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Doctor–patient relationship

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https://www.readbyqxmd.com/read/29136154/the-number-of-oocytes-retrieved-during-ivf-a-balance-between-efficacy-and-safety
#1
Åsa Magnusson, Karin Källen, Ann Thurin-Kjellberg, Christina Bergh
STUDY QUESTION: What is the relationship between the number of oocytes collected in fresh IVF treatments and the likelihood of cumulative delivery rate (fresh and frozen) per oocyte aspiration, severe ovarian hyperstimulation syndrome (OHSS) and thromboembolic events? SUMMARY ANSWER: Cumulative delivery rate per aspiration increases up to 20 oocytes retrieved and then evens out while the incidence of severe OHSS increases more rapidly from around 18 oocytes and thromboembolic events, although rare, occurs in particular if 15 or more oocytes are retrieved...
November 10, 2017: Human Reproduction
https://www.readbyqxmd.com/read/29132621/effect-of-computer-use-on-physician-patient-communication-using-a-validated-instrument-patient-perspective
#2
Issam Shaarani, Rim Taleb, Jumana Antoun
BACKGROUND: Physician-patient communication is essential in the physician-patient relationship. Concerns were raised about the impact of the computer on this relationship with the increase in use of electronic medical records (EMR). Most studies addressed the physician's perspective and only few explored the patient's perspective. AIM: This study aims to assess the patient's perspective of the effect of the physician's computer use during the clinical encounter on the interpersonal and communication skills of the physician using a validated communication assessment tool (CAT)...
December 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29127978/-virtual-doctors-and-e-health
#3
Pierre Philip, Stéphanie Bioulac, Étienne de Sevin, Jean-Arthur Micoulaud-Franchi
One of the challenges of e-health will be to give concrete form to personalised therapeutic solutions using connected objects, information and decision-making systems, and patient management behavioural programmes. Developed to improve the empathetic relationship with patients, virtual companions are the subject of research programmes.
November 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/29127973/-health-professionals-will-become-experts-in-the-world-of-connected-health
#4
Sylvie Warnet
The French national medical council (CNOM), in its white paper Connected health: From e-health to connected health, incites doctors to support the deployment of the digital world in the health sector and to integrate its useful and beneficial aspects into their own practices. Doctor Jacques Lucas, vice-president of the CNOM and general delegate for IT systems in health, highlights the challenges of this emerging world and evokes the impact on the nurse-patient relationship.
November 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/29122740/the-perceptions-of-medical-school-students-and-faculty-toward-obesity-medicine-education-survey-and-needs-analysis
#5
Mary Metcalf, Karen Rossie, Katie Stokes, Bradley Tanner
BACKGROUND: Recent trends in obesity show that over two-thirds of US adults are considered at least overweight (body mass index, BMI≥25 kg/m(2)) and of those, about one-third are categorized as obese (BMI≥30 kg/m(2)). Physicians can address the health impacts of obesity; yet research has suggested that physicians-in-training frequently fail to recognize obesity, are not properly educated regarding treatment options, and spend relatively little clinic time treating obesity. Medical school is a unique opportunity to address this area of need so that the doctors of tomorrow are prepared to treat obesity appropriately...
November 9, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/29122263/knowledge-attitude-and-beliefs-toward-traditional-herbal-medicine-use-among-diabetics-in-jeddah-saudi-arabia
#6
Fatemah O Kamel, Rania M Magadmi, Magda M Hagras, Bashair Magadmi, Reem A AlAhmad
Herbs have long been used in the treatment of diabetes. Therefore, a cross-sectional study of a random sample of diabetic patients was conducted to assess their knowledge, attitude, and beliefs about the use of herbs to control diabetes. Approximately 64% of the patients had previously used herbs for controlling diabetes; 27%, 20.3%, 15.2%, and 10.8% used myrrh, black seeds, fenugreek, and aloe, respectively. Approximately 55.1% patients preferred using herbs to prescription drugs, while 75.2% used herbs with the prescribed medications...
November 2017: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/29122101/the-revival-of-the-doctor-patient-relationship
#7
EDITORIAL
Klaus-Peter Zimmer
No abstract text is available yet for this article.
