11 results on '"Physician-Patient Relations"'
Search Results
2. Diagnostic reasoning is associated with lower physician satisfaction with patient communication.
- Author
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Schweitzer, Daniel R., Ting, Joseph, and von Hippel, William
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SOCIAL perception , *PHYSICIAN-patient relations , *SATISFACTION , *REGRESSION analysis , *SURVEYS , *COMMUNICATION , *DECISION making , *DIAGNOSIS , *QUESTIONNAIRES , *INTERPERSONAL relations , *DESCRIPTIVE statistics , *DATA analysis software - Abstract
Background: Prior research suggests that the quality of communication between doctors and patients influences the quality of medical care and adherence to treatment regimens, but little is known about factors that contribute to successful interactions between doctors and patients. Aim: To examine the quality of communication across the different medical specialties. Methods: A survey questionnaire was undertaken at a large metropolitan‐based hospital in Brisbane, Australia. In this initial study we surveyed 67 doctors across various specialties on a range of social cognition and personality measures. We then rated each of the specialties on the degree to which they rely on both procedures and diagnostics, as well as the extent to which they involve patient communication. Results: A regression analysis using spss 26.0 was undertaken to ascertain if doctor's satisfaction with their communication was related to these three aspects of the various specialties. Results revealed that communication satisfaction was negatively related to the degree to which the specialty relies on diagnostics. No relationship emerged between reliance on procedures and communication satisfaction. Last, communication frequency was positively related to communication satisfaction. Conclusions: We propose two possible accounts for this finding regarding diagnostics: (i) the cognitive demands of diagnosis disrupt communication; and/or (ii) diagnoses are interpreted by patients as opinions with which they are sometimes motivated to disagree. Further research is needed to replicate these findings and establish the underlying mechanism. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
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3. Prescribing direct‐acting antivirals to treat hepatitis C virus in a general practice setting in Australia: 'so why not do it'?
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Heard, Emma, Massi, Luciana, Smirnov, Andrew, and Selvey, Linda A.
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ANTIVIRAL agents , *ATTITUDE (Psychology) , *CONFIDENCE , *DRUG prescribing , *FAMILY medicine , *HEALTH services accessibility , *HEPATITIS C , *HEPATITIS viruses , *INTERVIEWING , *RESEARCH methodology , *MEDICAL personnel , *PHYSICIAN-patient relations , *PROFESSIONS , *PHYSICIAN practice patterns , *HEALTH care reminder systems , *PATIENTS' attitudes , *DESCRIPTIVE statistics - Abstract
Background: The recent implementation of a scheme to provide universal access to direct‐acting antiviral (DAA) medication to treat hepatitis C virus (HCV) places Australia in a unique position to reach global HCV elimination goals. To achieve this, increasing the uptake and success of DAA treatment in general practice settings is essential. Aims: To explore current enablers and residual barriers to HCV treatment in general practice settings in the post‐interferon era from both general practitioner (GP) and patient perspectives. Methods: Semi‐structured interviews with 11 GP and 27 patients were conducted to draw out both challenges and facilitators particularly relevant to DAA uptake and treatment journeys. Results: Key enablers for successful treatment identified by this study included peer‐led GP support and skill development, utilisation of electronic reminder systems, trusting relationships with patients and engaging with patients' social and family networks. Barriers related to accessible testing facilities and knowledge and confidence with DAA treatment continue to limit GP‐led treatment. Conclusions: Despite a universal access scheme, barriers to DAA prescription in general practice settings remain. These include access to fibrosis testing and GP confidence in DAA prescription. Strengthening peer‐led GP skill development and utilisation of electronic reminder systems may help GP prioritise HCV treatment. Access to fibrosis testing and pathology services with no out‐of‐pocket costs to patients, particularly in outer‐metropolitan areas, should be urgently addressed. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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4. Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST‐elevation myocardial infarction.
- Author
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Seman, Michael, Neil, Christopher, Biswas, Sinjini, Stub, Dion, Walton, Antony, Chan, William, Cox, Nicholas, Brennan, Angela, Dinh, Diem, Lefkovits, Jeffrey, and Reid, Christopher
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LANGUAGE & languages , *MYOCARDIAL infarction , *PHYSICIAN-patient relations , *COMMUNICATION barriers - Abstract
Abstract: Doctor–patient language discordance has been shown to lead to worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST‐elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is an independent predictor of prolonged symptom‐to‐door time, but does not lead to worse 30‐day mortality compared with English‐proficient patients. More effort needs to be placed in providing public health education in varied languages to encourage early presentation to hospital for patients with LEP. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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5. The generosity of patients shines through.
