Communication and Ethics in the Clinical Examination

Onguti, Sharon; Mathew, Sherine; Todd, Christine

doi:10.1016/j.mcna.2017.12.010

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…The establishment of trust is based on significant interaction. Different types of patients may encounter various obstacles in nursing care, including external obstacles from family and internal obstacles from individuals, such as whether a patient with diabetes and gastroenteritis is willing to endure the abdominal cramps and receive nasal feeding tube to hold his nutrition [25]. Focus on the interaction of this kind of obstacles will improve the satisfaction of patients in treatment process, and enhance patients' trust toward doctors.…”

Section: Patient-physician Interaction and Trustmentioning

confidence: 99%

Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Peng

Yin

Deng

et al. 2019

IJERPH

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Background: In recent years, China has witnessed a surge in medical disputes, including many widely reported violent riots, attacks, and protests in hospitals. Asymmetric information between patient and physicians is one of the most critical enablers in this phenomenon, but the Web has become the primary resource for Chinese Internet applications to learn about health information and could potentially play a role in this pathway to patient-physician interaction and patient-physician trust. While considerable attention has been paid in some countries, there are few researches about China's situation for this issue. The purpose of this quantitative study was to examine the influence of online health information and the online guidance of doctors in patient health information literacy on patient-physician interaction and patient-physician trust in China. Methods: A web-based survey was conducted to collect data from online applications with health problems. A structural equation modeling was used to analyze the data to test the hypotheses. A total of 446 participants from the Tongji Hospital in Wuhan and Huazhong University of Science and Technology hospital participated in the study. Results: Our analysis shows that the usefulness of online health information and the online guidance of doctors both significantly influence the trust of the patient toward physicians and interaction with physicians. Furthermore, the patient-physician interaction also has a significant impact on the patient-physician trust. Conclusions: There are many studies on the influence of online health information on the doctor-patient relationship, whereas a little research has examined this relationship between health information online support from doctors and patient-physician interaction by quantitative empirical analysis. This study also explores the online guidance role of doctors and whether doctor-patient communication will affect the trust of doctors and patients. The practical implications of this study include an improved understanding of the function of online health information and potential impacts regarding the interaction with physicians and trust toward physicians that can be used to resolve conflicts between doctors and patients.with the traditional way of consulting with doctors or relatives or friends, Chinese Internet users are more inclined to use Internet applications to obtain health information. Studies have shown that patients' access to health information through the Internet has a positive impact on the improvement of patient-physician relationship [3][4][5][6]. The Internet has become the central resource for the public to obtain health information in China.Some studies found that 74.9% of medical staff viewed the current patient-physician relationship with a negative attitude, and medical disputes have frequently been reported such as violent riots, attacks, and protests in hospitals in China [7]. The tense patient-physician relationship mainly results from the lack of trust between doctors and patients, communicat...

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Section: Patient-physician Interaction and Trustmentioning

confidence: 99%

Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Peng

Yin

Deng

et al. 2019

IJERPH

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“…Ocular inspection alone was in the present study performed in 5 % of the bedside evaluations, which is not acceptable. It may appear that not all physicians, even if newly graduated, adhered to the ethical principles of the profession [9][10][11]. In particular, the physician should never expose the patient to discriminatory treatment and not give advice or initiate treatment without conducting a thorough clinical examination.…”

Section: Discussionmentioning

confidence: 99%

Inadequacies of Physical Examination in Patients with Acute Lower Limb Ischemia Are Associated with Dreadful Consequences

Kulezic

Mácek

Acosta

2022

Annals of Vascular Surgery

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“…Meaningful and effective physician-patient communication can be influenced by many factors including medical, ethical, and socioeconomic issues[54]. Differing opinions, patient autonomy, cost and truthful assessment could potentially cause conflict.…”

Section: Patient-centered Communicationmentioning

confidence: 99%

Management of gastroesophageal reflux disease: Patient and physician communication challenges and shared decision making

Klenzak

Danelisen

Brannan

et al. 2018

WJCC

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Gastroesophageal reflux disease (GERD) is a common upper esophageal condition and typical symptoms can include heartburn and sensation of regurgitation while atypical symptoms include chronic cough, asthma, hoarseness, dyspepsia and nausea. Typically, diagnosis is presumptive given the presence of typical and atypical symptoms and is an indication for empiric therapy. Treatment management can include lifestyle modifications and/or medication therapy with proton pump inhibitor (PPI) class being the preferred and most effective. Complete symptom resolution is not always achieved and long-term PPI therapy can put patients at risk for serious side effects and needless expense. The brain-gut connection and hypervigilance plays an important role in symptom resolution and treatment success, especially in the case of non-PPI responders. Hypervigilance is a combination of increased esophageal sensory sensitivity in combination with exaggerated threat perception surrounding esophageal symptoms. Hypervigilance requires a different approach to GERD managements, where continued PPI therapy and surgery are usually not recommended. Rather, helping physicians and patients understand the brain-gut connection can guide and improve care. Education and reassurance should be the main pillars or treatment. However, it is important not to suggest the symptoms are due to anxiety alone, this often leads to patient dissatisfaction. Patient dissatisfaction with treatment reveals the need for a more patient-centered approach to GERD management and better communication between patients and providers. Shared decision making (SDM) with the incorporation of patient-reported outcomes (PRO) promotes patient adherence and satisfaction. SDM is a joint discussion between clinician and patient in which a mutually shared solution is explored for GERD symptoms. For SDM to work the physician needs to capture patients’ perceptions which may not be obtained in the standard interview. This can be done through the use of PROs which promote a dialogue with patients about their symptoms and treatment priorities in the context of the SDM patient encounter. SDM could potentially help in the management of patient expectations for GERD treatment, ultimately positively impacting their health-related quality of life.

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Communication and Ethics in the Clinical Examination

Cited by 5 publications

References 8 publications

Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Inadequacies of Physical Examination in Patients with Acute Lower Limb Ischemia Are Associated with Dreadful Consequences

Management of gastroesophageal reflux disease: Patient and physician communication challenges and shared decision making

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