Patient–Doctor Relationship in Dermatology: From Compliance to Concordance

Taube, Klaus-Michael

doi:10.2340/00015555-2452

Cited by 20 publications

(3 citation statements)

References 8 publications

(14 reference statements)

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“…Concordance is characterized by the communication process between the patients and health professionals in the consultation to explain the illness in question (Clucas et al, 2011 ; Taube, 2016 ). The communication process involves an open exchange of information (Green & Jester, 2019 ; He et al, 2015 ).…”

Section: Concept Analysis Of Concordance In the Healthcare Contextmentioning

confidence: 99%

“…The agreement is an essential and explicit attribute of concordance (Snowden & Marland, 2013 ). It occurs when the healthcare professional’s treatment plan is similar or harmonious to the patient’s opinion and lifestyle (Randall & Neubeck, 2016 ; Taube, 2016 ). The treatment plan is generated from goal setting and planning between the healthcare professional and patient, emphasizing patient-centeredness (Atal et al, 2019 ).…”

Section: Concept Analysis Of Concordance In the Healthcare Contextmentioning

confidence: 99%

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Concordance in the healthcare context: A concept analysis

Taiwong,

Uppor,

Vibulchai

2024

Belitung Nurs J

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Background: The concept of concordance and its usage are indicative of patient-centered healthcare, which encourages an equitable collaboration between patients and clinicians. However, there is a lack of clarity in understanding concordance, and an analysis of this concept is warranted. Objective: This paper seeks to explore the essence of the concordance concept in the healthcare context. Methods: Walker and Avant’s eight-step method of concept analysis was applied. A literature search was conducted using concordance AND concord as keywords on CINAHL, MEDLINE, PubMed, ProQuest, Cochrane database, and ScienceDirect databases, published between 2006 and 2022. Results: The attributes of concordance include communication process, therapeutic partnership, and agreement on treatment regimens. Antecedents of concordance comprise provider-patient relationship, patients’ beliefs, healthcare providers’ characteristics, and complexity of treatment plans. Consequences are improved adherence and compliance, improved clinical outcomes, and better quality of life. Conclusion: This paper offers clarification of concordance by presenting its antecedents, attributes, and consequences. The findings serve as a basis for developing assessments and nursing interventions to promote patient concordance. Nurses can use the findings to encourage concordance by establishing a trusty relationship during health encounters that respects patients’ beliefs and effectively communicating to improve patients’ understanding in dealing with complex treatment plans.

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Section: Concept Analysis Of Concordance In the Healthcare Contextmentioning

confidence: 99%

Section: Concept Analysis Of Concordance In the Healthcare Contextmentioning

confidence: 99%

Concordance in the healthcare context: A concept analysis

Taiwong,

Uppor,

Vibulchai

2024

Belitung Nurs J

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“…The patient-doctor relationship could be a pivotal aspect of the long-term treatment of chronic skin diseases ( Linder & Forchetti, 2009 ; Uhlenhake et al, 2010 ; World Health Organization, 2016 ), whose highly visible symptoms increase the likelihood of stigmatisation ( Barankin & DeKoven, 2002 ; Taube, 2016 ) and psychological distress ( Richards et al, 2004 ) and decrease quality of life ( Kowalewska et al, 2020 ; Miniszewska et al, 2020 ). However, there is little research on the doctor-patient relationship in dermatology and how it relates to post-visit outcomes (cf.…”

Section: Introductionmentioning

confidence: 99%

Physician-patient agreement on physicians’ communication skills and visit satisfaction in dermatology clinics: a one-with-many design

Kwissa-Gajewska¹,

Kroemeke²

2021

Health Psychology Report

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IntroductionThere is limited research on physician–patient communication skills that covers both sides of the relationship. The aim of this study was to explore two indicators of effective physician-patient communication: the agreement of physicians’ and patients’ perspectives of physicians’ communication skills in outpatient visits to dermatology clinics and the relationship of these perceptions of the consultation with their visit satisfaction.Material and methodsDermatologists (n = 8) and their patients (n = 122) completed post-consultation dyadic measures of the content (what the physician communicates) and process (how the physician communicates) of the communication and satisfaction with a single office visit. Multilevel modelling was used to investigate the patient and doctor variance components at both the dyad and the doctor levels.ResultsThe patients rated the communication content skills higher than the physicians did; however, the doctors rated themselves as better skilled at the process of communication. There was disagreement between the physicians’ and the patients’ ratings of the both physicians’ content and process skills. In contrast, there was a high level of consensus amongst patients of the same doctor about the content and process of the doctor’s communication skills, while the physicians did not perceive themselves as consistent in communication between one patient and another. However, both the physicians and the patients who reported uniquely the highest physicians’ communication skills had higher visit satisfaction. Moreover, the patients who perceived their physicians as having good communication process skills on average had higher visit satisfaction.ConclusionsAlthough the perspectives of the same visit differed, self-rated behaviour affected satisfaction with visit.

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