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PHYSICIAN-patient relations , *PROFESSIONAL employee training , *PHYSICIANS' attitudes , *PATIENTS' attitudes , *CLINICAL competence , *VOLUNTEER service - Abstract
The article presents author's views on generosity of patients in volunteering their time to help physicians in training develop their skills. Patients attend hospitals at early hours on weekends to be practice subjects. Highlights the patient-physician relationship that develops due to the longitudinal and considered management of complex chronic conditions is formidable; and patients want to assist junior doctors to become well rounded.
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- 2022
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6. Healthcare professional requirements for the care of adult diabetes patients managed with insulin pumps in Australia.
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Xu, S., Alexander, K., Bryant, W., Cohen, N., Craig, M. E., Forbes, M., Fulcher, G., Greenaway, T., Harrison, N., Holmes‐Walker, D. J., Howard, G., Jackson, J., Jenkins, A., Kamp, M., Kaye, J., Sinha, A., Stranks, S., O'Neal, D., and Colman, P.
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MEDICAL personnel , *DIABETES , *INSULIN , *INSULIN pumps , *JOB descriptions , *PHYSICIAN-patient relations , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Background Healthcare professional ( HCP) time supporting insulin pump therapy ( IPT) has not been documented, yet it is important in planning and allocating resources for effective care. Aim This study aims to determine HCP time spent in IPT patient care to inform resource planning for optimal IPT delivery. Methods Twenty-four Australian adult IPT-experienced institutions (14 government funded, seven private, three both) collected data between April 2012 and January 2013 prospectively, including: patient demographics, HCP classification, purpose of HCP-patient interaction, interaction mode and HCP time with the patient. A subset of patients was tracked from pre-pump education until stable on IPT. Results Data on 2577 HCP-adult patient interactions (62% face-to-face, 29% remote, 9% administrative) were collected over 12.2 ± 6.4 weeks for 895 patients; age 35.4 ± 14.2 years; 67% female; 99% type 1 diabetes, representing 25% of all IPT patients of the institutions. Time (hours) spent on IPT interactions per centre per week were: nurses 5.4 ± 2.8, dietitians 0.4 ± 0.2 and doctors 1.0 ± 0.5. IPT starts accounted for 48% of IPT interaction time. The percentage of available diabetes clinic time spent on outpatient IPT interactions was 20.4%, 4.6% and 2.7% for nurses, dietitians and doctors respectively. Fifteen patients tracked from pre-pump to stabilisation over 11.8 ± 4.5 weeks, required a median (range) of 9.2 (3.0-20.9), 2.4 (0.5-6.0) and 1.8 (0.5-5.4) hours per patient from nurses, dietitians and doctors respectively. Conclusions IPT patient care represents a substantial investment in HCP time, particularly for nurses. Funding models for IPT care need urgent review to ensure this now mainstream therapy integrates well into healthcare resources. [ABSTRACT FROM AUTHOR]
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- 2015
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7. Indigenous beliefs about biomedical and bush medicine treatment efficacy for indigenous cancer patients: a review of the literature.
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van Schaik, K. D. and Thompson, S. C.
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TUMOR treatment , *COMBINED modality therapy , *FEAR , *HEALTH attitudes , *HOLISTIC medicine , *INDIGENOUS peoples , *MEDICAL care , *MEDICAL care use , *PHYSICIAN-patient relations , *TRADITIONAL medicine , *TUMORS , *CULTURAL values , *PATIENTS' attitudes - Abstract
Background: Australia's Indigenous people suffer from higher cancer mortality than non-Indigenous Australians, a discrepancy partly caused by differences in beliefs about treatment efficacy between Indigenous patients and their non-Indigenous healthcare providers. This paper critically reviews the literature associated with Indigenous beliefs about cancer treatment, both 'bush medicine' and biomedical, in order to provide recommendations to healthcare providers about accommodating Indigenous beliefs when treating cancer. Methods: A search was undertaken of peer-reviewed journal papers using electronic databases and citation snowballing. Papers were selected for inclusion based upon relevance to themes that addressed the research questions. Results: Literature suggests that Indigenous beliefs about treatment efficacy for cancer involve five themes: (i) concerns about the toxicity of treatment; (ii) disconnect with the physician; (iii) fears about absence from home during treatment; (iv) different beliefs about disease aetiology; (v) biomedical cancer treatments failing to address holistic health. Conclusions: Although some information is known about Indigenous Australian healing beliefs and practices associated with cancer treatment, few studies have addressed ways in which Indigenous and biomedical approaches to cancer treatment might be integrated. Some recent work has examined the role of belief in cancer treatment, specifically bush medicine, but more research is required. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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8. Perceptions and attitudes of rehabilitation medicine physicians on complementary and alternative medicine in Australia.
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Mak, J. C. S., Mak, L. Y. H., Shen, Q., and Faux, S.
