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Doctor Patient Relationship

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https://www.readbyqxmd.com/read/29456094/association-among-opioid-use-treatment-preferences-and-perceptions-of-physician-treatment-recommendations-in-patients-with-neck-and-back-pain
#1
William B Weeks, Christine M Goertz, Cynthia R Long, William C Meeker, Dennis M Marchiori
OBJECTIVE: The purpose of this study was to explore the relationship between self-reported use of opioids by patients with neck and back pain and their demographics, pain characteristics, treatment preferences, and recollections of their physicians' opinions regarding treatment options. METHODS: We analyzed 2017 Gallup Poll survey data from 1680 US adults who had substantial spine pain in the past year and used logistic regression to explore the aforementioned relationships...
February 15, 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29452936/use-of-telemedicine-in-the-management-of-infectious-diseases
#2
G Gras
Communication technologies have invaded our daily lives. Several studies have assessed these technologies in the management of infectious diseases (mainly HIV). Weekly short text messages and real-time compliance monitoring assessed in HIV patients are both associated with higher compliance in low-income countries. Virtual consultations to monitor stable chronic HIV patients or tuberculosis treatment in high-income countries appear to be acceptable and efficient. Although assessed in small studies, virtual monitoring seems to reinforce the doctor-patient relationship and the relation between primary care settings and hospitals in various infectious diseases (endocarditis, urinary tract infection, skin and soft tissue infection, HIV, tuberculosis, hepatitis C)...
February 13, 2018: Médecine et Maladies Infectieuses
https://www.readbyqxmd.com/read/29452401/understanding-communication-breakdown-in-the-outpatient-referral-process-in-latin-america-a-cross-sectional-study-on-the-use-of-clinical-correspondence-in-public-healthcare-networks-of-six-countries
#3
Ingrid Vargas, Irene Garcia-Subirats, Amparo-Susana Mogollón-Pérez, Marina Ferreira-de-Medeiros-Mendes, Pamela Eguiguren, Angelica-Ivonne Cisneros, María-Cecilia Muruaga, Fernando Bertolotto, María-Luisa Vázquez
An adequate use of referral and reply letters-the main form of communication between primary care (PC) and out-patient secondary care (SC)-helps to avoid medical errors, test duplications and delays in diagnosis. However, it has been little studied to date in Latin America. The aim is to determine the level and characteristics of PC and SC doctors' use of referral and reply letters and to explore influencing factors in public healthcare networks of Argentina, Brazil, Chile, Colombia, Mexico and Uruguay. A cross-sectional study was conducted through a survey of PC and SC doctors working in public healthcare networks (348 doctors per country)...
February 14, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29444208/death-on-demand-an-analysis-of-physician-administered-euthanasia-in-the-netherlands
#4
Robert Preston
Background: Physician-administered euthanasia (PAE) was legalized, along with physician-assisted suicide (PAS), in The Netherlands in 2001. Sources of data: Annual reports of the Dutch Regional Euthanasia Review Committees, the committees' 2015 published Code of Practice and research studies. Areas of agreement: There is a general openness about the practice of PAE/PAS in The Netherlands and an avoidance of misleading euphemisms. The 2001 law also includes arrangements for post-event review of PAE/PAS decisions...
February 12, 2018: British Medical Bulletin
https://www.readbyqxmd.com/read/29441446/relationship-between-declarations-of-conflict-of-interests-and-reporting-positive-outcomes-in-iranian-dental-journals
#5
Maryam Alsadat Hashemipour, Sepehr Pourmonajemzadeh, Shahrzad Zoghitavana, Nader Navabi
Conflict of interests is a situation when someone is in need of other people's trust on one the hand and has personal or general interests on the other hand, resulting in conflict with the given responsibility. In this research work, an attempt was made to find the relation between declarations of conflict of interests and reporting positive outcomes in the dental journals in Iran (2000-2016). In this analytical/cross-sectional study, first Health and Biomedical Information was searched and all the Persian and English dental journals published in Iran were collected...
February 13, 2018: Science and Engineering Ethics
https://www.readbyqxmd.com/read/29441182/pediatric-cardiac-anamnesis-prevention-of-additional-diagnostic-tests
#6
REVIEW
Izet Masic, Zijo Begic, Nabil Naser, Edin Begic
Pediatrics is defined as the science of a healthy and sick child from birth to end of adolescence. Diseases of the cardiovascular system are the leading causes of mortality in adults, with frequent onset in childhood. The cardiologic examination starts with anamnesis in a pleasant atmosphere, refined space, enough time and patience, detailed measurements, and preferably a noncrying child. Anamnesis, regardless of the development of diagnostic procedures, still constitutes the basis of every clinical examination...
