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The doctor-patient relationship has been identified over time as a key to the success of medical treatment. It has been explored in European, North American, and Latin American contexts with particular socioeconomic, educational, and cultural conditions. This research offers a new perspective on the matter. A model has been developed for the variables influencing the intention to adhere to treatment and the direct and indirect effects of such a relationship through an experimental study. The method involved a random design of two groups of university students, with a sample of 440 participants: 80 to validate the manipulation of the independent variables in the created narratives, 150 for the pilot test, and 210 for the experimental situation. The emerging model revealed a directly proportional relationship between physician warmth and intention to adhere to treatment. The results also show the mediating role of empathy as a predictor of treatment adherence behavior and the concentration of greatest weight on the cognitive component of empathy. The significant predictors of the model confirm that the doctor-patient relationship is a clear example of heterogeneity, in which many patients and physicians with diverse characteristics come together and make each interaction unique, which appears to be more complex and multicausal than studied so far. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cuadernos Médico Sociales is the property of Colegio Medico de Chile (A.G.) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: T hrough n arrative b ioethics, t his a rticle p resents a nd d iscusses t he r esults of an analysis of the discourse of Ecuadorian palliative care physicians, aiming to understand the role of spirituality in the doctor-patient relationship and its impact on addressing ethical issues. Methodology: A qualitative methodology was employed, utilizing semi-structured interviews with twenty physicians (13 women and 7 men), aged between 28 and 69. Participants were selected using the snowball method until data saturation was achieved. The interviews were analyzed with the aid of the Altas Ti software. Results: Five categories emerged from the analysis: approach to spirituality, spirituality, death, ethics, and doctor-patient relationship. These categories analyzed through association networks. reveal the connections between ethics and spirituality as perceived by the interviewees. Discussion and conclusions: The study highlights the importance of spirituality in the health field, provided it occurs within a framework of respect and empathy. Neglecting this aspect can lead spiritual suffering for patients. [ABSTRACT FROM AUTHOR]

Endometriosis is a chronic disease of the female genital tract, the etiology of which is still unclear. The purpose of this paper is to analyze, from a biopsychosocial perspective, the structure of social representations of endometriosis of women with this disease and healthy women. To this end, an exploratory survey was conducted by administering an online questionnaire. The results made it possible to identify those particular type of social representations, the controversies, articulated differently and often contradictory in their peripheral elements. These results provide a useful basis for the construction of intervention strategies to avoid the "epistemological purgatory" in which many women are forced to live due to the discrepancy between the subjective experience of endometriosis and its expert knowledge. [ABSTRACT FROM AUTHOR]

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Copyright of Medicina Naturista is the property of Sociedad Europea de Medicina Naturista Clasica (Seccion Espanola) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Colombiana de Psiquiatria is the property of Asociacion Colombiana de Psiquiatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermeir@s is the property of Colegio Oficial de Enfermeria de Lugo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The use of terms called technical language in medical practice tends to alienate patients and distance them from medical practice, as a mere spectator, reaching the point that patients find it necessary to search for the information they need for other media, but, as happens in most cases, they are left with doubts, and they end up ignoring the details of their disease. As a consequence, we have affected the doctor-patient relationship and a dehumanized medical practice. [ABSTRACT FROM AUTHOR]

Copyright of Kranion is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article is about conflicts of interest in medical practice. Three types of conflicts of interest are defined: real, potential, and apparent. A case is mentioned in which a doctor could have a potential conflict of interest by prioritizing their economic interests over the best interests of their patients. The importance of medical ethics is discussed and how conflicts of interest can affect the doctor-patient relationship. The need for doctors to learn how to manage conflicts of interest for the benefit of patients and society is also mentioned. [Extracted from the article]

Copyright of Revista Argentina de Cardiología is the property of Sociedad Argentina de Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper points out the legal vulnerability to which doctors and other health agents are exposed as a result of the approval of the Spanish Organic Law 3/2021, of March 24, regulating euthanasia. The first part offers a comparative study of the various deontological oaths for physicians in ancient times and in the present. The essential principles of medical activity and the doctor-patient relationship are deduced from them, as well as the intrinsic relationship between medical work and the ethics of care; in the second part, the articles of the new law that seem to harm doctors and/or the exercise of their activity are analysed and counter-argued. The third part concludes with a reflection on the necessary measures that should guarantee the protection of the fundamental rights of health agents and their professional activity in accordance with the current legislation. [ABSTRACT FROM AUTHOR]

