DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200435

Doctor-patient interactions with respect to type of practice

Himaad M. Hullur, Ashlesha A. Dandekar, Swati S. Raje

Abstract


Background: The doctor-patient relationship is the core foundation for healing, care, establishment of trust and an essential part of modern-day medical ethics. The last few decades have seen an exponential growth in the scientific component of the medical field which has led to a strain on doctor-patient relationship. With the growing trend of patients wanting more information from their doctor in order to have a more active role in their health-care, active communication from the physician’s end is needed. Present study aims to find out what doctors over various fields expect out of this relationship.

Methods: A cross sectional prospective study was conducted among a total of 49 urban and rural doctors of various specialities in an urban area of Maharashtra using a pre-structured questionnaire. The statistical tools used to analyse the data was by using Microsoft excel software.

Results: It was also noted that time spent with patients was less by the specialists as compared with other doctors for all aspects of consultation. On evaluating experience with the duration of consultation, we noted that doctors having more than 30 years of experience gave lesser time for all aspects of consultation as compared to those with lesser experience. A close range, between 45%-57% of all physicians, admitted to answering phone calls during consultations.

Conclusions:It is imperative to study doctor-patient interactions since a better relationship results in a more satisfied patient with better treatment outcome. 

 


Keywords


Behaviour of physician, Consultation time, Doctor-patient interactions, Patient satisfaction

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References


Chandra S, Mohammadnezhad M, Ward P. Trust and communication in a doctor patient relationship: a literature review. J Healthcare Comm. 2018;3(3):36.

Emanuel EJ, Dubler NN. Preserving the physician-patient relationship in the era of managed care. JAMA. 1995;273(4):323-9.

Chin JJ. Doctor-patient relationship: a covenant of trust. Singapore Medical J. 2001;42(12):579-81.

Kale PA. An objective look at ‘cut practice’ in the medical profession. Profession. Indian J Med Ethics. 1996;4(1):19.

Arnold R, Forrow L, Barker LR. In: The Medical Interview: Clinical Care, Education, and Research. Lipkin M, Putnam SM, Lazare A, editors. New York, NY: Springer-Verlag; 1995: 345-367.

Levinson W, Gorawara-Bhat R, Lamb J. A study of patient clues and physician responses in primary care and surgical settings. JAMA. 2000;284:1021-7.

Barsky AJ, Borus JF. Somatization and medicalization in the era of managed care. JAMA. 1995;274:1931-4.

Smith G, Monson R, Ray D. Patients with multiple unexplained symptoms: their characteristics, functional health, and health care utilization. Arch Intern Med. 1986;146:69-72.

Donovan J, Blake D. Patient non-compliance: deviance or reasoned decision making. Soc Sci Med. 1992;34:507-13.

Clark L. Improving compliance and increasing control of hypertension: needs of a special hypertensive population. Am Heart J. 1991;121:664-9.

Hinds P. The relation of nurses’ caring behaviors with hopefulness and health care outcomes in adolescents. Arch Psychiatr Nurs. 1988;2:21-9.

Robbins JA, Bertakis KD, Helms L, Azari R, Callahan E J, Creten DA. The influence of physician practice behaviors on patient satisfaction. Fam Med. 1993;25:17-20.

Trafton JG, Altmann EM, Brock DP, Mintz FE. Preparing to resume an interrupted task: Effects of prospective goal encoding and retrospective rehearsal. Int J Human-Comput Stud. 2003;58(5):583-603.

Schmittdiel J, Grumbach K, Selby JV, Quesenberry CP. Effect of physician and patient gender concordance on patient satisfaction and preventive care practices. J General Internal Med. 2000;15(11):761-9.

Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005;142:260-73.

Dugdale DC, Epstein R, Pantilat SZ. Time and the patient-physician relationship. J General Internal Med. 1999;14(Suppl 1):S34.

Morrell DC, Evans ME, Morris RW, Roland MO. The “five minute” consultation: effect of time constraint on clinical content and patient satisfaction. BMJ. 1986;292:870-3.

Ridsdale L, Carruthers M, Morris R, Ridsdale J. Study of time availability on the consultation. J R Coll Gen Pract. 1989;39:488-91.

Iluz TC, Peleg R, Freud T, Shvartzman P. Verbal and physical violence towards hospital- and community-based physicians in the Negev: An observational study. BMC Health Services Res. 2005;5:54.

Paola F, Malik T, Qureshi A. Violence against physicians. J Gen Intern Med. 1994;9:503-6.