Perceptions Of Doctor-patient Relationship Research Articles

Doctor-Patient Relationship in Synchronous/Real-time Video-Consultations and In-Person Visits: An Investigation of the Perceptions of Young People with Type 1 Diabetes and Their Parents During the COVID-19 Pandemic

BackgroundGiven that the widely acknowledged influence of the doctor-patient relationship on objective health parameters and treatment adherence in chronic illnesses, this study sought to explore how patients perceived the patient-doctor relationship across virtual and in-person contexts.MethodsParents’ and patients’ perceptions of doctor-patient relationship were evaluated in 610 children and adolescents (12.17 ± 4.19 years, 50.9% girls) with type 1 diabetes who visited via video-conferencing or in person during the COVID-19 pandemic.ResultsNo differences were found between video consultations and in-person visits in terms of care satisfaction (p > .05), doctor-patient relationship—for the dimensions agreement on tasks (p = .506) and bond (p = .828)—as perceived by parents and physician empathy as perceived by patients (p = .096). Parents rated patient-doctor agreement on explicit goals of treatment higher in video consultation than in person (p = .009, d = .211). Agreement on goals (β = − .180, p = .016) and bond with doctor (β = − .160, p = .034) were negatively and significantly associated with HbA1c values, but only in participants who visited in person.ConclusionsParents’ care satisfaction and perceptions of doctor-patient relationship, along with patients’ perceptions of physician empathy, did not substantially differ between visits carried out in person or via video consultations. Given the high risk of psychological problems described in young people with diabetes, video consultation can be considered a useful opportunity to maintain access to a healthcare provider in a challenging time, such as the COVID-19 pandemic.

Doctor-Patient Relationship in the Eyes of Medical Professionals in China During the COVID-19 Pandemic: A Cross-Sectional Study.

Background: Doctor-patient relationship (DPR) is very important for patient outcomes, especially during a public health emergency like the COVID-19 pandemic. However, few studies have evaluated DPR and related sentiments from medical professionals' perspectives. Thus, the aim of the study is to provide a better understanding of DPR from medical professionals' perspectives during the COVID-19 pandemic in China.Methods: A total of 979 medical professionals, including doctors, nurses, technicians, and other workers have completed a series of questionnaires to evaluate their attitudes toward DPR, trust, violence against doctors, factors that affected and improved DPR, and the importance of these factors on DPR. Analyses of variances (ANOVA) and linear regressions were used to analyze the effects of the pandemic, demographic variables, and various elements on DPR.Results: One-way ANOVA revealed a significant effect of education on recent DPR [F(2, 976) = 6.17, p < 0.001 and trust at F(2, 976) = 9.54, p < 0.001], indicating that individuals with higher level of education (bachelor's degree, Master's degree and above) showed poorer recent DPR and lower level of trust. The level of hospital also showed a significant effect on trust [F(5, 973) = 3.79, p = 0.0021]. Cochran's Q test revealed a significant difference in factors that affected [Q(11) = 3,997.83, p < 0.001] and improved [Q(8) = 3,304.53, p < 0.001] DPR. Backward stepwise linear regressions revealed predictors for changes during [F(9, 969) = 21.17, p < 0.001, R2 = 0.16], shortly after [F(7, 971) = 54.98, p < 0.001, R2 = 0.28], and long after [F(10, 968) = 37.83, p < 0.001, R2 = 0.29] the pandemic.Conclusions: Medical professionals' perceptions of DPR is important as they provide basis for the improvement in working environment of medical professionals and hospital visiting experience of patients, as well as healthcare policy making and preparation for future public health emergencies.

Perception of Doctor-Patient Relationship in the Present Time from the Viewpoint of Doctors: A Qualitative Study at a Tertiary Health-Care Center in Eastern India.

Context:Doctor–patient relationship has gone through some troubled times in the recent past. Quality data regarding this is lacking in the Indian setting.Aims:The study aim was to find the perception of doctors regarding doctor–patient relationship.Settings and Design:The study was conducted at a tertiary health-care center in West Bengal. It was a qualitative study including in-depth interviews and focus group discussions (FGDs).Subjects and Methods:The study comprised of in-depth interviews (IDI) of thirty residents and three FGDs, involving 33 residents.Statistical Analysis Used:Data analysis was performed manually by deductive approach. Descriptive “codes” of the text information were done. The consolidated criteria for reporting qualitative research guidelines were followed.Results:Doctor–patient relationship was perceived as of mutual trust and respect. Overburdened doctors, impatient patients, unrealistic expectations from the treatment, and lack of infrastructure were some of the agreed-upon factors for the strained relationship. A combined corrective effort is needed to salvage the current situation.Conclusions:A healthy doctor–patient relationship is instrumental in the holistic picture of health care. Doctors, patients, administration, and media have shared causation to the problem and have equal responsibility for its amendment.

