Harmonious Doctor-patient Relationship Research Articles

Status Quo and Countermeasures of Humanities Quality Education in Clinical Teaching for Medical Students

In recent years, frequent conflicts between doctors and patients have attracted widespread attention from various sectors of society. The reasons for the tense doctor-patient relationship involve three major factors, namely social, medical, and patient factors. In the process of building social harmony, the people’s demand for daily health knowledge and basic medical security is increasing day by day. Among them, medical humanities quality education plays a particularly important role in building a harmonious doctor-patient relationship. Strengthening the humanities quality education of medical students and creating a harmonious doctor-patient environment can better improve the tense doctor-patient relationship and reduce the occurrence of doctor-patient conflicts, ultimately promoting social stability. This requires medical schools not only to cultivate medical students’ clinical diagnosis and treatment abilities, but also to enhance their humanistic qualities, strengthen medical humanities education, and face the requirements of medical development and the task of Healthy China. It is of great significance to improve the humanities quality education program for medical students. This article aims to explore the status quo of humanities quality education in clinical teaching for medical students and propose countermeasures to address the issues.

The Influence of Doctor-Patient Communication on Patients' Trust: The Role of Patient-Physician Consistency and Perceived Threat of Disease.

To investigate the influence mechanism of doctor-patient communication on patients' trust, especially the mediating role of patient-physician consistency and the moderating role of perceived threat of disease. A total of 699 patients in Guangzhou, China was investigated by questionnaire. The main effect, mediating effect, and moderating effect of the model was verified by SPSS23.0 and LISREL8.71 statistical software. It was revealed that doctor-patient communication has a significant positive effect on patients' trust. The consistency between patient and physician partially mediates the relationship between doctor-patient communication and patients' trust. Additionally, the perceived threat of the disease moderates the psychological process through which doctor-patient communication affects patients' trust. Both doctor-patient communication and patient-physician consistency have predictive effects on patients' trust. Doctor-patient communication is not only a direct influence on patient trust but also an indirect influence mediated by patient-physician consistency. Perceived threat of disease moderates the psychological process through which doctor-patient communication affects patients' trust. Specifically, compared to a high level of perceived threat of disease, a low level of perceived threat of disease can enhance the effect of doctor-patient communication on patients' trust. The results of this study underscore the importance of doctor-patient communication and the value of patient-physician consistency for building patients' trust. To foster a harmonious doctor-patient relationship, medical colleges should place great emphasis on cultivating medical students' communication skills. Hospitals should enhance on-the-job training and provide institutional support for doctors, encourage agreements between doctors and patients regarding disease diagnosis and decision-making, and be attentive to patients' perceived threat of disease, particularly for those with high level of perceived threat of disease.

Influence of medical humanization on patients' attribution in negative medical situations with communication as the mediator: a questionnaire study.

Patients' attribution in negative medical situations plays a vital role in reducing medical conflicts and developing high-quality healthcare. The purpose of this study was to investigate the triadic relations among patients' attribution, medical humanization and communication. Furthermore, the mediating effect of communication was tested. A cross-sectional study on the relationship between patients' attribution in negative medical situations and medical staff's humanization and communication was conducted, with 3,000 participants totally from 103 hospitals of three different levels in different regions. There were significant positive correlations among medical staff's humanization, communication and patients' attributional styles (r = 0.112-0.236, p < 0.001 for all). Medical humanization had direct predictive effects on patients' attributional style in negative medical situations (β = 0.14, p < 0.01). Mediation analysis also indicated the indirect predictive effect of medical humanization on patients' attributions through communication (β = 0.02, p < 0.01). Patients' attribution in negative medical situations is predicted by patients' perception of medical staff's humanization in healthcare and physicians' communication skills. Medical humanization not only affects patients' attributions in negative situations directly, but also influences patients' attributions via communication indirectly. The humanistic care should be included in medical education for healthcare professionals, and professional training on medical staff's humanization and communication skills is strongly needed to establish healthy and harmonious doctor-patient relationship.