October 20, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29115072/emergency-department-visits-can-be-reduced-by-having-a-regular-doctor-for-adults-with-diabetes-mellitus-secondary-analysis-of-2013-korea-health-panel-data
#8
Clara Lee, Nak Jin Sung, Hyeong Seok Lim, Jae Ho Lee
Chronic diseases pose a major challenge to population health worldwide. Diabetes is a major chronic disease that is managed overwhelmingly in primary care. There is an increasing recognition of the role that primary care physicians play to achieve high-quality care for patients with diabetes. By analyzing 2013 Korean Health Panel data, the authors aimed to determine the current status of having a regular doctor (RD) for adults (aged 18 years or older) with diabetes. In addition, the association of having a RD with the experience of emergency department (ED) visits was determined in this study...
December 2017: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29109665/communication-skills-of-physicians-and-patients-satisfaction
#9
Mohammad-Hossein Biglu, Farnaz Nateq, Morteza Ghojazadeh, Ali Asgharzadeh
Background: The communication skills of physicians is an effective step of making effective relationship between doctor and patient. It plays essential role through diagnosis and treatment processes. This current study was performed to investigate the impact of communication skillfulness of physicians on patients' satisfaction. Methods: A cross-sectional descriptive study was done to determine the impact of communication capability of practitioners on patients' satisfaction...
September 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/29104293/the-determinants-of-productivity-in-medical-testing-intensity-and-allocation-of-care
#10
Jason Abaluck, Leila Agha, Chris Kabrhel, Ali Raja, Arjun Venkatesh
A large body of research has investigated whether physicians overuse care. There is less evidence on whether, for a fixed level of spending, doctors allocate resources to patients with the highest expected returns. We assess both sources of inefficiency exploiting variation in rates of negative imaging tests for pulmonary embolism. We document enormous across-doctor heterogeneity in testing conditional on patient population, which explains the negative relationship between physicians' testing rates and test yields...
December 2016: American Economic Review
https://www.readbyqxmd.com/read/29102062/do-doctors-attachment-styles-and-emotional-intelligence-influence-patients-emotional-expressions-in-primary-care-consultations-an-exploratory-study-using-multilevel-analysis
#11
M Gemma Cherry, Ian Fletcher, Damon Berridge, Helen O'Sullivan
OBJECTIVE: To investigate whether and how doctors' attachment styles and emotional intelligence (EI) might influence patients' emotional expressions in general practice consultations. METHODS: Video recordings of 26 junior doctors consulting with 173 patients were coded using the Verona Coding Definition of Emotional Sequences (VR-CoDES). Doctors' attachment style was scored across two dimensions, avoidance and anxiety, using the Experiences in Close Relationships: Short Form questionnaire...
October 26, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29100214/physician-perspectives-on-long-term-relationships-and-friendships-with-patients-a-national-assessment
#12
Harrison G Hines, Cynthia J Avila, Tanya M Rudakevych, Farr A Curlin, John D Yoon
OBJECTIVES: Shifts in the healthcare environment have introduced challenges to the long-term continuity of the doctor-patient relationship. This study examines whether certain demographic or religious characteristics of physicians are associated with maintaining long-term relationships (LTRs) and/or friendships with their patients and describes physicians' opinions regarding the influence of such patient relationships on health outcomes. METHODS: In 2011, survey responses were obtained from 1289 US physicians from various specialties...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29099108/una-aproximaci%C3%A3-n-a-la-fenomenolog%C3%A3-a-de-la-enfermedad
#13
Carlos Alva Espinosa
Modern medicine has undergone technological progress, undoubtedly with better results, but the doctor-patient relationship has been undermined in its most important aspect, human contact. The patient experiences and confronts in solitude his adverse experience. This experience is complex, not only are the symptoms of the disease, they also include disability, isolation, fear, dependence and sometimes guilt. Phenomenology attaches a paramount importance to the data in the consciousness of the patient, as facts given with absolute value...
2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/29098475/educational-website-incorporating-rheumatoid-arthritis-patient-needs-for-latin-american-and-caribbean-countries
#14
Francisca Massone, María Eugenia Martínez, Virginia Pascual-Ramos, Rosana Quintana, Lilith Stange, Carlo V Caballero-Uribe, Leandro Ferreyra-Garrot, María Kourilovitch, Margarita Duarte, Carlos Baumert, Cristián Vergara, Néstor Gareca, Cecilia Rodríguez, Vianna Khoury, Mariela Medina, Mario H Cardiel, Loreto Massardo
Health education is fundamental in the management of RA patients. This study explored patient needs for educational material appropriate for RA patients in our region through a website. This study includes seven focus groups and semi-structured interviews across 4 countries (Argentina, Chile, Colombia, and Mexico) with 71 RA patients. Transcripts were analyzed by anthropologists using qualitative analysis (QA), resulting in themes and subthemes to be developed. Five themes and over 50 subthemes of interest were identified by patients...
