Physician-patient interaction

The physician-patient relationship (PPR) is a critical element in medical ethics,
built on mutual respect, trust, and knowledge. It ensures that physicians meet patient
needs, including providing care and education on diagnoses and treatments while
creating a working relationship that allows patients to be centered in their care.
Intercultural communication is essential for understanding patient perspectives and
building trust. However, physician burnout and biases can negatively affect care.
This chapter highlights the importance of utilizing intercultural communication to
strengthen the physician-patient relationship allowing for better care and health
outcomes.

The INTERMEDE Project brought together a number of research teams to study the interaction between a patient and their general practitioner, and how this can produce social inequalities in health. The ultimate objective of the project was to formalize a core of common findings by integrating qualitative and quantitative results. The methodology chosen for the integration was inspired by the Delphi participatory method. It involves several rounds of questions and feedback in writing between all members of project teams, in order to compare contradictory opinions and identify key concepts arising from the project. This interdisciplinary research has provided a more nuanced understanding of the mechanisms underlying physician–patient interaction by revealing the convergences of the various disciplinary approaches.

The INTERMEDE Project brought together a number of research teams to study the interaction between a patient and their general practitioner, and how this can produce social inequalities in health. The ultimate objective of the project was to formalize a core of common findings by integrating qualitative and quantitative results. The methodology chosen for the integration was inspired by the Delphi participatory method. It involves several rounds of questions and feedback in writing between all members of project teams, in order to compare contradictory opinions and identify key concepts arising from the project. This interdisciplinary research has provided a more nuanced understanding of the mechanisms underlying physician–patient interaction by revealing the convergences of the various disciplinary approaches.

Objective: This study was designed to examine the belief held by many cancer patients that communication with their care providers has a meaningful part to play in shaping their disease outcomes. Methods: From a large qualitative interview data set in which cancer patients described their perceptions of helpful and unhelpful heath care communication; we extracted the accounts of 69 patients and 13 focus group participants who specifically articulated a perceived relationship between communication and cancer outcomes. Through secondary analysis of that subset, we generated an interpretive description of patterns and themes within their accounts of a relationship between communication and cancer survivorship. Results: Our findings document patient perceptions of the mechanisms involved in indirect and, some instances, direct relationships between communication encounters and cancer outcomes. Conclusion: Some cancer patients believe that, by virtue of its influence upon comfort, inclus...

Objective: This study was designed to examine the belief held by many cancer patients that communication with their care providers has a meaningful part to play in shaping their disease outcomes. Methods: From a large qualitative interview data set in which cancer patients described their perceptions of helpful and unhelpful heath care communication; we extracted the accounts of 69 patients and 13 focus group participants who specifically articulated a perceived relationship between communication and cancer outcomes. Through secondary analysis of that subset, we generated an interpretive description of patterns and themes within their accounts of a relationship between communication and cancer survivorship. Results: Our findings document patient perceptions of the mechanisms involved in indirect and, some instances, direct relationships between communication encounters and cancer outcomes. Conclusion: Some cancer patients believe that, by virtue of its influence upon comfort, inclus...

Etkin iletişim; doğrudan insanla ilgili pek çok mesleğin başarısında
olduğu gibi, tıp mesleğinin başarısı için de yaşamsal öneme sahiptir. Tıp
alanındaki hekim merkezli iletişim çalışmalarında taraflar dikkate
alındığında genelde üç tür iletişimden bahsedilebilir. Bunlardan ilki
hekimin hastalığı tanımak için hastayla girdiği muayeneyi içeren
iletişimdir. İkincisi hasta bedenine yönelik işlem yapma ve yapılacak
işleme ilişkin hüküm verme yetkisinin paylaşımını organize etmeye
yönelik profesyoneller arası iletişimdir. Son olarak hastayla iletişim
kurmakta zorlanıldığında ya da ciddi durumlarda, iş birliği için hasta
yakınıyla hastanın durumu ve tedavi sürecine ilişkin bilgilerin paylaşıldığı
iletişimdir. Bu çalışmada söz konusu iletişim türleri arasından ilk ikisine
göre daha az üzerinde durulan, hekimin hastayla ilgili hasta ve hasta
yakınını bilgilendirme süreci, inceleme konusu yapılacaktır. Hasta
yakınını bilgilendirme prosedürüne en fazla gereksinim duyulan yer
hastanedir. Çünkü hastane; hem hasta hem de hasta yakınlarıyla doğrudan
iletişim kurmanın zorunluğu olduğu bir mekandır. Bu durumda hem hasta
ile hem de hasta yakınıyla sağlıklı bir iletişim kurarak iş birliği yapmak
tedavi açısından önemlidir. Hastanın tedavi süresinde aile desteği
gerektirdiği için, hasta yakınlarının bilgilendirilmeleri hastalığın prognozu
açısından özel bir önem taşımaktadır. 
Bu çalışmada öncelikle tedavi sürecinin farklı evre ve
kategorilerinde yer alan hekim ve hasta/hasta yakını arasındaki iletişimin
doğası, bilimsel literatürde yer alan haliyle sağlık iletişimi çerçevesinde
derlenecek ve tartışılacaktır. Hekimlerin özellikle hasta yakınlarıyla kurdukları iletişimi etkileyen faktörleri, bu iletişimin işleyişini, bu iletişim
sürecindeki gerilimleri, engelleyici unsurları, iletişimin tıkandığı
durumları ve başarısızlık durumunda yol açtığı sorunları anlamak, tıbbi
alandaki iletişim kaynaklı davranışsal eksiklik, yanlış bilgilendirilme,
kullanılan dilin anlaşılmaması, empati eksikliği, şiddet vb. pek çok
sorunun çözümüne ilişkin ipuçlarına ulaşmamızı sağlayacaktır
Bu çalışma, kişilerarası iletişim çerçevesinde sağlık iletişiminin en
mikro taraflarını oluşturan hekim ve hasta-hasta yakını arasındaki
etkileşimi ve iletişim sürecini, bilimsel literatürde geçen tüm yaklaşımları
ve tartışmaları derleyen bir kaynak; aynı zamanda ilerideki hekim-hasta
iletişimi çalışmalarının daha sağlıklı yapılabilmesi adına kılavuz
olabilmesi adına literatüre dayalı bir şekilde yapılmıştır.

This study examines whether the patient-physician interaction level differs according to some personal factors of the patients. 244 patients who came to the university hospital between certain dates to be treated constitute the sample of the study. In the research, a moderately significant positive relationship was found between patient-physician interaction and patient activity and educational status. It was observed that there was a negative and low level relationship between age variable and patient-physician interaction. It has been determined that the individuals with health insurance have better interaction with physicians. No significant difference was found between gender and income status and patient-physician interaction. As a result, this study shows that patient-physician interaction perceptions in healthcare settings vary according to personal patient characteristics. We think that these differences provide important evidence in designing policies to improve health systems at the individual application level.

The story of Wisconsin physicians reflects the gradual evolution of American medicine from frontier heroics to applied science. This essay covers the period from “horse and buggy” practice (1850-1890) based on personal house calls, clinical diagnosis and bloodletting, to decades of urban transition (1890-1910) towards the era of scientific medicine (1910-1930) with the establishment of hospitals, laboratory-assisted diagnoses and therapies.