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ALTERNATIVE medicine , *MEDICAL rehabilitation , *PHYSICIAN-patient relations , *PHYSICIAN practice patterns , *CROSS-sectional method - Abstract
Background: The growing demand for complementary and alternative medicine (CAM) is undeniable. We report a first study about the attitudes and behaviour of Australian rehabilitation physicians to CAM. Methods: A prospective cross-sectional survey was undertaken to document the prevalence of, knowledge about and referrals to CAM therapies and their perceived effectiveness, by a sample of Australian rehabilitation physicians. Results: Thirty-six out of 94 actively practising rehabilitation physicians from the Australasian Faculty of Rehabilitation Medicine, the Royal Australasian College of Physicians, replied to the survey, a response rate of 38%, and 85% reported familiarity with CAM, the most familiar therapies being acupuncture (80%), yoga (74%) and Tai-Chi (72%). CAM referral was reported in 84%, 38% personally used CAM, 94% of patients enquired about CAM therapies, 32% of respondents routinely enquired about CAM use. Age, sex and year of Fellowship were not associated with familiarity, personal use or frequency of patient enquiry about CAM. Those who reported to be very familiar with CAM were more likely to routinely enquire about CAM use ( P = 0.028) and be more confident in prescribing certain CAM therapies ( P < 0.05). Conclusion: Australian rehabilitation physicians report similar CAM referral rates to Canadian physiatrists and Australian general practitioners. The most commonly prescribed therapies were acupuncture, yoga and Tai-Chi. Almost all patients use CAM therapies, but only a minority of rehabilitation physicians enquires about CAM use on a regular basis. The latter may avoid potentially harmful drug interactions, as well as improve the quality of the physician–patient relationship. [ABSTRACT FROM AUTHOR]
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- 2009
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9. The epidemic of compassion fatigue.
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Hitchen, Nadia
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EMPATHY , *EPIDEMICS , *EXPERIENTIAL learning , *HEALTH facilities , *LABOR supply , *MEDICAL care , *MEDICAL practice , *PATIENTS , *PHYSICIAN-patient relations , *WORK , *TEAMS in the workplace , *WELL-being , *SECONDARY traumatic stress - Published
- 2019
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10. Patient–doctor dissatisfaction in the management of medically unexplained physical symptoms: a role for medical education?
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Kamien, Max
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MEDICALLY unexplained symptoms , *ATTITUDE (Psychology) , *CHRONIC fatigue syndrome , *LYME disease , *MEDICAL quality control , *MEDICAL education , *MEDICAL personnel , *PATIENT satisfaction , *PHYSICIAN-patient relations , *SOMATOFORM disorders , *DISEASE management , *THERAPEUTICS - Abstract
The article focuses on patient–doctor dissatisfaction in the management of medically unexplained physical symptoms Topics discussed include role medical education and training in management of patients; offering quality of life to patients; and developing medical career of physicians, and medical practioners.
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- 2018
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11. Management of diabetes in Indigenous communities: lessons from the Australian Aboriginal population.
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Nguyen, H. D., Chitturi, S., and Maple‐Brown, L. J.
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CHRONIC kidney failure , *TYPE 2 diabetes diagnosis , *TYPE 2 diabetes risk factors , *TYPE 2 diabetes treatment , *OBESITY complications , *ALBUMINURIA , *BEHAVIOR modification , *PEOPLE with diabetes , *ENZYME inhibitors , *GLUCOSE tolerance tests , *GLYCOSYLATED hemoglobin , *HEALTH behavior , *HEALTH care teams , *PATIENT aftercare , *HYPERLIPIDEMIA , *HYPOGLYCEMIC agents , *INDIGENOUS peoples , *INTERNAL medicine , *MEDICAL care , *MEDICAL screening , *MEDICAL specialties & specialists , *OBESITY , *BARIATRIC surgery , *PATIENTS , *PHYSICIAN-patient relations , *POPULATION , *PRIMARY health care , *TELEMEDICINE , *GLUCAGON-like peptide 1 , *HEALTH of indigenous peoples , *SOCIOECONOMIC factors , *METFORMIN , *SODIUM-glucose cotransporters , *DISEASE risk factors - Abstract
Type 2 diabetes mellitus and other chronic cardio-metabolic conditions are significant contributors to the large disparities in life expectancy between Indigenous and non-Indigenous Australians. Type 2 diabetes is more prevalent from a young age among Indigenous Australians and is often preceded by a cluster of risk factors, including central obesity, dyslipidaemia, albuminuria and socio-economic disadvantage. Management of type 2 diabetes in Australian Indigenous peoples can be challenging in the setting of limited resources and socio-economic disadvantage. Key strategies to address these challenges include working in partnership with patients, communities and primary healthcare services ( PHC, Aboriginal community controlled and government services) and working in a multidisciplinary team. Population prevention measures are required within and beyond the health system, commencing as early as possible in the life course. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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