Perceived a community with shared future for doctor-patient and benefit finding: a moderated mediation model

BackgroundUnder the background that the concept of a community with shared future for mankind has been advocated, the doctor-patient relationship has rapidly sublimated into a community with shared future for doctor-patient. The purpose of this study was to analyze the changes and relationships of anxiety, perceived a community with shared future for doctor-patient (PCSF), health self-consciousness (HSC) and benefit finding (BF) in the outbreak stage of COVID-19 and in the stable stage of COVID-19.MethodsThe questionnaire consisted of a self-designed health self-consciousness scale, perceived a community with shared future for doctor-patient scale, revised 7-item generalized anxiety disorder scale and benefit finding scale. Questionnaires were administered in the outbreak stage of COVID-19 and in the stable stage of COVID-19 to address public anxiety, BF, and trust between medical staff and patients.ResultsRisk perception will increase anxiety in public, and the public who trust medical staff and the ability of the government to prevent and control the epidemic will have a higher PCSF. Compared with those in the outbreak stage of COVID-19, PCSF, HSC and BF all decreased in the stable stage of COVID-19. HSC partly plays a mediating role in the process of the influence of PCSF and BF (95% CI = [0.3785, 0.5007], [0.2357, 0.3695], P < .001). The R-value of the model in the outbreak stage of COVID-19 and in the stable stage of COVID-19 were 0.555 and 0.429, and the value of R2 was 0.308 and 0.184 respectively (P < .001). In the stable stage of COVID-19, the coefficient of anxiety ✕ PCSF is negative. The B values of anxiety and PCSF are positive, and the moderating effect is negative (P = .038). Anxiety has a negative moderating effect between PCSF and HSC, indicating that anxiety will weaken the positive impact of PCSF on HSC. It means that there exists a substitution relationship between anxiety and PCSF.ConclusionsThe common goal of medical staff and patients is health, and health is the premise of the meaning of life. Vigorously advocating for PCSF can not only promote a harmonious doctor-patient relationship, but also establish a good HSC and improve the understanding of the meaning of life in the public. Furthermore, if the common concept of a community with a shared future for doctor-patient is integrated into the values of life, it may be more stable and long-term to maintain a good doctor-patient relationship. In addition, we should guard against the influence of high-level anxiety on the path of meaning perception.

Analysis on The Good Doctor Season 1 from the Perspective of Cooperative Principle

In 1967, the American language philosopher Grice proposed the cooperative principle, which provided a new theoretical framework for conversation analysis. In the following decades, the cooperative principle has been a trending topic of discussion in linguistics and continuously developed. Leech’s politeness principle and Wilson and Sperber’s relative theory have improved the cooperation principle from different aspects. The cooperative principle has been widely applied in the analysis of conversations in films, dramas, and literature, which contributes to a holistic understanding of characterization and dramatic conflicts. In this paper, doctor-patient dialogues in The Good Doctor Season 1 are analyzed from the theoretical perspective of the cooperative principle. It can be discerned that healthcare workers should comply with the maxim of quality and quantity, to no little extent, when communicating with patients. However, in different contexts, healthcare workers sometimes choose to deliberately violate the maxim of relation and manner in order to achieve better communication effects, such as helping patients understand their conditions or relieving patients’ tension. This paper intends to provide effective suggestions for real-life doctor-patient communication by applying the cooperative principle to the corpus analysis in The Good Doctor Season 1, so as to improve the communication efficiency of both parties and create a harmonious doctor-patient relationship.

Construction of Trust Relationship between Doctors and Patients: A Social Psychological Analysis

Doctor-patient trust is the basis of harmonious doctor-patient relationship. Social psychology plays a unique role in interpreting the connotation and construction of doctor-patient trust relationship. From the two levels of doctor-patient interpersonal trust and intergroup trust, this paper summarizes the relevant theoretical viewpoints of social psychology on the construction of doctor-patient trust relationship, and analyzes the key factors affecting doctor-patient interpersonal trust and intergroup trust. On this basis, this paper puts forward the construction path of doctor-patient trust of “interpersonal interaction-emotional communication-interpersonal trust” and “intergroup interaction-social knowledge-intergroup trust”, reveals the interaction mechanism of interpersonal trust and intergroup trust and the circular feedback mechanism between them to promote the formation of doctor-patient trust relationship, and establishes a social psychology model of the formation mechanism of doctor-patient trust relationship.

