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Core elements of the doctor-patient relationship
Core elements of the doctor-patient relationship
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Recommended: Core elements of the doctor-patient relationship
In order to promote patient adherence, helps to overcome challenges in management as well as improve the illness prognosis and patient satisfaction, a good quality of doctor-patient relationship is suggested to be the primary mediator. Martin et al (2003) emphasize the importance of doctor’s behaviour to welcome patient involvement in the medical discourse. It is noticed that patients tend to choose doctor who helps them to get involved in consultation, answer their question, interact and communicate well rather than doctor who let the patient to control over the conversation and at the same time pay less attention to the patient. In other study conducted by Graffigna et al (2014) introduces a conceptual framework to establish the phases of patient engagement development that incorporates emotional, physical and mental elements of the individual patient.
“A healthcare provider’s bedside manner encompasses their medical knowledge, personality, and ability to understand the patient and communicate their concern for them.” (Britt). Although some individuals don’t see the importance of communication and emotional connection with patients in the medical field, doctors who have problems properly interacting with their patients will have a lower chance of success in healing them. Doctors receive so much education but are never taught proper bedside manners, which is the way that physicians interact with patients. In order to ensure a patient’s comfort, psychological well-being, and physical health, a physician must truly understand their patient.
Patients can gain a lot of information about their diseases and decide against the doctor’s treatment plan. This affects the patient’s willingness to participate and does play a role in CQI (Sollecito & Johnson, 2013). Patients are considered part of the clinical microsystem and integral to work of improvement, their safety concerns will be welcomed and acted upon (Gibson, 2007). Such as, a patient having religious beliefs may not allow them to receive a certain treatment and the doctor may have to adjust their plans per the patient’s requests. In addition, this will benefit the providers because the patient’s satisfaction will have increased if they were involved in their health outcome. Even though active patient involvement seems great, patients should walk on the side of caution as
Patient engagement is now seen as being increasingly important and there is a big push at the provincial level to see more progress on this issue, in order to have the potential benefits accrue. The 2009 Saskatchewan Patient First Review11 recommends that the “health system make patient and family-centred care the foundation and principal aim of the Saskatchewan health system”. As mentioned earlier patient engagement appears to be associated with fewer adverse events5, better self management6,7, fewer diagnostic tests8, decreased use of health services9, and shorter length of stay in
Patient-centered care (PCC) is a healthcare model focused on actively involving the patient in all aspects of planning, implementation and monitoring of care. It integrates respect for the patient’s needs, values and beliefs into the health care process. Important aspects of PCC are collaborative care, Family-centered care, and comfort. PCC allows the patient to have autonomy and a more collaborative role in making decisions regarding their treatment.
Nowadays the concept of patient-centeredness plays an important role in high-quality health care. Patient-centeredness joins the care the patient is getting together with the care that the patient is willing to receive, giving therefore the patient a certain ethical authority. This particular approach to practice is built upon important concepts such as patient’s preferences respect, whole-person knowledge and creating an effective relationship between the patient and the clinician. These particular concepts might vary taking in consideration the condition of the patient and the patient himself. Patient-centeredness is also known as patient centered care. [1] [2]
To start implementing this framework, one need to understand and acknowledge that every patient is not only different from one another, but a unique individual. Assumptions and stereotypes about a specific cultural group must be avoided, along with personal biases (Murphy, 2011). Furthermore, actively listening and fully engaging patients’ can improve nurse-patient communication and enhance patient outcome.
Providing care today is much concentrated on “patient-centered” or “person centered,” or delivering care using a “client-centered approach”. In this discussion defines the history of the terms client-, patient-, and person-centered care and then focus on person-centered care, especially as it relates to nursing. In its landmark book Crossing the Quality Chasm (2001, p. 40), the Institute of Medicine (IOM) defined patient centered as “providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.” Thus, efforts to promote patient-centered care should consider patient-centeredness of patients (and their families), clinicians, and health systems.
Patient-centered care is a broad topic that can be discussed on a daily basis within the healthcare world. Patient-centered care is when healthcare providers and facilities provide care that is respectful to the patient’s preferences, needs and values. It can also be described as physicians who practice patient-centered care can improve their patients’ clinical outcomes and satisfaction rates by improving the quality of the doctor-patient relationship, while at the same time decreasing the utilization of diagnostic testing, prescriptions, hospitalizations, and referrals (Rickett, 2013). Unfortunately, ideal patient-centered care is hard to come by, especially in all 50 states because there is a shortage of money and proper resources needed
2 With that being said, most health care facilities place an emphasis on coordinated and integrated interactions between the clinician and patient. This may include open communication, and shared decision making, ensuring that the patient is an active participant in his or her own care. Research shows that when a patient is treated with dignity and respect, and includes the family and caregivers in the decision making, better outcomes are to be reported.
This relationship can be successfully built in the presence of appropriate communication. The positive correlation has been found between the patients’ adherence and the good communication in various recent studies. It means that the effective communication can make the patients understand the details of their illness, get a knowledge about the steps to be taken in order to cure it and get motivation to keep up their morale (Bakken et al., 2000).
The intake interview assists in establishing and diagnosing any problems the client may have. The therapist may then explain to the client what to expect during the interview, including the time duration. A good assessment/ or intake will focus on the individual situation, strength and coping mechanism. The intake form is for the client, it gives the therapist more information and an idea of who you are. The intake process that is considered of a series of questions and consent form that the client has to sign and agree to. A professional relationship between a counselor and a client begins with an intake interview.
It involves health care transformation where by patient passively participating in their health care process to the best of their interest in order to live a quality and healthy life to their expectation. I value the healthcare process as a team work between patients and health care providers. The patient participation concept applies and provides me with a solid foundation towards my beliefs and values in my further practice as cardiothoracic surgery nurse practitioner. I will utilize the attributes to establish a good, trusting, respectful relationship with surgical patients by surrendering some power to patients by negotiating, sharing responsibility, and viewing patient equally. I will also share information and knowledge, provide education based on patients’ experiences, respect patients’ opinions, and expectations. Patient and the health care team will actively engage in intellectual and physical activities. Through this analysis, I am confident that the concept of patient participation will guide my future practice, it aligns with my health care beliefs and values. It provides benefit in the relationships between health care providers and the patient population. The patient participation concept has and will continue to set foundations and be the framework for the health care
In this chapter, so far I have learned the different skills for engagement while working with a client. Engagement is very important to have while meeting with a client, and it is the first step in the planned change process. This step of the process helps establish a relationship between the professional and the client. Engagement is also known as “intake”. Intake conversation is either done over the phone or in person. To demonstrate engagement with your client you must be willing to greet the client in an encouraging way and show interest of your client’s situation. When you first meet with your client, you are able to build a relationship, which starts with greeting. Initiating a handshake and introducing yourself can be done to greet
With the domination of the informative model seen throughout today’s medical practices, many physicians lack the capacity to articulate and persuade patients of the values underlying their treatment recommendations and are thus demoted to serving as “information machines.” Implementation of the deliberative model in medicine would serve as an effective means of encouraging a more caring approach, in that physicians would “cultivate a partnership with the patient and together, negotiate a management plan which allows for physician’s professional recommendations and for patient’s ideas, concerns and expectations” (Chin 154). Rather than utilizing a model in which there is typically poor understanding of one another’s goals and values, the mutual approach to treatment seen in the deliberative model would facilitate trust, as well as understanding, in the doctor-patient
It is important that the patient does most of the talking throughout the interview, so that the doctor can elicit all of the information about the patient’s illness.... ... middle of paper ... ... A. (1981) The 'Standard' of Physician – Patient Communication.