urgent action is needed to improve adherence at follow-up visits and to minimise any unnecessary health centre visits and iron supplementation to mildly anaemic children.
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Suglia, Shakira F., Sa Shen, Alwyn Cohall, Hector Bird, Glorisa Canino, Jocelyn Brown et Cristiane S. Duarte. « Use of Health Services by Maltreated Children in Two Different Sociocultural Contexts : Where Can Doors for Interventions Be Opened ? » Journal of Interpersonal Violence 34, no 12 (31 juillet 2016) : 2458–75. http://dx.doi.org/10.1177/0886260516660973.
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Among maltreated children, elevated use of non-routine (for illness or injury) services may coexist with underutilization of preventive services. Besides physical health problems, lack of contact with primary care may preclude the identification and delivery of appropriate interventions. We examined health service utilization in the longitudinal Boricua Youth Study of Puerto Rican children residing in the South Bronx (SBx), New York City ( n = 901), and San Juan metropolitan area, Puerto Rico ( n = 1,163). Parents and children ( Mage = 9 years) reported on child physical abuse, sexual abuse, and neglect. Parents reported if their child had been to illness, injury, and well-child visits in the past year. In the SBx site, caretakers were more likely to report the children seeing a doctor for a well-child visit (90%) compared with children in Puerto Rico (71%). Children in Puerto Rico were more likely to visit a doctor for an injury in the past year compared with children in the SBx (39% vs. 24%). Twenty-one percent of children in the SBx reported maltreatment versus 16% in Puerto Rico. Adjusting for sociodemographic factors, compared with non-maltreated children, those who experienced two or more types of maltreatment were more likely to have an illness visit in Puerto Rico (prevalence ratio [PR] = 1.5, 95% confidence interval [CI] = [1.1, 2.2]) and the SBx (PR = 1.8, 95% CI = [1.1, 3.0]), or an injury visit (PR = 4.1, 95% CI = [1.9, 8.9]) in Puerto Rico only. Children in the SBx who reported only one type of maltreatment were less likely to use services for injuries than non-maltreated children (PR = 0.42, 95% CI = [0.2, 0.9]). No relation between maltreatment and well-child visits was noted. Children who experience maltreatment may frequently come in contact with health care providers, presenting opportunities for intervention and the prevention of further maltreatment.
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NEWMAN, M. G., L. CLAYTON, A. ZUELLIG, L. CASHMAN, B. ARNOW, R. DEA et C. B. TAYLOR. « The relationship of childhood sexual abuse and depression with somatic symptoms and medical utilization ». Psychological Medicine 30, no 5 (septembre 2000) : 1063–77. http://dx.doi.org/10.1017/s003329179900272x.
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Background. Previous research suggests that childhood sexual abuse is associated with high rates of retrospectively reported medical utilization and medical problems as an adult. The goal of this study was to determine if abused females have higher rates of medical utilization using self-report and objective measures, compared with non-abused females. A further goal was to determine whether findings of prior research would be replicated when childhood physical abuse level was controlled. This study also examined the moderating impact of depressed mood on current health measures in this population.Methods. Six hundred and eight women recruited from a health maintenance organization completed self-report measures of health symptoms for the previous month and doctor visits for the previous year. Objective doctor records over a 2 year period were examined for a subset of 136 of these women.Results. Results showed significantly more self-reported health symptoms and more self-reported doctor visits in abused participants compared with those who reported no childhood history of sexual abuse. Objective doctor visits demonstrated the same pattern with abused participants exhibiting more visits related to out-patient surgery and out-patient internal medicine. In addition, persons who were both sexually abused and depressed tended to visit the emergency room more frequently and to have more in-patient internal medicine and ophthalmology visits than sexually abused participants who reported low depressed mood and non-abused controls.Conclusions. These results replicate prior studies and suggest that current depression may moderate the relationship between sexual abuse and medical problems in adulthood.
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Peck, B. Mitchell. « Age-Related Differences in Doctor-Patient Interaction and Patient Satisfaction ». Current Gerontology and Geriatrics Research 2011 (2011) : 1–10. http://dx.doi.org/10.1155/2011/137492.