Copyright of Kranion is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Maguaré is the property of Universidad Nacional de Colombia, Departamento de Antropologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A nationwide opinion survey was applied, in which each physician was able to express his or her feelings, understanding and personal opinion in the context of quality of life at work and bioethics. A structured questionnaire with relevant topics was used, sent by the Informatics Department of the Federal Council of Medicine to the 95,022 valid e-mails registered, and 426 complete responses were obtained. There were negative manifestations; on average, more than 50% of the specific responses, which evidenced that the lack of quality of life at work acts negatively on the understanding and opinion of physicians on bioethics and the doctor-patient relationship, and not necessarily that this manifestation is materialized through their actions. There were responsive physicians who, through their responses, were able to demonstrate that a lack of quality of life at work can alter and deconstruct this relationship in the context of bioethics. [ABSTRACT FROM AUTHOR]

The way in which the clinician perceives the patient and his knowledge about informed consent (IC) are reflected in practices of respect for the patient, in relation to their autonomy and privacy from an ethical, deontological and legal framework. Objective. Analyze the perceptions and practices by surgeons in relation to the respect of the autonomy of the patient during the process of taking the IC in a hospital in the city of de Santo Domingo de los Tsáchilas / Ecuador. Methodology. Cualitattivo. The sample was by saturation applying a semi-structured interview. The data were analyzed using the Atlas Ti 8.0 ® program using structured category tracking. Result. Most doctors take consent as a legal and mandatory document, for fear of sanctioning processes. In addition, they usually delegate their responsibility to other professionals ignoring structural and ethical components of taking informed consent. Conclusion. It is evident that the lack of knowledge about IQ leads to perceptions, and therefore, to practices that violate autonomy and confidentiality, in addition to the respect of receiving information from the clinician who performed the intervention. [ABSTRACT FROM AUTHOR]

Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

in the healthcare activity carried out by health professionals, informed consent (IC) instrumentalizes the acquiescence of the patient concerning the procedure and/or surgical intervention. There is a scattered regulation in the Peruvian legal system about IC. In the Inter-American system, essential precedents establish the minimum content the patient should be informed of before consent. Compliance with 22 necessary elements and nine desirable elements in the IC forms was evaluated under the current legal system and the supranational provisions of the Inter-American Court of Human Rights (IACHR Court). These categories were validated through the judgment of expert lawyers and health professionals. The target population consisted of 456 consent forms applied in public health facilities in Metropolitan Lima from 2019-2021. In all the formats, the necessary elements associated with patient data, the health professional, and the name of the procedure or surgical intervention are fulfilled. There is no desirable element that is fulfilled in all of these formats. In this sense, there are gaps in the content of these forms in Peruvian health facilities, so the informative aspect should be vindicated to achieve fully effective acts of consent. [ABSTRACT FROM AUTHOR]

Chronic pain is experienced by subjects according to the singular way of processing the events that involve their body. Attention to transference and countertransference phenomena has allowed a gaze shift from focusing exclusively on the patient and their conditions, towards the interpersonal space that arises in the relationship with them. This concept has generated enriching contributions that favor the care relationship between medical specialties and patients, especially those involving high degrees of complexity or deemed ‘difficult’. This article describes aspects of chronic pain management in an interdisciplinary polyclinic. [ABSTRACT FROM AUTHOR]

The growing social acceptance of euthanasia contrasts with the opinion of the medical profession that, although it enjoys certain guarantees in the LORE, its deontological code may be altered if the National Health System transforms the human relationship between doctor-patient into a relationship, increasingly expansive, of a technological nature. The complexity of the evaluation of the euthanasia context and the strong animosity of the medical profession towards the application of euthanasia, cannot serve as a criterion to promote the robotization of a healthcare whose principles are respect for human life, the dignity of person and the health care of the individual and the community. This paper presents a critical analysis of the hypothesis of the application of new technologies that could replace individual conscientious objection and that of the medical profession regarding euthanasia. [ABSTRACT FROM AUTHOR]

