The Patient-Physician Relationship and Medical Utilization

Lynch, Denis J.; McGrady, Angele; Nagel, Rollin; Wahl, Elmer

doi:10.4088/pcc.v09n0403

Cited by 17 publications

(13 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Researchers showed that in many countries there are serious problems in making communication of medical staff and communication skills knowledge and attitude are in a low level (20,21). Also in the Alimoradi colleagues' study, the performance of midwife speech and inspect communication was 62% and 36% respectively which was reported undesirable and is close to the existing results (15).…”

Section: Discussionsupporting

confidence: 72%

Study the Knowledge, Attitude and Performance of the Health and Cure Centers Staff Regarding Using Communication Skills in Interacting With Clients in Zahedan City, 2012

et al. 2013

View full text Add to dashboard Cite

Background: Correct performance in interventions in health and cure systems, increasing patients' satisfaction and promoting the health state, necessitate the need to make a proper and correct communication among health and cure staff with patients. Objectives: This study is performed with the aim of studying the knowledge, attitude and performance of the health and cure centers staff regarding using communication skills in interacting with clients in Zahedan city. Patients and Methods: In this research, 135 staff from the health and cure centers were selected by random sampling method. Data collecting tool was a questionnaire including four parts that contained demographic information, knowledge, and attitude. Questionnaires were completed by health employee and skills check list was completed through observing the role playing of the health employees in contact with patients. Data was collected and analyzed by using SPSS software. T statistical test, one way ANOVA, Pierson's correlation coefficient and regression analysis were performed. Results: knowledge, attitude and performance of the communication skills in health employees were 36.9%, 34.6% and 41.8% respectively. There was a positive and meaningful association between knowledge and attitude, knowledge and performance and attitude and performance (P ˂ 0.05). There was not any meaningful association between gender, marital state and education with knowledge, attitude and performance, but there was a positive and meaningful association between recruitment manner (projective, contractive and official) and relative performance. Moreover there was a negative and statistically meaningful association between age and service years. The results of regression analysis by stepwise method showed that attitude and age were predictors of perfect performance of the health staff. Conclusion: Knowledge, attitude and performance of the communication skills of health staff are improper and it would lead to not using the communication skills to establish perfect communication with patients, so it seems that it is necessary to make the training courses during the service for health staff about communication skills and observing on performing the acquired skills.

show abstract

Section: Discussionsupporting

confidence: 72%

Study the Knowledge, Attitude and Performance of the Health and Cure Centers Staff Regarding Using Communication Skills in Interacting With Clients in Zahedan City, 2012

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Similarly, in our study the physicians working 7-9 hours a day stated that they usually experience negative communication with patients and/or relatives 1 to 5 times a year, whereas the physicians working 10-12 hours and more than 12 hours a day (41.8%) stated that they usually experience negative communication with patients and/or relatives 1 to 3 times a month. In a study investigating effects of doctor-patient relationship on healthcare utilization, it was concluded that patients with lower level formal education use healthcare services more frequently, and have been labeled more difficult patients by physicians (25). Magnus and Mick noted that many research studies concluded that highly educated patients with high socio-economic status received more information from physicians, whereas patients with low socio-economic level could not get more information from physicians, although they would like to (13).…”

Section: Discussionmentioning

confidence: 99%

Attitudes and behaviors of physicians in dealing with difficult patientsand relatives: a cross-sectional study in two training and research hospitals

Sandikci¹,

Üstü²,

Sandikci³

et al. 2017

Turk J Med Sci

View full text Add to dashboard Cite

IntroductionCommunication skills and problem-solving skills as well as the educational background, knowledge, and experience of doctors are important for establishing effective communication (1-4). Doctors with good communication skills can conceive the problems of patients more accurately, can provide more compliance and satisfaction of patients with treatment, and can reduce stress while improving their professional work satisfaction (4-7). When communication between physicians and patients is considered from this angle, the features and effectiveness of the communication become more important for maintaining a healthy interaction.Difficult situations in which communication is disrupted or broken during physician-patient interviews may occur. During their daily practice, doctors encounter patients described as "difficult" who leave them in difficult situations, frustrate them, and make them feel helpless and inadequate (8,9). For example, it is estimated that difficult patients constitute 15%-30% of examinations performed by family physicians (8,10). The difficulties in patient-physician communication seem to be affected by many factors stemming from the interactions between physicians, patients, situational factors, and the health care system (11). In the literature, the definition of difficult patient includes patient groups such as female patients, patients of low socioeconomic status, and patients who need excessive medical care such as those with psychosocial problems and substance abuse, with multiple medical complaints, and those feeling constantly ill, exhibiting drug-seeking behavior, and with chronic pain (10,(12)(13)(14)(15). Physicians have to allocate a lot more time and energy for these patients to recognize and solve their problems (15). Sometimes, physicians may perceive a Background/aim: The aim of this study was to examine the reasons constituting the definition of 'difficult patient' and to evaluate attitudes and behaviors of physicians in coping with these patients and their relatives. Materials and methods:This cross-sectional study was conducted in May and June 2013 with 400 randomly selected physicians from different specialties working in two training and research hospitals in Ankara. A questionnaire was created by reviewing the relevant literature, by family medicine clinic, and delivered to the physicians following a pilot study.Results: In our study 92.8% of the physicians participating had experienced a negative contact with patients and/or their relatives, previously; 46.8% of the participants stated that they used their own experiences in coping with those situations. The frequency of negative communications was higher in surgical departments, increasing with average daily working hours and number of patients and decreasing with the experience of the physicians. The ways of coping with a difficult patient were nonjudgmental listening, patience, tolerance, and empathy, in declining order of importance. Conclusion:Physicians frequently experience negative communications with patients...

show abstract

“…3,5 However, not every patient benefits from positive relationships with physicians; research in adult health care has found that physicians consider up to 30% of relationships with patients to be difficult. [17][18][19] Previous work is typically confined to the primary care setting, [6][7][8]16,[20][21][22] where routine care may not create the same stressors as serious illness. However, more recent work has tried to reconceptualize difficult relationships as problems of communication.…”

Section: Introductionmentioning

confidence: 99%

Difficult relationships between parents and physicians of children with cancer: A qualitative study of parent and physician perspectives

Mack

Ilowite

Taddei

2016

Cancer

View full text Add to dashboard Cite

Although prior conceptions of difficult relationships have held patients responsible for challenges, this study has found that difficult relationships follow several patterns. Some challenges, such as problems of connection and understanding, offer an opportunity for healing. However, confrontational advocacy appears especially refractory to repair; special consideration of these relationships and avenues for repairing them are needed. Cancer 2017;123:675-681. © 2016 American Cancer Society.

show abstract

The Patient-Physician Relationship and Medical Utilization

Cited by 17 publications

References 16 publications

Study the Knowledge, Attitude and Performance of the Health and Cure Centers Staff Regarding Using Communication Skills in Interacting With Clients in Zahedan City, 2012

Study the Knowledge, Attitude and Performance of the Health and Cure Centers Staff Regarding Using Communication Skills in Interacting With Clients in Zahedan City, 2012

Attitudes and behaviors of physicians in dealing with difficult patientsand relatives: a cross-sectional study in two training and research hospitals

Difficult relationships between parents and physicians of children with cancer: A qualitative study of parent and physician perspectives

Contact Info

Product

Resources

About