Doctor-patient relationship improved during COVID-19 pandemic, but weakness remains

ObjectiveTo assess the quality of the doctor-patient relationship (DPR) in China and possible influencing factors during the COVID-19 period from the patient’s perspective.MethodsAn online survey was carried out nationwide from March 12, 2020 to March 30, 2020 in China via a convenience sampling strategy. Patients who met the inclusion criteria were invited to complete a questionnaire regarding the quality of DPR, including sociodemographic information, the Patient-Doctor Relationship Questionnaire (PDRQ-9), and influencing factors for DPR during the pandemic.ResultsA total of 1903 patients were included. Our result showed that participants had a higher PDRQ-9 score during the COVID-19 pandemic (4.18 ± 0.51) than that before the COVID-19 pandemic (3.86 ± 0.67). Importance-performance analysis (IPA) revealed that doctor-patient communication, patient satisfaction, consultation time, doctor’s attitude, and medical knowledge were specific aspects that needed to be prioritized to improve the DPR. Multiple linear regression analysis suggested that positive media reports, telemedicine, and national policies had a significantly positive effect on the DPR during the pandemic (P < 0.05).ConclusionIn general, the DPR had been improved during the COVID-19 pandemic. Our research found the key points that needed to be prioritized to improve the DPR during the pandemic, which may provide effective suggestions for building a harmonious DPR in the future.

Investigation and Analysis of the Logistics Personnel’s Working Condition in the Post-COVID-19 Era — An Example of a Top Three Hospital in Shanghai

The aim of this work is to explore the working conditions of logistics personnel in hospital and provide a new approach for improving the service quality of them in the post-COVID-19 era. Eighty-four logistics personnel in an upper first-class hospital were included in the study, and their working conditions were investigated and analyzed via self-designed questionnaire. 73.8% of all respondents think their work is significantly important to the brand building of the hospital, and 67.9% of them think they are closely related to a harmonious doctor–patient relationship. The compliant rate is higher in security personnel when compared with other personnel and the difference was statistically significant ([Formula: see text]). 94% of the logistics personnel indicate a higher intensity in their work, 39.3% of them constantly face the working pressure and 57.1% come from the risk of infection which accounts for the largest. The largest demand comes for the protective equipment, which is from 69 workers. It would be better for us to pay attention to the hospital culture training and strengthen the sense of identity among logistics personnel of the hospital continuously. Meanwhile we need to enrich the connotation of professional style construction in hospital and promote the efficiency of logistics service. Targeted training is necessary to improve the service capabilities of the security personnel since they receive more complaints. Diversified and personalized support to the logistics personnel based on the grasp of their special demand is also important.

Medical Ethics Education: An Important Step in the Teaching of Human Physiology Course for MBBS Undergraduates

At present, the phenomenon of doctor-patient conflict in our country is getting worse. The contradiction between doctors and patients can reflect that there are still many problems in medical ethics education in medical colleges and universities, and the lack of educational functions. In the current medical education process, there is a tendency towards ability education, coupled with the unreasonable design of medical theory courses, which leads to the simplification of teaching methods, and it is impossible to truly teach and educate people and cultivate high-quality skilled medical personnel for the society. Therefore, in order to build a more harmonious doctor-patient relationship, the concept of medical ethics education can be incorporated into the human physiology curriculum, so that the medical ethics education model can be successfully transformed. At the same time, teachers in medical schools should strengthen the innovation of education methods, which can essentially improve the teaching quality of medical ethics education and gradually alleviate the current doctor-patient contradiction.