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Background. Relatively little is known about patient characteristics associated with doctor-patient interaction style and satisfaction with the medical visit.Objective. The primary study objectives are to assess: whether doctors interact in a more or less patient-centered style with elderly patients and whether patient age moderates the relationship between interaction style and satisfaction, that is, whether elderly patients are more or less satisfied with patient-centered medical encounters.Methods. We collected pre- and post-visit questionnaire data from 177 patients at a large family medicine clinic. We audiotaped the encounters between doctors and patients. Patient-centered interaction style was measured from coding from the audiotapes of the doctor-patient interactions. Patient satisfaction was measured using the Patient Satisfaction Questionnaire.Results. We found physicians were more likely to have patient-centered encounters with patients over age 65. We also found patient age moderated the association between interaction style and patient satisfaction: older patients were more satisfied with patient-centered encounters.Conclusion. Patient age is associated with style of interaction, which is, in turn, associated with patient satisfaction. Understanding the factors and processes by which doctors and patients interact has the potential to improve many facets of health care delivery.
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Munday, P. E., A. Allan, S. Hearne et A. Gubbay. « The role of the nurse in screening asymptomatic male and female patients in a sexual health clinic ». International Journal of STD & ; AIDS 16, no 4 (1 avril 2005) : 281–83. http://dx.doi.org/10.1258/0956462053654348.
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We allocated 278 patients, who said they were asymptomatic and agreed to be randomized to a nurse or doctor clinic, to appointments using a random number system. In all, 35 patients did not attend and 16 were excluded because they did not meet the entry criteria. We used a screening protocol which excluded microscopy from the immediate assessment of patients. The outcome measures were completeness of documentation, proportion of patients accepting HIV tests, infections detected and patient satisfaction. Overall, 3% of items were not completed by doctors and 6% by nurses. HIV tests were carried out on 65% of patients who saw a doctor and 52% who saw a nurse. Thirteen infections were detected by doctors and 27 by nurses. No new cases of gonorrhoea, syphilis or HIV infection were identified. Eighty-eight patients completed a questionnaire after their attendance. Almost all patients were very satisfied with the service and most were prepared to see a nurse on a subsequent visit. We concluded that there are few differences between the performance of doctors and nurses in routine screening of asymptomatic patients.
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Mortezavi, Mahta, Sravani Lokineni, Megha Garg, Ya Li Chen et Allison Ramsey. « Rheumatology Patient Satisfaction With Telemedicine During the COVID-19 Pandemic in the United States ». Journal of Patient Experience 8 (1 janvier 2021) : 237437352110088. http://dx.doi.org/10.1177/23743735211008825.
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The spread of COVID-19 in the United States has led to the use of virtual visits in lieu of in-person care for the high-risk population of patients in rheumatology. We asked patients to score their satisfaction with these visits and if they would have preferred in-person care instead. Of 679 patients seen in May 2020, 512 (75.4%) were virtual (267 [52.1%] by telephone and 245 [47.9%] by video), and 359 (70%) responded to the survey. The majority of patients (74%) were satisfied with their virtual visit, but they were more likely to be satisfied if their visit was over video rather than phone. They preferred an in-person visit if they were meeting a doctor for the first time, and patients who required a language interpreter were significantly less satisfied with virtual care. There was no correlation of age, sex, diagnosis, or testing ordered with satisfaction. The main concern against virtual care was the inability to have a physical exam, while the main reasons in favor of it were avoidance of potential infection and convenience.
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Bah, Tonjeh Mary Stella, Amber McKenna, Anu Paul, Jay M. Marion, Kristina Gambino, Meagan Tinsley, Elizabeth Person et Laci Edwards. « Use of a question prompt list (QPL) to facilitate communication between patients with metastatic cancer and their oncologists. » Journal of Clinical Oncology 37, no 27_suppl (20 septembre 2019) : 187. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.187.
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187 Background: Difficult conversations require an immense amount of patience. Yet on average doctors allow patients 11 seconds to speak before interrupting, which makes determining the patient’s agenda and goals of care incredibly difficult. Most patients expect their doctor to initiate prognosis and end of life care conversations. An inexpensive, effective way to increase these conversations is with a Question Prompt List (QPL). Our study examines QPL use with patients who are at least three months into treatment for metastatic cancer and includes a pre and post-visit interview to provide a within-group analysis of the QPL’s effect on their understanding of disease state, prognosis, and goals of treatment. Our patient population includes patients of lower socioeconomic background and a higher percentage of African Americans. Methods: 35 out of 155 eligible patients identified by chart review were enrolled in the study. They were interviewed about their diagnosis and prognosis before their oncologists visit. At the end of the interview, patients were given a QPL and encouraged to read it. Once the oncologists completed the visit, the researcher conducted a final interview about their disease state. Results: Before seeing their oncologist, 26 patients (74%) completely read the QPL. Most patients would recommend more physicians use this tool (77%). Of note, patients thought of new questions or concerns (51%), felt more comfortable asking questions (46%), and reported asking more questions compared to prior visits (34%). A staggering majority (68%) of patients reported never having a prognosis discussion prior to today’s visit. Previously, only 15 patients (43%) understood their treatment was palliative compared to 19 patients (54%) after this visit. Conclusions: The QPL was viewed as beneficial by most patients and increased question asking, prognosis conversations, and accuracy of goals of treatment knowledge. The QPL tool is inexpensive and requires minimal work by office staff to implement. We plan to expand our study and if results remain unchanged, we will look at studies to investigate a shortened QPL given at an initial consultation and used at subsequent visits.