2018: International Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29433958/an-ontology-driven-clinical-decision-support-system-iddap-for-infectious-disease-diagnosis-and-antibiotic-prescription
#7
Ying Shen, Kaiqi Yuan, Daoyuan Chen, Joël Colloc, Min Yang, Yaliang Li, Kai Lei
BACKGROUND: The available antibiotic decision-making systems were developed from a physician's perspective. However, because infectious diseases are common, many patients desire access to knowledge via a search engine. Although the use of antibiotics should, in principle, be subject to a doctor's advice, many patients take them without authorization, and some people cannot easily or rapidly consult a doctor. In such cases, a reliable antibiotic prescription support system is needed. METHODS AND RESULTS: This study describes the construction and optimization of the sensitivity and specificity of a decision support system named IDDAP, which is based on ontologies for infectious disease diagnosis and antibiotic therapy...
February 9, 2018: Artificial Intelligence in Medicine
https://www.readbyqxmd.com/read/29433495/presentation-of-laboratory-test-results-in-patient-portals-influence-of-interface-design-on-risk-interpretation-and-visual-search-behaviour
#8
Paolo Fraccaro, Markel Vigo, Panagiotis Balatsoukas, Sabine N van der Veer, Lamiece Hassan, Richard Williams, Grahame Wood, Smeeta Sinha, Iain Buchan, Niels Peek
BACKGROUND: Patient portals are considered valuable instruments for self-management of long term conditions, however, there are concerns over how patients might interpret and act on the clinical information they access. We hypothesized that visual cues improve patients' abilities to correctly interpret laboratory test results presented through patient portals. We also assessed, by applying eye-tracking methods, the relationship between risk interpretation and visual search behaviour. METHODS: We conducted a controlled study with 20 kidney transplant patients...
February 12, 2018: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29431142/do-eps-change-their-clinical-behaviour-in-the-hallway-or-when-a-companion-is-present-a-cross-sectional-survey
#9
Hanni Stoklosa, Meredith Scannell, Zheng Ma, Bernard Rosner, Ashley Hughes, J Stephen Bohan
OBJECTIVES: Our aim was to determine whether emergency physicians (EPs) felt their standard patient evaluation practice was modified by two non-private clinical encounters: hallway encounters and encounters during which a companion was present. METHODS: We administered an iteratively developed cross-sectional survey at an annual national professional meeting. We used logistic regression to compare relationships among non-private clinical encounters and predictors of interest...
February 3, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29431136/how-patients-experiences-of-respiratory-tract-infections-affect-healthcare-seeking-and-antibiotic-use-insights-from-a-cross-sectional-survey-in-rural-anhui-china
#10
Mengjie Diao, Xingrong Shen, Jing Cheng, Jing Chai, Rui Feng, Panpan Zhang, Rongyao Zhou, Helen Lambert, Debin Wang
OBJECTIVE: To investigate the occurrence of reported respiratory tract infection (RTI) symptoms and their effects on use of self and professional care among patients in the community. DESIGN: A cross-sectional retrospective household survey. SETTING: 12 administrative villages from rural Anhui, China. PARTICIPANTS: 2160 rural adult residents aged ≥18 years registered as rural residents and actually living in the sampled villages when this study was conducted...
February 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/29426965/decisional-control-preferences-in-the-hispanic-population-in-the-bronx
#11
Jhosselini Cardenas, Pamela Infante, Abel Infante, Elizabeth Chuang, Peter Selwyn
Hispanic Americans are among the fastest growing minority groups in the USA, and understanding their preferences for medical decision-making and information sharing is imperative to provide high quality end of life care. Studies exploring these decision control preferences (DCPs) are limited and found inconsistent results. (1) To measure DCPs of Hispanic patients in the Bronx. (2) To measure disclosure of information preferences of Hispanic patients in the Bronx. This is a cross-sectional survey. One hundred nineteen cancer patients who self-identified as Hispanic and were waiting at the oncology clinic at Montefiore Medical Center Cancer Center...
February 9, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29426263/drug-promotional-activities-in-nigeria-impact-on-the-prescribing-patterns-and-practices-of-medical-practitioners-and-the-implications
#12
Joseph O Fadare, Kazeem A Oshikoya, Olayinka O Ogunleye, Olufemi O Desalu, Alessandra Ferrario, Okezie O Enwere, Adekunle Adeoti, Taofiki A Sunmonu, Amos Massele, Amanj Baker, Brian Godman
OBJECTIVE: Pharmaceutical companies spend significant amount of resources on promotion influencing the prescribing behavior of physicians. Drug promotion can negatively impact on rational prescribing, which may adversely affect the quality of patient care. However, little is known about these activities in Nigeria as the most populous country in Africa. We therefore aimed to explore the nature of encounters between Nigerian physicians and pharmaceutical sales representatives (PSRs), and how these encounters influence prescribing habits...
February 9, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29422231/health-professional-patient-communication-practices-in-east-asia-an-integrative-review-of-an-emerging-field-of-research-and-practice-in-hong-kong-south-korea-japan-taiwan-and-mainland-china
#13
REVIEW
Jack K H Pun, E Angela Chan, Sophie Wang, Diana Slade
OBJECTIVE: To provide an integrative review of literature on health communication in East Asia and detail culturally-specific influences. METHODS: Using PRISMA model, search of PubMed, PsychInfo, Web of Knowledge, ERIC and CINAHL databases were conducted for studies between January 2000 and March 2017, using the terms 'clinician/health professional-patient', 'nurse/doctor-patient, 'communication' and 'Asia'. RESULTS: 38 studies were included: Mainland China, Hong Kong, Japan, South Korea, and Taiwan...