Analysis of Doctor-Patient Relationship in Post-COVID-19 Period: Perspective Differences Between Citizen and Medical Staff.

To evaluate the current views on doctor–patient relationship (DPR) between citizens and medical staff in post-Corona Virus Disease 2019 (COVID-19) period and predict the possible factors of DPR, we distributed questionnaires by a online questionnaire platform--Questionnaire Star (https://www.wjx.cn) to evaluate DPR in post-COVID-19 period. Overall, 312 questionnaires for citizens and 421 questionnaires for medical staff were completed. Citizens felt that service attitude and communication with medical staff, and registering process have been improved. And their trust in doctors has increased by 86.8%. Majority of citizens (66.0%) preferred the tertiary hospitals. If doctor–patient contradictions occurred, 62.9% citizens preferred internal negotiation (with the doctor involved, 44.6%; with hospital management department, 18.3%). There was significant difference of views on the causes of medical violence incidents and the reasons for doctor–patient conflicts in the future between citizens and medical staff. The DPR score of medical staff was lower than citizens at each stage, and even showed a downward tendency in post-COVID-19 period. Furthermore, 20.4% medical staff believed that harmonious DPR would not be maintained, which was distinct from that of the citizens. Combating the COVID-19 provided an important opportunity to improve the DPR. However, unbalanced allocation of high-quality medical resources, gap between the actual treatment efficacy and patient’s expectation, fairness and efficiency issues, financial conflicts, and medical information symmetry were still the influencing factors of DPR.

Training and Application of Student Standardized Patients for Dental Education

<i>Background</i> Stomatology is a discipline closely combined with theory and practice, and pays attention to students’ operation abilities and clinical skills. Current dental education is encountering the situation of more theory than practice. The evaluation and application of standardized patients (SP) are gradually increasing in medical education. <i>Objective</i> This paper intends to describe the advantages of student standardized patients (SSP), how to construct and apply SSP for dental education. <i>Method</i> Recruit SP of stomatology students, and select appropriate cases based on the actual cases and common dental diseases. SSP training is conducted by experienced clinical teachers. SSP is trained to describe the disease in patient's language and give a reasonable response to enquiry and examination. <i>Result</i> Qualified SSP can be applied in inquiry, physical examination, teaching and evaluation of common dental diseases. SSP not only provide students with repeated practice, but also enable students to understand theoretical knowledge and cultivate clinical thinking more effectively in real clinical reception. This model of SSP application could stimulate learning enthusiasm of on-campus dental student, improve student clinical skills and thinking abilities, as well as reduce education expenses. <i>Conclusion</i> Using SSP is beneficial to help students construct clinical thinking, learn communication skills and build a harmonious doctor-patient relationship.

End Violence Against Doctors: Mobile Cabin Hospitals for Prevention and Control of Covid-19 In China

Violence against doctors has become an increasing concern. With the improvement of the economy, the physician-patient relationship is becoming increasingly tense, and conflicts are deepening. In the current social economy, there has been a fundamental change in the ideology of the physician-patient relationship focusing on economics, the cost of healthcare, legal consequences of malpractice, as well as ethical and cultural considerations. What seems to be lost is the ideology of a physician-patient relationship based on the concept of healing the wounded and saving the dying, where the patient trusts the physician to lead them toward improved health. Since the COVID-19 outbreak in Wuhan in December 2019, a number of mobile cabin hospitals have been established in Wuhan to prevent and control COVID-19. Interestingly, mobile cabin hospital may be the much-needed remedy for the breakdown of the physician-patient relationship. Studies shown that the most harmonious physician-patient rrelationships in history have occurred in mobile care units. In this paper, the root cause of the harmonious doctor-patient relationship in mobile cabin hospitals is analyzed. This model may provide information for China’s medical reforms and improvement of physician-patient relations in the future.