Perception of doctor-patient relationship among undergraduate medical students in a medical college of West Bengal

Background: Doctor-patient relationship is the central pillar of medical care, which affects patients’ psychological, social and biological outcomes. Medical undergraduate students need to develop one to one relationship with patients. The objective of the present study was to assess the sharing and caring dimensions of the doctor-patient relationship using the Patient-Practitioner Orientation Scale (PPOS) and to analyze any difference across the demographic characteristics, of the undergraduate's medical students. Materials & Methodology: We did an observational descriptive cross-sectional study in a tertiary medical college of West Bengal. We used one to one interview technique as a study technique using an interview schedule consisting of sociodemographic characteristics, patient-practitioner orientation scale (PPOS). Results: Male participants constituted 59%, that is 133, whereas females were 93 (41%). Mean PPOS score was 3+0.62, Mean sharing score was 3+0.63, mean caring score was 3+0.61. Results showed significant difference across gender where female scored higher in mean sharing (2.99+0.61 vs 3.35+0.63), caring (2.82+0.58 vs 3.02+.70) & total PPOS score compared to males (2.90+0.58 vs 3.1+0.67) (p=0.00). Students from the urban locality had a significantly higher score in sharing (3.16+0.64 vs 2.92+0.49), and the total score (3.04+0.66 vs2.87+0.51) compared to rural students. Conclusions: This study gave the idea about the perception of the doctor-patient relationship among medical students of a Medical college of West Bengal. Keeping in mind this baseline score, we suggested strategies to improve doctor-patient relationships. Various teaching leaning tools could be incorporated, and contextualised case-scenarios and role plays could be framed so that proper relationship could be built.

Status and influencing factor analysis of the perception of outpatients pertaining to doctor-patient relationship

Objective To learn the current situation and influencing factors of outpatients′ perceptions of doctor-patient relationship, and to generate evidence for effective improvement of outpatients′ perceptions of doctor-patient relationship. Methods Based on the results of the third party evaluation of the National Healthcare Improvement Initiative (2016-2017) in 136 hospitals, we analyzed the outpatients′ perceptions of doctor-patient relationship and its influencing factors. Univariate analysis of the outpatients′ perceptions of doctor-patient relationship (Chi-square test and Wilcoxon rank sum test), and binary logistic regression were conducted to analyze the influencing factors of the outpatients′ perceptions of doctor-patient relationship. Results A total of 29 105 out-patients were included in this study. The average outpatient perception score of doctor-patient relationship was 3.88±0.99, and the median was 4.00. The perception score of outpatients pertaining to doctor-patient relationship was the highest in the eastern regions and lowest in the western regions. That of outpatients from general hospitals was highest than that of those in maternal and child hospitals and traditional Chinese medicine hospitals. Patients′ waiting time for consultation, having a fixed physician or general practitioner before visiting, contracting with a community doctor or not, the overall satisfaction, and the household income and insurance coverage were all the influencing factors of the outpatients′ perceptions of doctor-patient relationship (P<0.05). Conclusions There is still a long way to go before the patients can agree with the perception of a better doctor-patient relationship. The critical points for improvement include reducing waiting time for consultation, allocation of more medical resources to the western regions, improving humane care to patients and raising outpatients′ overall satisfactions, especially in the departments of obstetrics and gynecology, and pediatrics. Key words: Outpatients; Doctor-patient relationship; Cognition; Influencing factors; Regression analysis

Multivariate analysis of influencing factors of inpatients′ perception of doctor-patient relationship

Objective To understand the current situation of inpatients′ perceptions of doctor-patient relationship and its influencing factors, and to make policy recommendations for further targeted healthcare improvement. Methods Based on the survey results of the third party evaluation of the National Healthcare Improvement Initiative in 136 public tertiary hospitals, we analyzed the inpatients′ perceptions of doctor-patient relationship. SPSS 22.0 software was used to conduct Kruskal-Wallis test and Dunn-Bonferroni test, and SAS 9.4 was used to conduct multivariate logistic regression to analyze the influencing factors of inpatients′ perceptions of doctor-patient relationship. Results The mean perception score of the inpatients pertaining to doctor-patient relationship was 4.34±0.84, and the median was 5.00. The perception score of the male inpatients pertaining to doctor-patient relationship was significantly higher than that of the female respondents (P<0.05), that of the inpatients who had fixed physicians or general practitioners before visiting was higher than that of the inpatients who did not have(P<0.05). The overall satisfaction of inpatients during hospitalization (P<0.01, OR=2.73) and doctors′ satisfaction to have enough communication time with patients (P<0.01, OR=1.84) were the most significant protection factors to inpatients′ perceptions of doctor-patient relationship. The process and structure evaluation results of hospitals in harmonization of doctor-patient relationship was a significant risk factor. Inpatients who had fixed physicians or general practitioners before visiting (P<0.01, OR=1.31) was another statistically significant positive influencing factor of inpatients′ perceptions of doctor-patient relationship. Conclusions It is imperative to strengthen communications between doctors and patients and to improve healthcare service, in order to raise patients′ satisfactions for a harmonized doctor-patient relationship.In addition to establish a working mechanism for medical disputes as a post-incident strategy, hospitals are recommended to take proactive and preventive measures.In addition, measures like integration of family doctor system and medical alliance system, as well as encouraging patients to contract their family doctors will help to harmonize the doctor-patient relationship. Key words: Inpatients; Doctor-patient relationship; Cognition; Influencing factors; Regression analysis