January 31, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29417649/-addressed-to-you-not-as-a-smoker%C3%A2-but-as-a-doctor-doctor-targeted-cigarette-advertisements-in-jama
#14
Robert K Jackler, Noel F Ayoub
BACKGROUND AND AIM: During the mid-20th century tobacco companies placed advertisements in medical journals to entice physicians to smoke their brand and, more importantly, to recommend it to their patients. They have been little studied, in part because advertising sections in medical journals are almost universally discarded before binding. This study aimed to define the themes and techniques used in doctor-targeted tobacco advertisements that appeared in American medical journals in the mid-20th century and determine the motivations and tactics of the tobacco industry in engaging the medical profession in this way...
February 7, 2018: Addiction
https://www.readbyqxmd.com/read/29417071/research-self-efficacy-and-its-relationship-with-academic-performance-in-postgraduate-students-of-tehran-university-of-medical-sciences-in-2016
#15
Amir Tiyuri, Behzad Saberi, Mohammadreza Miri, Ehsan Shahrestanaki, Beyram Bibi Bayat, Hamid Salehiniya
BACKGROUND: Research self-efficacy is one of the main factors influencing the successful conduction of research and following it in students. This study was performed with the aim of determining the research self-efficacy and its relationship with academic performance in postgraduate students of Tehran University of Medical Sciences (TUMS) in 2016. MATERIALS AND METHODS: This cross-sectional study was performed on 320 postgraduate students of TUMS in 2016. Proportional stratified sampling was done with simple random sampling from each school...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29406764/-doctor-patient-relationship-from-the-perspective-of-medical-students-portfolio
#16
Beatriz Girela Pérez, María Araceli Rodríguez Cano, Eloy Girela López
Doctor-patient relationship is of paramount importance for a good medical practice, however as long as medicine has been increasingly influenced by technology and science, it may be at risk of losing contact with basic human values of respect for the beliefs and preferences of the other person. In this study, we have analyzed the deontological vision of the physician-patient relationship perceived through clinical situations reflected in the portfolios carried out by 225 students of the 5th year of the Degree of Medicine at the University of Córdoba, during the courses 2014/15 and 2015/16...
January 2018: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/29402398/-can-medical-oncologists-talk-about-cure-to-their-patient-after-localized-breast-cancer-treatment
#17
Cecile Torregrosa, Louis-Philippe Coutu-Nadeau, Manuel Jorge Rodrigues, Marie-France Mamzer-Bruneel
INTRODUCTION: Despite ongoing therapeutic advances in oncology, the use of the term cure in front of patients remains controversial. The word remission is often preferred in clinical practice. The purpose of this research is to explore how oncologists vary in their usage and definition of the word cure when talking to patients. METHODS: Qualitative and exploratory pilot study conducted by semi structured interviews with a group of French oncologists about a clinical vignette of localized breast cancer treated by surgery and complete adjuvant treatment...
February 2, 2018: Bulletin du Cancer
https://www.readbyqxmd.com/read/29396386/open-notes-in-swedish-psychiatric-care-part-1-survey-among-psychiatric-care-professionals
#18
Lena Petersson, Gudbjörg Erlingsdóttir
BACKGROUND: When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary care, and specialized care in 2012, psychiatric care was exempt. This was because psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skåne added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health care professionals (HCPs) in adult psychiatric care in the region expect Open Notes to impact their patients and their practice...
February 2, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29391786/narrative-medicine-to-improve-the-management-and-quality-of-life-of-patients-with-copd-the-first-experience-applying-parallel-chart-in-italy
#19
Paolo Banfi, Antonietta Cappuccio, Maura E Latella, Luigi Reale, Elisa Muscianisi, Maria Giulia Marini
Purpose: Poor adherence to therapy and the failure of current smoking cessation programs demonstrate that the current management of COPD can be improved, and it is necessary to educate physicians about new approaches for taking care of patients. Parallel chart is a narrative medicine tool that improves the doctor-patient relationship by asking physicians to write about their patients' lives, thereby encouraging reflective thoughts on care. Patients and methods: Between October 2015 and March 2016, 50 Italian pulmonologists were involved in the collection of parallel charts of anonymous patients with COPD...
2018: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29375062/who-will-teach-us-to-die-reflections-on-futility-and-finitude
#20
Larry R Churchill
Futility is a medical judgment, but more importantly it is a prognostic gesture for shaping relationships among doctors, patients, and their families. As such, the need for a concept of futility, or something like it, is personally and socially important to all of us. It is one of medicine's essential tools for teaching about finitude and mortality.
2018: Perspectives in Biology and Medicine
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