December 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/29096534/the-doctor-patient-relationship-and-patient-resilience-in-chronic-pain-a-qualitative-approach-to-patients-perspectives
#15
Lilla Náfrádi, Zlatina Kostova, Kent Nakamoto, Peter J Schulz
Objectives To study patients' perspectives about the role of the doctor-patient relationship in promoting the resilience process. Methods We conducted in-depth interviews with 20 chronic pain patients. Using open-ended questions, the interviews explored aspects of the doctor-patient relationship that impacted the patients' perceptions of their resilience. Thematic analysis built on an inductive, adaptive approach to data coding was employed to organize a representation of key factors affecting resilience. Results The themes emerging from the interviews inform us about how the different aspects of the doctor-patient relationship can promote patient resilience in chronic pain...
January 1, 2017: Chronic Illness
https://www.readbyqxmd.com/read/29093147/advancing-the-measurement-of-dental-students-professionalism
#16
Sandra Farah-Franco, Gail Singer-Chang, Harshavardhan Deoghare
In dental education, professionalism has been viewed as a requirement in order to achieve and maintain competence in the practice of dentistry. The Professionalism Mini-Evaluation Exercise (P-MEX), a 21-item instrument validated in medicine, is often used to measure the following observable professionalism behaviors: doctor-patient relationship, reflective skills, time management skills, and interprofessional relationship skills. Emotional intelligence (EI) is defined as the ability to accurately perceive emotions in oneself and in others in order to improve performance and personal growth...
November 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/29081345/factors-affecting-patient-satisfaction-with-community-health-service-under-the-gatekeeper-system-a-cross-sectional-study-in-nanjing-china
#17
Wen Zhen Li, Yong Gan, Yan Feng Zhou, Ya Wen Chen, Jing Li, Naomiem Kkandawire, Sai Hu, Yan Qiao, Zu Xun Lu
The gatekeeper policy has been implemented for approximately ten years on a pilot population in China. It is necessary to assess the satisfaction of patients utilizing community health service (CHS) under the gatekeeper system. Our study showed that the cognition of gatekeeper policy was associated with four dimensions including doctor-patient relationships, information and support, organization of care, and accessibility (P < 0.001). One or more factors such as gender and self-perceived health scores also affected their satisfaction...
September 2017: Biomedical and Environmental Sciences: BES
https://www.readbyqxmd.com/read/29079608/vulnerability-survival-and-shame-in-nina-raine-s-tiger-country
#18
Deborah Bowman
Shame in healthcare remains relatively underexplored, yet it is commonplace and its impact is significant. This paper explores shame in healthcare using Nina Raine's 2011 play Tiger Country Three manifestations of shame are explored, namely (1) shame in relation to professional identity and survival in the clinical workplace; (2) shame and illness as experienced by both patients and doctors; and (3) the systemic and organisational influences on shame within healthcare systems. I suggest that the theatre is particularly well-placed to elucidate shame, and that Tiger Country demonstrates the prevalence and impact of shame on clinical work...
October 27, 2017: Medical Humanities
https://www.readbyqxmd.com/read/29077619/perceptions-of-risk-and-safety-in-the-icu-a-qualitative-study-of-cognitive-processes-relating-to-staffing
#19
Danielle M D'Lima, Eleanor J Murray, Stephen J Brett
OBJECTIVES: The aims of this study were to 1) examine individual professionals' perceptions of staffing risks and safe staffing in intensive care and 2) identify and examine the cognitive processes that underlie these perceptions. DESIGN: Qualitative case study methodology with nurses, doctors, and physiotherapists. SETTING: Three mixed medical and surgical adult ICUs, each on a separate hospital site within a 1,200-bed academic, tertiary London hospital group...
October 26, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29076236/choosing-public-or-private-emergency-departments-in-australia
#20
Katherine Walker, Michael Ben-Meir
Emergency medicine was once exclusively provided in public hospitals in Australia, but now over half a million consultations per annum are in private (7% total emergency consultations). Private EDs have excess capacity and are staffed by senior doctors (majority FACEM) with open access to investigations and broad specialist inpatient services. Public EDs struggle with rising attendances and overcapacity. Private hospitals have high levels of patient satisfaction and aim to optimise service provision. A major barrier to private ED attendances is out-of-pocket costs...
October 26, 2017: Emergency Medicine Australasia: EMA
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