The doctor-patient relationship in the context of the COVID-19 pandemic

Gomes, Vânia Thais Silva; Rodrigues, Roberto; Gomes, Raimundo Nonato Silva; Gomes, Maria Silva; Viana, Larissa Vanessa Machado; Silva, Felipe Santana e

doi:10.1590/1806-9282.66.s2.7

Cited by 8 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Meanwhile, the media's reports and praise on frontline medical workers also enhanced the public's understanding and support of medical workers, which in turn could improve the DPR. However, due to social distancing limitations, doctors were forced to decrease face-to-face consultations with patients ( 15 ). These restrictions may lead to some miscommunication and misunderstanding between doctors and patients ( 16 ), which could deteriorate DPR.…”

Section: Introductionmentioning

confidence: 99%

General Perception of Doctor–Patient Relationship From Patients During the COVID-19 Pandemic in China: A Cross-Sectional Study

Zhou

Chen

Liao

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

The doctor–patient relationship (DPR) is essential in the process of medical consultations and treatments. Poor DPR may lead to poor medical outcomes, medical violence against doctors, and a negative perception of the healthcare system. Little is known about how DPR is affected during this novel coronavirus disease 2019 (COVID-19) pandemic. This cross-sectional study aimed to explore the DPR during the COVID-19 pandemic. There were 1,903 participants in China (95% response rate) who were recruited during the pandemic online via convenience and snowball sampling. Several questionnaires were used to evaluate participants' attitudes toward DPR, including the Patient–Doctor Relationship Questionnaire (PDRQ-9), Chinese Wake Forest Physician Trust Scale (C-WFPTS), a survey on medical violence against doctors, factors that affect and improve DPR, and general trust in medical services. Results revealed that DPR improved, and doctor–patient trust increased compared to participants' retrospective attitude before the pandemic. In addition, patients' violence against doctors decreased during the pandemic. Better doctor–patient trust and lower violence toward doctors are related to better DPR. Furthermore, we found that the main factors that could improve DPR include communication between doctors and patients, medical technology and services, and medical knowledge for patients. This study helped to better understand DPR in China, which may contribute to future health policies and medical practices in order to improve DPR and doctor–patient trust.

show abstract

Section: Introductionmentioning

confidence: 99%

General Perception of Doctor–Patient Relationship From Patients During the COVID-19 Pandemic in China: A Cross-Sectional Study

Zhou

Chen

Liao

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…The doctor-patient relationship is considered a key element in healthcare practice, especially in telemedicine (Mahajan et al, 2020;Kemp et al, 2020). There is an establishment of a therapeutic relationship when a physician responds to a patient's medical needs, such as routine check-up, diagnosis, and care in an appropriate manner (Gomes et al, 2020). Although, access to technology and health care is a significant concern for many who cannot afford private services in India.…”

Section: Discussionmentioning

confidence: 99%

Managing dementia care during COVID-19 pandemic: caregivers’ experiences in Odisha, India

Mahapatra

Sahoo

Desaraju

et al. 2023

Prim Health Care Res Dev

View full text Add to dashboard Cite

Aim: The present study explored the family caregivers’ perspectives and elicited their experience while managing dementia care during the COVID-19 pandemic in Odisha, India. Background: The onset of the COVID-19 pandemic has diverted the attention of health systems away from chronic disease management and health services delivery. Psychiatric care particularly for dementia and the elderly is found to be more compromised in such situation. Methods: We adopted an inductive phenomenological approach to garner key insights into the care continuity for people living with dementia in the context of the COVID-19 pandemic. Telephonic in-depth interviews (IDIs) were carried out with 17 immediate caregivers. All IDIs were digitally recorded, transcribed, and analysed using a thematic approach. Findings: Caregivers did not perceive dementia as an overwhelming challenge; instead viewed it as a part of the ageing process. Caring for dementia was being done by family members as a collective responsibility with task-sharing. The caregivers primarily relied on their usual physician for the continuity of dementia care and took utmost precautions to prevent exposure to COVID-19 risk. However, they found it more challenging to ensure adequate care for the multiple illnesses (multimorbidity) coexisting with dementia. Towards this, they adopted all possible measures to keep the chronic conditions under control, lest the vulnerability to COVID-19 infection might heighten. The fear of visiting a hospital, prevailing restrictions in mobility, and diverted attention of health systems to pandemic containment created impediments towards maintaining multimorbidity care. The support of local administration, neighbourhood pharmacy and diagnostic laboratories and teleconsultation with the physicians were vital for care continuity. Caregivers adapted by reducing or deferring physical consultation and seeking treatment via telephonic advice of the treating physicians. Our findings suggest leveraging digitally enabled health care technology and augmenting caregiver activation for home-based dementia care to cruise through any similar catastrophic situations.