The application of mobile phone APP in the follow-up management of hospital

Explore the application of mobile phone APP in the follow-up management of hospital in the information age, to build a harmonious doctor-patient relationship,improve the effective follow-up rate and promote the rehabilitation of patients. Methods: Compare and analyze the traditional telephone follow-up mode and the mode of mobile phone APP with telephone follow-ups . Results:In 2016,with telephone follow-ups only,the effective rate was 91.3%, the patient satisfaction rate was 92.6%.In 2017,besides telephone follow-ups, we used mobile phone APP,the effective follow-up rate got up to 96.2%,the satisfaction rate of patients got up to 98.1%. Conclusion: Compared with the traditional follow-up model, mobile phone APP follow-up model can improve the clinical follow-up service and the compliance of patients, help to reduce failures of follow-up.With mobile phone APP, it’s much more convenient and effective for doctors to communicate with patients,and it is better for the rehabilitation of patients with disease.

Innovative Applications of Patient Experience Big Data in Modern Hospital Management Improve Healthcare Quality

It is important for modern hospital management to strengthen medical humanistic care and build a harmonious doctor-patient relationship. Innovative applications of the big data resources of patient experience in modern hospital management facilitate hospital management to realize real-time supervision, dynamic management and scientific decision-making based on patients experiences. It is helping the transformation of hospital management from an administrator’s perspective to a patient’s perspective, and from experience-driven to data-driven. The technological innovations in hospital management based on patient experience data can assist the optimization and continuous improvement of healthcare quality, therefore help to increase patient satisfaction to the medical services.

Linking Doctors’ Calling to Work Engagement: Mediator Model of Occupational Identity

The work engagement and performance of doctors in public hospitals in China not only directly affect the patients ' perception of service level and quality, but also represent the overall medical level and service quality in China. Based on the theory of Self-Determination Theory and Career Construction Theory, this paper constructs the hypothesis model of “Calling- Work Engagement-Occupational Identity” based on 403 effective samples of statistical analysis, which shows that there is a positive correlation between doctors’ calling and their work engagement, and occupational identity is a partial mediator between calling and work engagement. This study helps improve doctors’ work engagement and build a harmonious doctor-patient relationship by enhancing their calling and occupational identity.

Recent studies in job burnout of medical staff at home and overseas

The characteristics of high risk, high workload and high intensity make medical staff a high risk group of job burnout.The authors, by means of literature review, clarified the concept of job burnout, and analyzed the status quo and causes of medical staff job burnout.In view of the society, hospital and personal level, they put forward corresponding improvement countermeasures, in order to alleviate the current medical staff job burnout, create a harmonious doctor-patient relationship, and guarantee sustainable development of medical career. Key words: Medical staff; Burnout; Research progress; Influencing factors

和谐医患关系的心理机制及其促进技术

和谐医患关系的心理机制及其促进技术

Effect of rapid rehabilitation surgery on plasma prostatectomy in elderly patients with benign prostatic hyperplasia

