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Doctor–patient relationship

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https://www.readbyqxmd.com/read/28930888/what-matters-most-to-whom-racial-ethnic-and-language-differences-in-the-health-care-experiences-most-important-to-patients
#1
Rebecca L Collins, Ann Haas, Amelia M Haviland, Marc N Elliott
BACKGROUND: Some aspects of patient experience are more strongly related to overall ratings of care than others, reflecting their importance to patients. However, little is known about whether the importance of different aspects of this experience differs across subgroups. OBJECTIVES: To determine whether the aspects of health care most important to patients differ according to patient race, ethnicity, and language preference. RESEARCH DESIGN: In response to the 2013 Medicare Consumer Assessment of Health Plans Study (CAHPS) survey, patients rated their overall health care and completed items measuring five patient experience domains...
September 19, 2017: Medical Care
https://www.readbyqxmd.com/read/28926592/polish-physicians-cooperation-with-the-pharmaceutical-industry-and-its-potential-impact-on-public-health
#2
Marta Makowska
OBJECTIVE: This article aims to describe how Polish physicians cooperate with the pharmaceutical industry and show how this relationship may pose a threat to public health. METHODS: It considers the results of an online survey of 379 physicians. The survey was hosted by surveymonkey.com with links from a Polish physicians' website (Medycyna Praktyczna) between 29 October 2013 and 31 December 2013. The sample was purposive, respondents having to be physicians working in Poland...
2017: PloS One
https://www.readbyqxmd.com/read/28922547/the-vicious-circle-of-patient-physician-mistrust-in-china-health-professionals-perspectives-institutional-conflict-of-interest-and-building-trust-through-medical-professionalism
#3
Jing-Bao Nie, Yu Cheng, Xiang Zou, Ni Gong, Joseph D Tucker, Bonnie Wong, Arthur Kleinman
To investigate the phenomenon of patient-physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi-structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient-physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust (particularly physicians' distrust of patients and their relatives) leads to increased levels of fear and self-protection by doctors which exacerbate difficulties in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization...
September 18, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28919590/a-study-of-the-discussions-on-psychiatry-of-korea-in-the-1960s-and-1970s-from-mental-hygiene-to-modern-psychiatry
#4
Ji-Yeon Im
This study is to review the emergence of new psychiatrists, scientific rationalization, and popular internalization to reorganize the formation process of modern psychological medicine system. Unlike eugenic psychiatry from the Japanese Colonial Era, the social conditions and contexts forming autonomous system of psychiatry of Korea in the 1960s and 1970s have been concentrated. The discussion approach has been tried to secure two perspectives-treatment and criticism-at the same time and to expand the time and scope of study through the extensive texts such as newspapers, magazines, books, advertisements, and others in the 1960s and 1970s...
August 2017: Ŭi Sahak
https://www.readbyqxmd.com/read/28918180/-reason-for-consultation-weight-loss
#5
M Martín Asenjo, J M Martín Guerra, C Rodríguez Martín, L A Sánchez Muñoz, M Martín-Luquero Ibáñez, J M Prieto de Paula
BACKGROUND AND OBJECTIVE: Unintentional weight loss is frequent reason to visit a doctor and it has multiple diagnostic possibilities. The objective of this study is to examine the background of the patients who seek consultation for weight loss and to establish the relationship between weight loss and neoplasia. METHOD: An analysis was performed on the demographic data, quantified weight loss, accompanying symptomatology, and diagnosis of patients who sought medical advice for unintentional weight loss during the year 2015...
September 13, 2017: Semergen
https://www.readbyqxmd.com/read/28915165/employee-organizational-commitment-and-hospital-performance
#6
Kevin M Baird, Amy Tung, Yanjie Yu
BACKGROUND: There is widespread evidence of the purported benefits of employee organizational commitment (EOC) and its impact on both individual and organizational performance. This study contributes to this literature by providing a unique insight into this relationship, focusing on the interrelationship between EOC with hospital performance and the role of the provision of adequate facilities in eliciting EOC. PURPOSE: The aim of this study was to introduce and empirically examine a new theoretical model in which it is argued that the performance of hospitals with regard to the provision of adequate facilities (medical facilities, support facilities, and staff resources) influences the level of EOC, which in turn influences hospital performance with regard to patient care and operational effectiveness...
September 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28906085/quality-of-life-of-psoriasis-patients-measured-by-the-psodisk-a-new-visual-method-for-assessing-the-impact-of-the-disease
#7
Santo R Mercuri, Greta Gregorio, Pina Brianti
BACKGROUND: Psoriasis is an inflammatory disease with a chronic course; often it is associated with various serious comorbidity and a compromised quality of life. Psoriasis patients experience a low self-esteem, feelings of shame and frustration, they report a seriously compromised social and sentimental sphere, difficulties at work and in daily activities, coming in most serious cases to suicidal ideation. METHODS: Our job is to experiment the introduction of the innovative PSOdisk tool to quantify the impact of psoriasis on quality of life, comparing it with PASI Index...
