What Do You Expect From a Doctor? Six Habits for Healthier Patient Encounters

Loxterkamp, David

doi:10.1370/afm.1584

Cited by 11 publications

(9 citation statements)

References 3 publications

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“…For healthcare staff, however, consultation with patients is routine work, and has no significant impact on their perception of PPR. Unlike consultation, listening focuses on patients, and also considers their psychological and social needs [ 14 , 15 , 53 ]. Recent increases in the incidence of chronic non-communicable diseases mean that patients’ need to be listened to is greater than ever [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China

et al. 2017

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ObjectivesTo provide an empirical examination of patient–provider relationships (PPR) and its association with organizational and individual factors.MethodsA national cross-sectional survey was conducted by stratified cluster sampling in 77 hospitals across seven provinces in China between July 2014 and April 2015, involving 3621 doctors, 5561 nurses, and 8022 patients with response rates of 62.93%, 61.16%, and 33.08%, respectively. Self-perceived PPR was the outcome variable. Organizational factors included hospital type (western medicine [WM] and traditional Chinese medicine [TCM] hospital); hospital level (tertiary and secondary hospital); area of specialization (internal medicine and surgery); ratio of doctors (nurses) to ward beds; doctors/nurses’ concerns about performance assessment; and patients’ perceptions of healthcare cost. Individual factors included consultation, listening to patients and socio-demographic factors.Results54.6% of doctors, 36.6% of nurses, and 10.2% of patients perceived PPR as poor. Organizational factors independently associated with providers’ perception of poor PPR included hospital type (WM vs TCM: OR = 1.25 [95% CI: 1.06–1.47]) and concerns about performance assessment (high vs low levels: OR = 1.40 [95% CI: 1.14–1.72]) for doctors, and concerns about performance assessment (average vs low levels: OR = 0.79 [95% CI: 0.67–0.93]) for nurses. Those associated with patients’ perception of poor PPR included hospital type (WM vs TCM: OR = 0.63 [95% CI: 0.53–0.74]) and hospital level (tertiary vs secondary: OR = 0.65 [95% CI: 0.51–0.82]). Doctors and nurses reporting listening to patients “frequently” had better perceptions of PPR (OR = 0.46 [95%CI: 0.38–0.56] and 0.49 [95% CI: 0.41–0.59] for doctors and nurses, respectively), as did their patients (OR = 0.24 [95% CI: 0.18–0.31] and 0.54 [95% CI: 0.35–0.84] for doctors and nurses, respectively).ConclusionsAlthough our findings require validation in different organizational settings given the likely variability of these associations across systems, our results suggest that implementing moderate levels promoting the level of medical treatment, and broadening doctors/nurses training regarding listening to patients, may benefit to enhance PPR.

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Section: Discussionmentioning

confidence: 99%

Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China

et al. 2017

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“…It can be explained by the fact that, to some extent, patients in Shandong, Chongqing, Shanxi preferred village clinics, township health centers, county hospitals, irrespectively. It was reported that patients' habit of visiting doctors had some associations with the combination of geographic factor, with the ability of health care delivery for different level of medical institutions, with the economic situation and the payment methods [19][20][21][22]. In this study, we found that the ability of health care delivery for village clinics in Shandong was higher than those in other provinces.…”

Section: Who Is Eligible To Take Over Gatekeeping?mentioning

confidence: 54%

Which Medical Institution Should Perform Gatekeeping in Rural China? Results from a Cross-Sectional Study

Niehoff²,

Zhang

et al. 2016

Gesundheitswesen

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China's healthcare system is developing very fast but needs a regulatory practice, which helps to improve effectiveness and efficiency. This is a problem in rural China, in particular. The government is promoting a providing system with gatekeeping and mandatory referral procedures in order to limit resulting problems. However, there exists little evidence, which of the primary healthcare facilities in rural China should be given these functions. It is this study's objective to determine the impact of the specific medical institution of an initial visit on the patients' following move through the healthcare system. On that reason, we want to find evidence which level of primary health sectors in rural China is more appropriate to perform gatekeeping and to integrate care based on referrals. The alternatives are either to prefer village clinics or township health centers. The data were collected through a cross-sectional study in 2012, which used a stratified random sampling method to select 4 counties. 420 patients who wanted to see the doctors more than 3 times during the past 6 months were included as the study sample. We described the patients' move through the healthcare system by measuring the density, dispersion and sequence of visits according to the Continuity of Care model (COC). The logistic regression model was used to determine the influence of medical institution of initial visit on patients' moves after controlling other variables. We found that patients who chose the county hospital as medical institution for their initial visit had 5.88 times of the odds of high (vs. low) density, 4.17 times the odds of high (vs. low) dispersion, and 2.86 times the odds of high (vs. low) sequence of visits than those choosing village clinics as medical institution for the initial visit. However, patients choosing the county hospitals as medical institution of initial visit did not report higher density, dispersion or sequence of visit than the patients who chose the township health centers. For the overwhelming majority of rural areas in China, the township health centers are more appropriate to perform the gatekeeping role than village clinics are. We see that as the conclusion at least at the present stage of the system's development.

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“…Not even relief. What we all desire is a plan that connects us to another human beingour doctor-which is a kind of relief all its own [1]. Patient-centered medical care and context (family and community), which is the own of general medicine, despite technology is still a profession that refers to a patient, a pair of ears, a pair of eyes and a pair of hands [8].…”

Section: /6mentioning

confidence: 99%

“…Neither patient nor doctor should expect the doctor to be a parent, or brother. Yet bedside manner, face-to-face time, and a sense of connection-the doctor-patient relationship-matter as much as the services that are delivered [1].…”

Section: Ulysses Syndromementioning

confidence: 99%

Metaphors to Think about Technological Tools and Patients Care in Family Medicine

Turabián¹

2017

RMES

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What Do You Expect From a Doctor? Six Habits for Healthier Patient Encounters

Cited by 11 publications

References 3 publications

Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China

Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China

Which Medical Institution Should Perform Gatekeeping in Rural China? Results from a Cross-Sectional Study

Metaphors to Think about Technological Tools and Patients Care in Family Medicine

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