Disparity in physician-patient communication by ethnicity: evidence from Bangladesh

Zakaria, Muhammad; Karim, Rezaul; Rahman, Murshida; Cheng, Feng; Xu, Junfang

doi:10.1186/s12939-021-01405-6

Cited by 13 publications

(13 citation statements)

References 30 publications

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“…Patients, on the other hand, are more likely to get involved in expressing their concerns, asking questions and giving opinions about their treatment in a consultation in which the doctor provides supportive communication behaviors. Our results, consistently with previous studies, showed a correlation between appointment duration and doctors’ patient-centered behavior [ 2 , 3 , 4 , 10 , 25 , 26 , 27 , 28 , 29 , 30 ].…”

Section: Discussionsupporting

confidence: 93%

Appointment Length with Patients in Medical Consultations in Bangladesh: A Hospital-Based Cross-Sectional Study

et al. 2021

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In medical consultations, the length of the visit has a significant impact on the quality of care. It is significantly associated with a better quality of treatment and better health outcomes. In this study, we analyzed doctors’ consultation length with patients and associated factors in Bangladesh. A cross-sectional survey was conducted among the patients (N = 763) who visited the doctors in six district/upazila (sub-district) hospitals in the Chittagong Hill Tracts (CHT) area. Linear regression analyses were performed to identify the determining factors associated with the length of doctors’ appointments with patients. Data were analyzed using IBM SPSS version 24.0. Among the patients, 319 (41.8%) were female and 688 (90.2%) lived in rural/suburban areas. This study revealed that the average length of medical consultations was 9.10 min. Additionally, our findings illustrated that doctors’ patient-centered communication behavior (β = 0.23, p < 0.001) appeared to be the strongest predictor of longer visit length. It was also found that patients’ higher education level (β = 0.10, p = 0.006), having adequate knowledge about the health problem (β = 0.13, p < 0.001), follow-up visits (β = 0.13, p < 0.001), and the presence of female doctors (β = 0.19, p < 0.001) were significantly associated with longer interview times between doctors and patients in primary care settings. Given that doctors’ patient-centered communication behavior appears to play the most important role, this study suggests that practicing professionalism in medical consultations, developing effective communication skills and increasing awareness of sociodemographic discrepancies are important to ensure longer appointment lengths and better health outcomes of patients, regardless their sociodemographic and socioeconomic status.

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Section: Discussionsupporting

confidence: 93%

Appointment Length with Patients in Medical Consultations in Bangladesh: A Hospital-Based Cross-Sectional Study

et al. 2021

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“…Different studies show that affectionate behavior from physicians stimulates patients' participation in treatment. 11 In this study, there were three patients (3, 7.5%) who underwent social harassment and became isolated after 1 st diagnosis of cancer. Social molestation might arise from different social stigmas.…”

Section: Discussionmentioning

confidence: 72%

Treatment dropout: the hidden truth behind the treatment failure of malignancy

Chakraborty¹,

Dhar²

2022

Int J Res Med Sci

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Background: Bangladesh is a country with a high burden of malignant people. As this burning issue is recklessly increasing day by day, the aim of this study is to point out the causes behind the cancer patients getting dropped out of the midway of their treatment.Methods: A total of 40 patients were enrolled in this study at a tertiary level cancer hospital. They were selected from the treatment drop out of the registry of our oncology ward, connected through their contact numbers, and several questions were asked systematically according to a pre-formed questionnaire containing patients’ age, gender, socio-economic and educational status, different possible causes of treatment drop out, etc. Data were collected and analyzed systematically with the help of SPSS 25.Results: Among the study population (n=40), the number of male and female patients was 12 (30%) and 28 (70%) respectively. The mean age of male patients was 65 years (range 45 to 78 years) and that of female were 45 years (35 to 60 years. Most of the patients were from lower-middle-class socio-economic status (45%) with an average of educational status up to secondary school certificate (SSC) exam and family income less than 20,000 BDT per month. Only 15% of patients were self-dependent and the rest of all were dependent on either husband (in the case of female) or children. Among twelve male patients (n=12), five patients (5, 41.6%) had colorectal cancer, three patients (3, 25%) had lung cancer and two patients (2, 16.7%) was harboring prostate cancer. Of twenty-eight female study populations (n=28), more than half of the population (15, 53.6%) had breast cancer, one-fourth of patients (7,25%) had cervical cancer and only two patients (2, 7.14%) had ovarian cancer. The possible vital reason behind early treatment dropout among patients was financial problems (55%). Husbands’ deprivation (13%), Social harassment and isolation (8%) after the first cancer diagnosis,Conclusions: Social awareness, proper steps, and policies of government and non-government organizations for cancer patients taking into consideration all of the causative factors behind treatment drop out can reach the goal of cancer-free Bangladesh.

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“…Effective physician-patient communication serves as a motivator, incentive, assurance source, and encouragement for the patient [ 14 , 15 , 16 ]. Additionally, effective physician-patient communication can assist patients in managing their emotions, facilitating the interpretation of medical information, and allowing for a more accurate assessment of their needs, perceptions, and expectations [ 17 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Physician Communication on Inpatient Satisfaction

Moslehpour

Shalehah

Rahman³

et al. 2022

Healthcare

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(1) Background: The importance of physician-patient communication and its effect on patient satisfaction has become a hot topic and has been studied from various aspects in recent years. However, there is a lack of systematic reviews to integrate recent research findings into patient satisfaction studies with physician communication. Therefore, this study aims to systematically examine physician communication’s effect on patient satisfaction in public hospitals. (2) Methods: Using a keywords search, data was collected from five databases for the papers published until October 2021. Original studies, observational studies, intervention studies, cross-sectional studies, cohort studies, experimental studies, and qualitative studies published in English, peer-reviewed research, and inpatients who communicated with the physician in a hospital met the inclusion criteria. (3) Results: Overall, 11 studies met the inclusion criteria from the 4810 articles found in the database. Physicians and organizations can influence two determinants of inpatient satisfaction in physician communication. Determinants of patient satisfaction that physicians influence consist of amounts of time spent with the patient, verbal and nonverbal indirect interpersonal communication, and understanding the demands of patients. The organization can improve patient satisfaction with physician communication by the organization’s availability of interpreter service and physician workload. Physicians’ communication with inpatients can affect patient satisfaction with hospital services. (4) Conclusions: To improve patient satisfaction with physician communication, physicians and organizational determinants must be considered.

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Disparity in physician-patient communication by ethnicity: evidence from Bangladesh

Cited by 13 publications

References 30 publications

Appointment Length with Patients in Medical Consultations in Bangladesh: A Hospital-Based Cross-Sectional Study

Appointment Length with Patients in Medical Consultations in Bangladesh: A Hospital-Based Cross-Sectional Study

Treatment dropout: the hidden truth behind the treatment failure of malignancy

The Effect of Physician Communication on Inpatient Satisfaction

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