October 2017: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
https://www.readbyqxmd.com/read/28903895/putting-the-focus-back-on-the-patient-how-privacy-concerns-affect-personal-health-information-sharing-intentions
#8
Mohamed Abdelhamid, Joana Gaia, G Lawrence Sanders
BACKGROUND: Health care providers are driven by greater participation and systemic cost savings irrespective of benefits to individual patients derived from sharing Personal Health Information (PHI). Protecting PHI is a critical issue in the sharing of health care information systems; yet, there is very little literature examining the topic of sharing PHI electronically. A good overview of the regulatory, privacy, and societal barriers to sharing PHI can be found in the 2009 Health Information Technology for Economic and Clinical Health Act...
September 13, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28895999/-quality-of-life-and-associated-characteristics-of-restless-legs-syndrome-in-the-adult-population-of-burgos-spain
#9
M T Barroso-Perez, E Cubo, J Cordero-Guevara, E Poza-Maure, L Checa-Diez
INTRODUCTION: Restless legs syndrome (RLS) is a neurological disorder with a prevalence of up to 15%, although little is known about its impact upon quality of life. AIM: To analyse the impact of RLS on health-related quality of life. SUBJECTS AND METHODS: A descriptive cross-sectional study. A random sample of 1,275 subjects over 18 years old, stratified by age, was taken from the urban area of Burgos, with an estimated prevalence, 10%; alpha, 5%; accuracy, 3%; and losses, 70%, using a two-phase study (screening and diagnosis of cases of RLS and non-cases confirmed by a doctor)...
September 16, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/28892249/mandatory-reporting-by-doctors-of-medically-unsafe-drivers-is-unpopular-and-poorly-adhered-to-a-survey-of-sleep-physicians-and-electro-physicians
#10
Nathan J Elgar, Brian J Smith
BACKGROUND: Medical fitness to drive is one way governments control the issuing and renewal of driving licences and some jurisdictions demand mandatory reporting of unsafe drivers by doctors. AIM: We wished to determine the views, adherence rate and experiences of sleep physicians and electro-physicians with regard to South Australia's mandatory reporting law. METHODS: Self-administered surveys were delivered by post and e-mail to all South Australian Medical Board registered sleep physicians (n=49) and electro-physicians (n=11)...
September 11, 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28888618/feedback-intervention-to-doctors-improves-patient-satisfaction-among-outpatients-in-inner-mongolia-autonomous-region-china
#11
T Qiao, A F Geater, V Chongsuvivatwong, Y Fan, Z Guo
OBJECTIVES: The doctor-patient relationship (DPR) in China is known to be tense. We tested whether an intervention program providing individualized feedback to doctors by patients could improve patients' satisfaction in an outpatient setting. STUDY DESIGN: A non-randomized controlled prepost intervention study in a tertiary hospital. Six surgery clinics were chosen as the intervention group and eight internal medicine clinics as the control group. METHODS: Before the program started, patients attending each group of clinics were asked to fill in the Short-Form Patient Satisfaction Questionnaire (PSQ-18)...
September 7, 2017: Public Health
https://www.readbyqxmd.com/read/28878836/newborn-skin-common-skin-problems
#12
Zekayi Kutlubay, Ali Tanakol, Burhan Engýn, Cristina Onel, Ersin Sýmsek, Server Serdaroglu, Yalçýn Tuzun, Erkan Yilmaz, Bülent Eren
The newborn skin can be separated from adult's skin in several ways. In dermatologic examination it can be easily observed that it is thinner, less hairy and has less sweat and sebaceous gland secretions. These differentiations present especially in preterm newborns. Their skin is exposed to mechanical trauma, bacteria and weather, heat alterations. At birth, newborn skin is protected by the coverage of vernix caseosa, which has lubricating and antibacterial features and its pH ranges from 6.7 to 7.4. Beneath the vernix caseosa the skin has a pH of 5...
January 2017: Mædica
https://www.readbyqxmd.com/read/28877123/care-autonomy-and-gender-in-nursing-practice-a-historical-study-of-nurses-experiences
#13
Paola Galbany-Estragués, Dolors Comas-d'Argemir
BACKGROUND: Care is the essence of the nursing role and is closely related to the concept of professional autonomy. Autonomy is implicated in power relations between doctors and nurses and between men and women. These relationships are closely linked to care practices and the inequality of nursing and medicine. PURPOSE: The aim of this study was to analyze nursing discourse regarding the concept of care and its relationship to the concept of autonomy and gender...
October 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28874936/factors-influencing-participation-in-clinical-trials-emergency-medicine-vs-other-specialties
#14
Anita Kurt, Hope M Kincaid, Charity Curtis, Lauren Semler, Matthew Meyers, Melanie Johnson, Beth A Careyva, Brian Stello, Timothy J Friel, Mark C Knouse, John C Smulian, Jeanne L Jacoby
INTRODUCTION: This study investigated factors that influence emergency medicine (EM) patients' decisions to participate in clinical trials and whether the impact of these factors differs from those of other medical specialties. METHODS: A survey was distributed in EM, family medicine (FM), infectious disease (ID), and obstetrics/gynecology (OB/GYN) outpatient waiting areas. Eligibility criteria included those who were 18 years of age or older, active patients on the day of the survey, and able to complete the survey without assistance...