This article presents an analysis of physicians' and patients' identities drawing on Lindemann's theory about the socio-narrative construction of identities. The main thesis is that patients' identity is constructed as a counterpart to doctorhood. This refers to the professional identity of physicians, constituted by master narratives that represent these professionals as outstanding individuals, capable of performing heroic or even supernatural actions, sometimes even comparing them to gods and superheroes, which ultimately dehumanizes them. I use the notion of symbolic couple that Serret has proposed to analyze gender identities to argue that, in the doctor-patient binomial, the identity of the former is the masculinized central category and that of the latter is the feminized limit category, which is defined as the negation of doctorhood. The argument is illustrated with empirical data collected through ethnographic research. The article concludes that dehumanization in medicine is not merely the result of the subhuman characterizations that doctors make of patients, but rather refers to a relational phenomenon that operates under a patriarchal logic in which the dehumanization of patients appears as a counterpart to the dehumanization of doctors. [ABSTRACT FROM AUTHOR]

This work aims to present a contribution to phenomenological studies on vulnerability from a particular philosophical perspective, the phenomenological-existentialist perspective of Jean-Paul Sartre. In this case, it is proposed to reflect on the experience of illness as it reveals the vulnerable dimension of human existence, and the way in which this experience is aggravated by the appearance of the objectifying gaze of the Other. A particular mode of intersubjective relationship is privileged, the doctor-patient relationship. In this sense, it is proposed that Sartrean philosophy presents relevant conceptual elements to describe the relationship between sick people and those who diagnose, treat and care for them, founding a moral perspective from an ethics of responsibility. This analysis will make it possible to put the Sartrean approach in dialogue with bioethics. [ABSTRACT FROM AUTHOR]

Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Universitaria is the property of Universidad de Guanajuato/Acta Universitaria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of CIRCULO de Linguistica Aplicada a la Comunicacion is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Vida y Ética is the property of Pontificia Universidad Catolica Argentina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Derecho de la Seguridad Social, Laborum is the property of Ediciones Laborum S.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article focuses on pharmacotherapy of patient with inflammatory bowel disease (IBD) which encompasses a group of digestive disorders that mainly affect the intestine, characterized by chronic inflammation. It mentions transabdominal ultrasound, nuclear magnetic resonance, transanal ultrasound, anal and perineal examination under anesthesia and useful techniques. It also mentions patient requires individualized treatment and starting from a good doctor-patient relationship.

Empathy is a fundamental component in the doctor-patient relationship, considering it as an appreciated attribute in the professional practice of doctors; thus, the existence of instruments that allow its measurement in a valid and reliable manner and that are adapted to the cultural characteristics of the population is indispensable. In this sense, the objective of research was to adapt and validate the cognitive and affective empathy test (TECA) in health professionals from the department of Córdoba-Colombia. Construction validity is limited through confirmatory factor analysis in a sample of 800 participants which yielded a second model of adjustments within the acceptance limits: RMSEA = 0,083, CFI = 0,929 and TLI = 0,919. In addition, it evaluates the frequency through the ordinal alpha coefficient, obtaining satisfactory values for each of the dimensions, with scores ranging from 0,79 and 0,90. Finally, the results of this study conclude that the TECA (Cognitive and Affective Empathy test) is a tool that allows to assess empathy in health professionals in a valid and reliable way. [ABSTRACT FROM AUTHOR]

Copyright of Human Review is the property of Eagora Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this article we present a case of misdiagnosis in mental health that started in the admission interview and lasted for a year of treatment. To interpret the causes of this error, and based on a collaborative process with the mental health team, we use two theoretical categories: “discourse” (understood as the set of semiotic and semantic regularities that correspond to a social field, as in “medical discourse”, etc.) and “voice” (understood as the singular product of the articulation between multiple discourses throughout the biographical trajectory of a person). Methodologically, we use the descriptive tools of conversation analysis in a heterogeneous corpus that goes through the different stages of diagnosis and treatment. The analysis shows the effect of psychoanalytic discourse, which selects some aspects of the patient’s voice while ignoring others, arriving at a diagnosis of conversion disorder (“hysteria”) and preventing another, of progressive aphasia. In the end, the potential of interaction studies for the diagnostic process and some implications of the case for the field of discourse analysis are discussed. [ABSTRACT FROM AUTHOR]