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Asanova, Azize. « Typical difficult situations in doctor-patient interactions ». Psychosomatic Medicine and General Practice 3, no 3 (13 septembre 2018) : e0303125. http://dx.doi.org/10.26766/pmgp.v3i3.125.
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Every day a physician encounters complex situations in his practice and communicates with patients in various emotional and psychological conditions. In most cases, patients are forced to seek medical advice, not because they want it. Sometimes they attend a visit to hospital by an advice of a family member or friend. This review article presents typical recommendations for interaction with patients in different clinical situations.
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Gillen, Peter, Sue Faye Sharifuddin, Muireann O’Sullivan, Alison Gordon et Eva M. Doherty. « How good are doctors at introducing themselves ? #hellomynameis ». Postgraduate Medical Journal 94, no 1110 (13 janvier 2018) : 204–6. http://dx.doi.org/10.1136/postgradmedj-2017-135402.
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BackgroundThis explorative study was triggered by the ‘#hellomynameis’ campaign initiated by Dr Kate Granger in the UK. Our objectives were twofold: first, to measure rates of introduction in an Irish hospital setting by both consultant and non-consultant hospital doctors. Second to establish whether such practices were associated with patient perceptions of the doctor/patient interaction.MethodA patient ‘exit’ survey was undertaken following doctor–patient consultations in both acute (surgical and medical assessment units) and elective settings (outpatient clinics). The survey was carried out over a 5-month period by three trained clinical observers.ResultsA total of 353 patients were surveyed. There were 253 outpatients and 100 inpatients surveyed. There were 121 outpatients (47.8%) who attended a surgeon, 73 were medical (28.8%), while 59 (23.3%) were divided between obstetrics, gynaecology and ophthalmology. One hundred acute presentations were surveyed: 52% in the emergency department, 20% to the acute medical assessment unit, 21% attended the acute surgical assessment unit and 7% attended other specialties/departments.ConclusionAccording to the returned forms, 79% of doctors (n=279) introduced themselves to patients. Eleven per cent (39) of doctors did not introduce themselves, and 8.5% of patients (30) were unsure whether the doctor had introduced themselves. Five patients left their response blank.Consultants were significantly more likely (P=0.02) to introduce themselves or shake hands than non-consultant hospital doctors. Gender had no bearing (P=0.43) on introductions or handshakes regardless of grade of doctor.Three hundred and seventeen patients (89.7%) felt that an introduction had made a positive difference to their healthcare visit. Thirty patients (8.5%) felt it did not make a difference and 8 patients (2.2%) were unsure or failed to answer.This study has highlighted the importance of introductions to patients. Definite evidence of an introduction was documented in 79% of patients with 14.5% either not receiving or could not recall whether an introduction had been made on repeat visits. 6.5% stated that they did not receive an introduction.
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Ifediora, Chris O. « Evaluation of aggression in Australian after-hours doctor home-visit services ». Journal of Evaluation in Clinical Practice 24, no 2 (28 décembre 2017) : 388–95. http://dx.doi.org/10.1111/jep.12868.
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Loblaw, D. Andrew, Andrea Bezjak, P. Mony Singh, Andrew Gotowiec, David Joubert, Kenneth Mah et Gerald M. Devins. « Psychometric refinement of an outpatient, visit-specific satisfaction with doctor questionnaire ». Psycho-Oncology 13, no 4 (avril 2004) : 223–34. http://dx.doi.org/10.1002/pon.715.
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Bell, Sigall K., Roanne Mejilla, Melissa Anselmo, Jonathan D. Darer, Joann G. Elmore, Suzanne Leveille, Long Ngo, James D. Ralston, Tom Delbanco et Jan Walker. « When doctors share visit notes with patients : a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship ». BMJ Quality & ; Safety 26, no 4 (18 mai 2016) : 262–70. http://dx.doi.org/10.1136/bmjqs-2015-004697.
