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Doctor Patient Relationship

Hassel Jimmy Jiménez, Lorena Delgadillo, Ana Campuzano de Rolon, Diana Jiménez, Angélica de Samudio, Adriana Agüero, César Radice, Gustavo Jiménez-Britez
INTRODUCTION: Paraguay is a bilingual country and knowledge of the guarani language is an important communication tool for the doctor- patient relationship. OBJECTIVE: To determine the degree of and the factors that influence the knowledge of the Guaraní language in medical students at a University Hospital in Paraguay. METHODS: Observational, cross-sectional, analytical study in which an anonymous questionnaire was applied to the final year medical students of a University Hospital of Paraguay...
April 10, 2018: Medwave
Laura H Riddoch
BACKGROUND: Rosacea is a non-curable skin condition, leading patients to turn self-management options from web based platforms. Self-management can be dangerous possibly under-reported. AIM: To discover the extent of online material and determine the potential for harm influenced by rosacea internet sources. MATERIALS AND METHODS: Material analysed included search engines, apps, YouTube, forums and Facebook groups. As Facebook and forums were most active, they became the core focus...
April 20, 2018: Journal of Dermatological Treatment
Ivan Lerner, Raphaël Veil, Dinh-Phong Nguyen, Vinh Phuc Luu, Rodolphe Jantzen
No abstract text is available yet for this article.
2018: Frontiers in Public Health
Bing Wu
BACKGROUND: In practice, online health communities have passed the adoption stage and reached the diffusion phase of development. In this phase, patients equipped with knowledge regarding the issues involved in health care are capable of switching between different communities to maximize their online health community activities. Online health communities employ doctors to answer patient questions, and high quality online health communities are more likely to be acknowledged by patients...
April 16, 2018: Journal of Medical Internet Research
Maria Asisa Butollo, Anita Holzinger, Michaela Wagner-Menghin
INTRODUCTION: The use of simulated patients (SPs) for doctor-patient communication training has been established in medical curricula as an important didactic method. The study addresses the question, if patients' emotions and perceptions are represented adequately in patient-centered communication. MATERIALS AND METHODS: 22 of 37 SPs of the Medical University of Vienna (12 women, 10 men) were asked openly about their feelings after having acted as an SP in a semi-structured interview, which employed the Critical Incident Technique...
April 13, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
Kazuhiro Kawada, Ryota Yanaizumi, Osamu Takahashi
We offer inpatient support for end-stage cancer patients, not only in palliative care units, but also in general medical and long-term care units. We also provide outpatient palliative care and offer emergent backup for the regional home care clinics. From January 2014 to December 2016, 1,832 patients were hospitalized, and among them, 983 patients visited our hospital on an emergency basis. Among the urgent hospitalized patients, 378 patients returned home after adequate palliative care. But 605 patients had to stay admitted in the hospital until their time of death...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Helene F Hedian, Jeremy A Greene, Timothy M Niessen
This review examines how the adoption of the electronic health record (EHR) has changed the most fundamental unit of medicine: the clinical examination. The impact of the EHR on the clinical history, physical examination, documentation, and the doctor-patient relationship is described. The EHR now has a dominant role in clinical care and will be a central factor in clinical work of the future. Conversation needs to be shifted toward defining best practices with current EHRs inside and outside of the examination room...
May 2018: Medical Clinics of North America
Claudia S de Waard, Antonius J Poot, Wendy P J den Elzen, Annet W Wind, Monique A A Caljouw, Jacobijn Gussekloo
OBJECTIVE: Understanding patient satisfaction from the perspective of older adults is important to improve quality of their care. Since patient and care variables which can be influenced are of specific interest, this study examines the relation between patient satisfaction and the perceived doctor-patient relationship in older persons and their general practitioners (GPs). DESIGN: Cross-sectional survey. SUBJECTS AND SETTING: Older persons (n = 653, median age 87 years; 69...
April 12, 2018: Scandinavian Journal of Primary Health Care
Fady Daniel, Suha Jabak, Roula Sasso, Yara Chamoun, Hani Tamim
BACKGROUND: The increased prevalence of virtual communication technology, particularly social media, has shifted the physician-patient relationship away from the well-established face-to-face interaction. The views and habits of physicians in Lebanon toward the use of online apps and social media as forms of patient communication have not been previously described. OBJECTIVE: The aim of this study is to describe the views of Lebanese physicians toward the use of social media and other online apps as means of patient communication...
April 6, 2018: JMIR Medical Informatics
Ralf Forsbach, Hans-Georg Hofer
At the end of the 1960 s, the German Society for Internal Medicine faced a period of intensifying factional struggles. Traditional conservative views increasingly met with critics demanding reform efforts. These debates covered, among other things, the self-definition of the society, doctor-patient relationship, medical studies, hospital regulations, and the relationship between doctors and nursing staff. In 1972/73, these opposing opinions within the society became particularly obvious, when the former NS-Gaustudentenführer Gotthard Schettler, who felt strong resentments towards the members of the 1968 movement, was followed by the reform willing, politically left wing Herbert Begemann in the DGIM presidency...
April 2018: Deutsche Medizinische Wochenschrift
Anette Fischer Pedersen, Lindsay Forbes, Kate Brain, Line Hvidberg, Christian Nielsen Wulff, Magdalena Lagerlund, Senada Hajdarevic, Samantha L Quaife, Peter Vedsted
BACKGROUND: Understanding what influences people to seek help can inform interventions to promote earlier diagnosis of cancer, and ultimately better cancer survival. We aimed to examine relationships between negative cancer beliefs, recognition of cancer symptoms and how long people think they would take to go to the doctor with possible cancer symptoms (anticipated patient intervals). METHODS: Telephone interviews of 20,814 individuals (50+) in the United Kingdom, Australia, Canada, Denmark, Norway and Sweden were carried out using the Awareness and Beliefs about Cancer Measure (ABC)...