show abstract

“…1 Essa relação tem sido estudada ao longo dos anos e sua importância na prática médica é consenso na comunidade científica, principalmente quando se fala a respeito da melhoria da qualidade dos serviços de saúde pelo comprometimento com a personalização da assistência, a humanização do atendimento e o direito à informação. 2 Esse compromisso com a primazia do bem-estar do paciente é um dos princípios do profissionalismo médico, que é composto também da justiça social e da autonomia do paciente (ABIM). 3 O que se pode esperar dessa relação e do profissionalismo médico quando as condições de cuidado fogem do habitual?…”

Section: Introductionunclassified

Percepções acerca das mudanças na relação médico-paciente durante a pandemia por COVID-19 à luz das narrativas médicas

Machado,

Franco

2023

Rev Bras Med Fam Comunidade

View full text Add to dashboard Cite

Introdução: A relação médico-paciente tem sido muito estudada ao longo dos anos e sua importância na prática médica é um consenso. No final do ano de 2019 o mundo começou a luta contra a pandemia causada pelo novo coronavírus. Os médicos de família e comunidade atuaram na linha de frente da pandemia. Objetivo: Este estudo teve como objetivo analisar as percepções dos médicos de família e comunidade na relação médico-paciente durante a pandemia da COVID-19. Métodos: Trata-se de um estudo qualitativo de análise do conteúdo das narrativas médicas, publicadas no blog "Causos Clínicos". O corpus de análise seguiu a metodologia proposta por Bardin. Resultados: Foram identificadas 42 narrativas com a temática de COVID-19 e relação médico-paciente. Após a análise de conteúdo, foram identificadas três categorias: emoções, contato físico e mudanças no sistema de saúde. Cada uma delas teve subcategorias específicas de acordo com as características das narrativas, podendo estar relacionada com “fortalezas e enfrentamentos”: emoções conflituosas de saúde mental pessoais e também relacionadas ao papel social do médico; a necessidade do distanciamento social, reduzindo o contato físico; mudanças no sistema de saúde próprias desse período, como persistência de demandas clínicas e sociais, redução da disponibilidade de consultas presenciais e falta de insumos básicos de proteção; ou “barreiras e dificuldades”: exercício da empatia; prática da escuta qualificada, do olhar atento e de habilidades de comunicação, além do uso da telemedicina. As informações obtidas na literatura corroboram os resultados encontrados nesta pesquisa. Quanto às limitações, este estudo contemplou apenas o olhar do médico e reuniu outras informações relevantes sobre a temática que não puderam ser incluídas nos resultados. Conclusões: De posse das informações obtidas neste trabalho foi possível concluir que de fato a relação médico-paciente sofreu alterações diante das variáveis identificadas, porém as narrativas revelam que mesmo em tempos de crise é possível estabelecer ligações significativas entre o médico e o paciente.

show abstract

The doctor-patient relationship in the context of the COVID-19 pandemic

Cited by 8 publications

References 5 publications

General Perception of Doctor–Patient Relationship From Patients During the COVID-19 Pandemic in China: A Cross-Sectional Study

General Perception of Doctor–Patient Relationship From Patients During the COVID-19 Pandemic in China: A Cross-Sectional Study

Managing dementia care during COVID-19 pandemic: caregivers’ experiences in Odisha, India

Percepções acerca das mudanças na relação médico-paciente durante a pandemia por COVID-19 à luz das narrativas médicas

Contact Info

Product

Resources

About