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RABBANI, ATONU, et G. CALEB ALEXANDER. « THE ASSOCIATION BETWEEN FAMILY STRUCTURE, REPORTS OF ILLNESS AND HEALTH CARE DEMAND FOR CHILDREN : EVIDENCE FROM RURAL BANGLADESH ». Journal of Biosocial Science 41, no 5 (17 juin 2009) : 645–59. http://dx.doi.org/10.1017/s0021932009990058.
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SummaryAccess to health care in lesser-developed countries is often quite limited, especially in rural areas. However, less is known about how different factors, such as household structure, parental income and parental education, modify such access to care. This study uses individual-level data from rural Bangladesh during and following a period of major flooding to examine factors associated with reports of illness and demand for doctors in households with children less than 10 years of age. Using information about the number of children who were reported sick and also those who were taken to a doctor, a model was estimated for such reports and decisions to visit a doctor. Overall, 74% of households reported an illness in a child during the study period. The likelihood of reports was significantly greater for boys (36%) than girls (31%). In most analyses, there was no association between parental education and reports of child illness after adjusting for village- and household-level heterogeneity. However, in analyses limited to female children, greater education of the household head was associated with lower odds of such a report (odds ratio [OR] 0.95, 95% confidence interval [CI] 0.91–1.00). Parental education and income were also related to household decisions to seek medical care, though results once again differed based on the sex of the child. There was a particularly strong effect between maternal education level and demand for medical care for boys (OR 1.13; CI 1.01–1.27), though not for girls (OR 0.96; CI 0.84–1.09). Overall, the likelihood of a doctor's visit for a sick child was positively related to household income and at the highest levels of income was a virtual certainty.
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Qureshi, Neelam Jawed, Inayat Hussain Thaver, Omer Shahid, Manahil Khalid, Zuhaib Arshad, Munza Yusuf, Mashal Sarwar, Hafiz Hussain et Wara Fatima. « Are Patients Satisfied with Healthcare Services in Hospitals ? Which Dimensions Influence it ? » Journal of Bahria University Medical and Dental College 12, no 02 (1 avril 2022) : 100–105. http://dx.doi.org/10.51985/jbumdc202131.
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Objectives: To determine the patient satisfaction with health care services provided in hospitals, disregard of whether private or public Methodology: A cross-sectional online survey was conducted from January to October 2020 who had utilized health services from private or public hospitals. A questionnaire was used for assessing the satisfaction in various dimensions; Likert scales were used for quantifying the level of satisfaction. A formal approval of ERC from the parent institution and informed consent was sought. The sample size was 384 keeping the expected satisfaction at 50%; non-probability sampling was done. Multiple variables were used to assess patient satisfaction. They were grouped into four thematic areas, and a mean score was given to each. Results: The mean age of participants was 25.19 ± 6.99. More than half of the participants (59.9%) visited a private hospital compared to only 27% visiting a government hospital. Overall, 257 (88.9%) participants were satisfied with their previous visit. The satisfaction levels varied with various dimensions; with quality of doctor 73.2%; the environment and basic facilities 76.8%; the process of seeking care - 57.4%; and with medicine and diagnostic facilities 67.4%. Conclusion: Three-quarters of the study population were satisfied with their last hospital visit. The perceived quality of doctors, the ambiance and hospitals' general facilities make a difference in patients' satisfaction. The follow-up visits and compliance with the treatment are influenced by how satisfied one is with the last visit.
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Ebeigbe, J. A., et C. A. Oni. « Truth-telling and patients' diagnoses in optometric practice in Nigeria ». Research Journal of Health Sciences 10, no 1 (24 décembre 2021) : 49–58. http://dx.doi.org/10.4314/rejhs.v10i1.6.
Texte intégralRésumé :
Background: The doctor-patient relationship is crucial to health care services including eye care. Telling the truth is an important aspect of this relationship in ensuring safe and effective treatment and management of patients.Method: A qualitative study using one - on- one in- depth interviews (IDIs) and focus group discussions (FGDs). Forty four respondents comprising 10 eye care practitioners (ECPs) and 34 patients were recruited. The ECPs were between 32 to 51 years while the patients were between 18 and 50 years old.Results: Common lies told were mainly about age, onset or duration of condition, medications used prior to their visit to the doctor's and level of compliance to doctor's prescription. Others were about health status, history of self-medication and social habits like smoking and/or drinking. Reasons for telling some of these lies included fear of early retirement, fear of being judged or stigmatized, lack of privacy during clerking and embarrassment from being caught in a previous lie.Conclusion: Untruths and manipulation of information can damage the relationship between doctor and patient because it leads to distrust and this can compromise eye care.
Keywords: Truth, doctor- patient, relationship, diagnoses