April 2, 2018: BMC Cancer
Donald E Nease, Albert Lichtenstein, Luis Pinho-Costa, Kyle Hoedebecke
Objective Balint groups have shown promise in addressing clinician-patient relationships, clinician burnout, referral practices, and psychological mindedness. However, their traditional format of in-person sessions limits their ability to meet the needs of clinicians practicing in locations without trained Balint leaders. We report on a pilot of an international, internet-based Balint group in collaboration between the World Organization of Family Doctors regional Young Doctors Movements and the International Balint Federation...
May 2018: International Journal of Psychiatry in Medicine
Dsg Scrimgeour, J Cleland, A J Lee, P A Brennan
Introduction The Intercollegiate Membership of the Royal College of Surgeons (MRCS, Parts A and B) is designed to safeguard patients and ensure high standards for trainees wishing to pursue a surgical career. We investigated which factors predict Part A and B success. Methods UK graduates who had attempted both parts of MRCS from September 2007 to February 2016 were included. Pearson correlation coefficients were used to examine the linear relationship between each part of MRCS and logistic regression analysis to identify potential independent predictors of MRCS pass/fail outcome...
April 1, 2018: Annals of the Royal College of Surgeons of England
Adam P Sawatsky, Hannah C Nordhues, Stephen P Merry, M Usmaan Bashir, Frederic W Hafferty
PURPOSE: International health electives (IHEs) are widely available during residency and provide unique experiences for trainees. Theoretical models of professional identity formation and transformative learning may provide insight into residents' experiences during IHEs. The purpose of this study was to explore transformative learning and professional identity formation during resident IHEs and characterize the relationship between transformative learning and professional identity formation...
March 27, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Vera Lúcia Raposo
Although Chinese law imposes informed consent for medical treatments, the Chinese understanding of this requirement is very different from the European one, mostly due to the influence of Confucianism. Chinese doctors and relatives are primarily interested in protecting the patient, even from the truth; thus, patients are commonly uninformed of their medical conditions, often at the family's request. The family plays an important role in health care decisions, even substituting their decisions for the patient's...
March 28, 2018: Medicine, Health Care, and Philosophy
Emiel F M Wouters, Birgit B R E F Wouters, Ingrid M L Augustin, Sarah Houben-Wilke, Lowie E G W Vanfleteren, Frits M E Franssen
This review summarises ongoing developments in personalised medicine and individualised medicine in chronic obstructive pulmonary disease (COPD). Currently applied classification systems largely ignore the complexity and heterogeneity of the COPD syndrome. Personalised medicine has to consider the influence of unique circumstances of the person, which contribute to this heterogeneity and complexity. Pulmonary rehabilitation is described as a comprehensive, individualised intervention based on thorough assessment of identifiable treatable traits...
March 31, 2018: European Respiratory Review: An Official Journal of the European Respiratory Society
Michelle Oberman
January 2018, the American College of Obstetrics and Gynecology issued a position statement opposing the punishment of women for self-induced abortion. To those unfamiliar with emerging trends in abortion in the United States and worldwide, the need for the declaration might not be apparent. Several studies suggest that self-induced abortion is on the rise in the United States. Simultaneously, prosecutions of pregnant women for behavior thought to harm the fetus are increasing. The ACOG statement responds to both trends by urging doctors to honor the integrity and confidentiality inherent in the doctor-patient relationship...
March 2018: Hastings Center Report
Aleksandra Małus, Beata Galińska-Skok, Beata Konarzewska, Agata Szulc
INTRODUCTION AND OBJECTIVE: The quality of a doctor-patient relationship plays a vital role in all fields of medicine. In the case of psychiatry, this role is special as it provides the foundation for the whole therapeutic process. The aim of this study was to investigate the patient's perspective on psychiatric visits: patient's attitudes towards the psychiatrist, patient's view of the patient-psychiatrist relationship, and the patient's needs and expectations from this relationship...
March 14, 2018: Annals of Agricultural and Environmental Medicine: AAEM
Tracy D Gunter
People commonly use the Internet to search for health information and tend to use the information they find without regard to source or credibility. Although regulation plays some role in minimizing false claims made by manufacturers of self-help products, effective communication with health professionals likely offers greater protection to the patient or consumer accessing self-help materials. In order to best serve patients (or healthcare consumers), providers should educate them about their healthcare needs, inquire about self-help product use, understand appropriate use, discuss the risks and benefits of use, monitor the patients' condition during use, and document these conversations...
March 25, 2018: Behavioral Sciences & the Law
Daniela Koren, Rebekah Laidsaar-Powell, Wendy Tilden, Mark Latt, Phyllis Butow
This study explored health professionals' (HPs') experiences of interacting with family care-givers (FCs), and the strategies they employ during these interactions. Qualitative methods involved audio-taped and transcribed in-depth semi-structured interviews with 21 HPs (doctors, nurses) from the geriatric wards of two tertiary hospitals. Framework methods were used to analyze data. Seven main themes emerged: Variation in family behaviours; FCs face many challenges; Psychosocial factors influence FCs' behaviours; Attitudes, competing responsibilities and lack of resources influencing HPs' strategies and behaviours; Strategies employed by HPs to improve communication; HPs' self-care strategies; Impact of interactions on HPs and the healthcare system...
March 21, 2018: Geriatric Nursing
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