Copyright of Frónesis is the property of Universidad del Zulia (Fronesis) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background. Various authors cited in the international research literature have pointed out that empathy shown by the physician during contact with patients benefits them and the health professional him/herself. Such sources pose difficulties for generalization since empathic behavior is affected by the culture and nationality of both the physician and the patient. Furthermore, not all authors consider the relevance of empathy as key in the healthcare context. Empathy is sometimes assumed as a matter of course due to the absence of consensus on measuring and operationalizing it. Objective. The present study aimed at examining the results ofa review of the national and international research literature. Method. The scrutiny included original articles reporting a beneficial effect of empathy or its relationship to improvement for the patient or the health professional. The analysis also describes the instruments used to evaluate the construct in studies reporting benefits. The search included six years (2014-2020) from the following databases: Pubmed, Cochrane, Scielo, Latindex, and Redalyc. Results. A total of420 articles appeared, but only nine covered the search requirements. Also, seven measuring instruments emerged. Discussion. The present paper discusses some implications on the evaluation of empathy based on current research. We include relevant information aimed at healthcare professionals interested in evaluating the benefits of empathy. [ABSTRACT FROM AUTHOR]

Currently, biotechnological advances have surpassed the classical aims of medicine. Critical conceptual changes have impacted the medical construct of the doctor-patient relationship, such as a) the diversity of the concept of human nature; b) the concept of human corporeality; c) the subjective concept of autonomy, and d) the value of quality of life. A bioethical analysis of these concepts leads to understanding why current medicine could be heading towards an 'enhancement' or 'transhumanist' medicine. The conclusion shows that medicine accepts the application of biotechnology advances under the classical postulates focused on the health field and that it is necessary to deeply reflect on their application to provide improvements or new functions to healthy subjects. [ABSTRACT FROM AUTHOR]

Objective: To discuss the importance of communication in the doctor-patient relationship and collect information about perception during their practice. Materials and methods: A literature review and a survey were conducted (105 doctors in Argentina participated). Results: Most professionals report communication difficulties, which hinder care. Physicians expressed difficulties communicating bad news, primarily in clinical areas, and the ability to put themselves in the patient's shoes is essential for giving such news. Young people significantly consider that the communication of bad news depends on practice. Conclusions: Communication skills are critical. Evidence suggests that it is necessary to look into the acquisition of communication skills and ethical values. [ABSTRACT FROM AUTHOR]

The impact of the media on public opinion and the ease of access to information, thanks to the Internet and new technologies, have displaced health professionals as the main source of health information. Citizens' expectations regarding the health system have also changed at the same time as the doctor-patient relationship, with the patient emerging as a more informed, consumer and demanding agent. We analyze the factors that have led to the current situation of prestige mistrust and loss of those who should never have ceased to be the health information main sources: health professionals and organizations, in collaboration with the media and information professionals. [ABSTRACT FROM AUTHOR]

Copyright of Verba Iuris is the property of Universidad Libre Bogota, Centre de Investigaciones Socio Juridicas de la Facultad de Derecho and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de la Facultad de Derecho y Ciencias Políticas is the property of Revista Faculdad de Derecho y Ciencias Politicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

1. Marcel Proust's In Search of Lost Time recounts the fiction of the "author's" project-of-existence to become an artist. 2. The world of medicine is the area in which the fragility of man is expressed as being-referred-to-death. 3. The deceptive feeling of the power of good health intoxicates medicine, physicians, patients, relatives, treatments -- irreverent depreciation toward the perishable. 4. The medical treatment of the agony of the "author's" grandmother shows the central elements of the doctor-patient relationship in medicine at the beginning of the 20th century: cognitive, affective, operational, ethical, and social. 5. The "author" of the novel is not Marcel Proust and, although it is a fiction, it encourages today's medical world to reflect on its fundamental bioethical foundations. [ABSTRACT FROM AUTHOR]

The article is a bibliographic review of "La voz en el viento" (The Voice in the Wind), a book written by María J. Mardomingo. The book is a collection of notes in which the author reflects on the pandemic, life, death, her feelings and experiences, as well as topics related to mental health and the doctor-patient relationship. It also includes descriptions and experiences from her trips to Italy, Brazil, and Japan. The book showcases the author's extensive cultural background and poetic prose, and its reading is recommended. [Extracted from the article]

Objective: to evaluate the doctor to patient communication and consumer satisfaction in a first level of care center in metropolitan Lina, Peru. Methods: cross-sectional study that involved 121 participants selected from the outpatient internal medicine service. Two instruments were applied; communication subscale IPC-18 and patient-satisfaction through PSQ-18. Results: 68.6% of participants were females and 66.1% had completed secondary school. Doctor- patient communication was deficient in 39.7% and patient-satisfaction was low at 53.7%. Statistical association between doctor-patient communication and patient-satisfaction (p<0.005). Conclusions: in this first level of care center the doctor-patient communication and patient-satisfaction were suboptimal. More studies are needed in this field. [ABSTRACT FROM AUTHOR]

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