August 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28874898/experiences-of-canadian-oncologists-with-difficult-patient-deaths-and-coping-strategies-used
#15
L Granek, L Barbera, O Nakash, M Cohen, M K Krzyzanowska
OBJECTIVES: We aimed to explore and identify what makes patient death more emotionally difficult for oncologists and how oncologists cope with patient death. METHODS: A convenience sample of 98 Canadian oncologists (50 men, 48 women) completed an online survey that included a demographics section and a section about patient death. RESULTS: More than 80% of oncologists reported that patient age, long-term management of a patient, and unexpected disease outcomes contributed to difficult patient loss...
August 2017: Current Oncology
https://www.readbyqxmd.com/read/28871346/-differential-diagnosis-of-dissociative-seizures
#16
REVIEW
A Joos, K Baumann, C E Scheidt, C Lahmann, R König, H-J Busch, A Schulze-Bonhage
Patient history taking and semiology provide seminal clues to the diagnosis of dissociative seizures. Openness and alertness of the treating physician are essential. Video-electroencephalogram(EEG)-based analyses of the events are crucial to establish the correct diagnosis, particularly in complex cases. The patient-doctor relationship is of particular importance in order to successfully motivate the patient for psychotherapeutic treatment. Coexisting psychiatric morbidity as well as other functional somatic symptoms must be actively explored...
September 4, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28870303/patient-satisfaction-after-total-knee-arthroplasty-a-realistic-or-imaginary-goal
#17
REVIEW
Emmanuel Gibon, Marla J Goodman, Stuart B Goodman
This article summarizes the current literature regarding patient satisfaction after total knee arthroplasty. In 10% to 15% of cases, the operation has not met the patients' expectations. The causes of this dissatisfaction are multifactorial, and include patient-related factors, details related to the surgical procedure and prosthesis chosen, perioperative factors, and factors associated with nursing and general medical care. However, surgeons must bear the brunt of patients' dissatisfaction. This dissatisfaction erodes the doctor-patient relationship, and may have implications in an emerging health care economy in which doctors and hospitals are reimbursed based on both clinical outcome and patient satisfaction...
October 2017: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/28866818/examining-colorectal-cancer-survivors-surveillance-patterns-and-experiences-of-care-a-seer-cahps-study
#18
Michelle A Mollica, Lindsey R Enewold, Lisa M Lines, Michael T Halpern, Jessica R Schumacher, Ron D Hays, James T Gibson, Nicola Schussler, Erin E Kent
PURPOSE: We examined associations between experiences of care and adherence to surveillance guidelines among Medicare Fee-For-Service beneficiaries with colorectal cancer (CRC). METHODS: Using linked data from the National Cancer Institute's Surveillance, Epidemiology, and End results (SEER) cancer registry program and the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS(®)) patient experience surveys (SEER-CAHPS), we identified local/regional CRC survivors diagnosed in 1999-2009 aged 65+, who underwent surgical resection and completed a CAHPS survey <36 months of diagnosis...
September 2, 2017: Cancer Causes & Control: CCC
https://www.readbyqxmd.com/read/28864304/-cancer-diagnosis-disclosure-and-supportive-care-seen-from-the-patient-side-a-cross-sectional-multicentre-survey
#19
Cécile Ricard, Ingrid Hamon, Angélique Duparc, Christoph A Steffen
The objective of this study was to describe patients' experience during cancer disclosure and initial carers' support phase, in three healthcare facilities in Haute-Savoie District, France. METHODOLOGY: We conducted a multicentric, cross-sectional telephone survey. Patients registered on the multidisciplinary cancer consultation platform lists were randomised. Practitioners validated the inclusion criteria of their patients, i.e. age over 18, patient fully informed of his/her diagnosis and able to answer a telephone interview...
August 29, 2017: Bulletin du Cancer
https://www.readbyqxmd.com/read/28859445/social-and-professional-influences-on-antimicrobial-prescribing-for-doctors-in-training-a-realist-review
#20
Chrysanthi Papoutsi, Karen Mattick, Mark Pearson, Nicola Brennan, Simon Briscoe, Geoff Wong
Background: Antimicrobial resistance has led to widespread implementation of interventions for appropriate prescribing. However, such interventions are often adopted without an adequate understanding of the challenges facing doctors-in-training as key prescribers. Methods: The review followed a realist, theory-driven approach to synthesizing qualitative, quantitative and mixed-methods literature. Consistent with realist review quality standards, articles retrieved from electronic databases were systematically screened and analysed to elicit explanations of antimicrobial prescribing behaviours...
September 1, 2017: Journal of Antimicrobial Chemotherapy
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