Objective To analyze the effect of rapid convalescence surgery on plasma radical prostatectomy in elderly patients with prostate hyperplasia. Methods A total of 140 elderly patients with prostate hyperplasia who underwent plasma prostatectomy in our hospital from January 2016 to August 2017 were selected as subjects. Divide them into control group (70 cases) and observation group (70 cases) according to random number table method. Patients in the control group were given routine care. The observation group gave a nursing model based on the concept of rapid rehabilitation surgery on the basis of the control group. Compared the bladder irrigation time, postoperative hospitalization time, catheter removal time, anal exhaust time, first time out of bed time, complication rate, postoperative Numerical Rating Scale (NRS) pain score, bladder spasm symptom score and quality of life score between the two groups. Results The bladder irrigation time, postoperative hospital stay, urinary catheter removal time, anal exhaust time and first time to get out of the observation group were (23.94±3.75) h, (3.49±0.46) d, (3.11±1.50) d, 6.23±3.07) h and (24.70±3.62) d, while the control group were (76.42±9.55) h, (7.06 ±0.44) d, (6.74±2.06) d, (17.41±3.48) h and (90.58±9.75) d, the above observation indexes of the observation group were significantly lower than the control group, the difference was statistically significant (t=11.918-52.998, P<0.01). The incidence of postoperative bladder spasm, bloating, hemorrhage, lung infection and urinary tract infection in the observation group were 1.429% (1/70), 2.857% (2/70), 0, 2.857% (2/70) and 7.143% (5/70), respectively, while the control group were 11.429% (8/70), 14.286% (10/70), 8.571% (6/70), 15.714% (11/70) and 24.143% (19/70), respectively. The incidence of the above complications in the observation group was significantly lower than that of the control group, the difference was statistically significant (χ2=4.275-8.499, P<0.05 or 0.01). The NRS pain score, quality of life score and bladder spasm score were observed in the observation group (31.48±3.60), (1.89±1.03), (2.25±0.47) points, while the control group were (36.20±4.22), (2.77±1.84), and (3.79±0.81) points, respectively. The above three scores in the observation group were significantly lower than those in the control group, the difference was statistically significant (t=7.119, 3.491, 13.756, P<0.01).The nursing satisfaction of patients in the observation group was 95.71% (67/70) which was significantly higher than 80.00% (56/70) of the control group, the difference was statistically significant (χ2=6.695, P<0.05). Conclusions Rapid rehabilitation surgery for patients with advanced prostatic hyperplasia with plasma prostatectomy can speed up the recovery process, relieve postoperative pain, reduce the incidence of postoperative complications, harmonious doctor-patient relationship, improve the quality of life of patients, it is worthy of extensive clinical promotion. Key words: Rapid rehabilitation surgery; Prostatic hyperplasia; Plasma prostatectomy

Reasons and countermeasures for medical disputes under the role of medical staff as "economic person"

Traditional medicine endows medical staff with the role of moral person ; however, with the development of market economy, the role of medical staff has gradually changed to person in medical activities. Under the role of person , there is an increasing number of medical disputes and injuries of medical staff, with more and more serious consequences. This article analyzes the behavior characteristics of the rights and obligations of moral person and person and the causes of medical disputes under the role of person . Since the lack of honesty has become the product of the new role of medical staff, patients have a doubtful attitude towards medical staff, and the defects in system guidance and management system make it more difficult to settle medical disputes. This article provides a new perspective for building a harmonious doctor-patient relationship and puts forward the hypothesis of honest economic person , so as to achieve the dialectical unity of the dual identities of moral person and person . Under the role of honest economic person , adherence to honesty and trustworthiness, pursuit of maximum medical benefits, emphasis on the social benefits of medical treatment, and material and spiritual incentives for medical staff can help to alleviate the conflict of interests between doctors and patients and reduce medical disputes. Key words: Economic person; Defensive medical behavior; Honesty

Analysis of 2 720 causes of complaints from government hotline in a children′s hospital in Nanjing

Objective To analyze the complaints made at government hotlines against a children′s hospital in 2016 and 2017, and to provide reference for the continuous construction of harmonious doctor-patient relationship. Methods This study retrospectively analyzed 2 720 cases of 12345 hotline complaints received by a children′s hospital in the years from 2016 to 2017. The causes for complaints were counted and the changes in the content of the appeals were compared. Data analysis was performed using statistical methods such as descriptive analysis and chi-square test. Results Lack of medical resources became the primary cause of complaints, accounting for 30.4%; complaints caused by poor communication between doctors and patients were high in the emergency department and inpatient department, accounting for 21.7% and 20.0% respectively. Compared with 2016, medical treatment complaints in 2017 caused by insufficient resources and medical behavior increased by 18.9% and 5.3%, respectively, and complaints caused by doctor-patient communication problems decreased by 7.5%. Conclusions In order to reduce medical complaints, it is proposed to increase policy support, improve medical resources, strengthen communication between doctors and patients, pay attention to humanistic care, improve hospital quality management, improve patient experience, pay attention to changes in complaints and improve medical services. Key words: Children′s hospital; Government hotline; Complaints; Causes; Changes