Potential media influence on the high incidence of medical disputes from the perspective of plastic surgeons

Chen, Chiehfeng; Lin, Ching Feng; Chen, Cha Chun; Chiu, Shih Feng; Shih, Fuh Yuan Frank; Lyu, Shu Yu; Lee, Ming-Been

doi:10.1016/j.jfma.2017.01.011

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…In this survey, medical disputes and complaints included all incidents involving complaints or grievances reported by patients or their families regarding medical services, treatment outcome, or medical expenses, which may or may not actually represent medical malpractice (19)(20)(21). In China, most medical disputes and complaints are reviewed and managed by hospital administrators or mediated by a thirdparty mediation service (20).…”

Section: Disputes and Complaints And Perception Of Social Environmentmentioning

confidence: 99%

Sociodemographic Characteristics and Job Satisfaction of Psychiatrists in China: Results From the First Nationwide Survey

Jiang

Rakofsky

et al. 2018

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Section: Disputes and Complaints And Perception Of Social Environmentmentioning

confidence: 99%

Sociodemographic Characteristics and Job Satisfaction of Psychiatrists in China: Results From the First Nationwide Survey

Jiang

Rakofsky

et al. 2018

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“…One of the significant findings that have emerged from the current study was that students reported having confidence in the judicial system after their CBL experience. A possible reason might be that the traditional medical education system did not address or ameliorate students' skepticism and distrust of the justice system from unfavorable and biased media reports on medical litigations [36,37], which indirectly deteriorates the relationship between doctors and patients, and drives more doctors to practice defensive medicine [35,38]. CBL provides a platform that encourages students to voice their perspectives and break stereotypes.…”

Section: Discussionmentioning

confidence: 99%

Developing an innovative medical ethics and law curriculum—constructing a situation-based, interdisciplinary, court-based learning course: a mixed methods study

Chen

Chang

et al. 2022

BMC Med Educ

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Background Traditional lecture-based medical ethics and law courses deliver knowledge but may not improve students’ learning motivation. To bridge this theory-to-practice gap and facilitate students’ learning effectiveness, we applied situated-learning theory to design an interdisciplinary court-based learning (CBL) component within the curriculum. Our study aimed to investigate students’ learning feedbacks and propose a creative course design. Methods A total of 135 fourth-year medical students participated in this course. The CBL component included 1 h of introduction, 1 h of court attendance, and 2 h of interdisciplinary discussion with senior physicians, judges, and prosecutors. After the class, we conducted a survey using a mixed-methods approach to gauge students’ perceptions of engagement, performance, and satisfaction. Results A total of 97 questionnaires were received (72% response rate). Over 70% of respondents were satisfied and felt that the class was useful except for role-playing activities (60%). More than 60% reported a better understanding of the practical applications of medical law. Approximately half (54%) reported less anxiety about medical disputes. 73% reported that the lecture provided awareness of potential medical disputes, and most respondents expressed an interest in medical law courses after the court visit (78%). 80% of the respondents were able to display empathy and apply mediation skills. Qualitative analyses showed that students demonstrated new knowledge, including recognizing the significance of the medical profession, distinguishing the importance of physician-patient communication, having confidence in the fairness of the justice system, and being willing to increase their legal knowledge. Conclusions CBL curriculum increases students’ learning motivation in strengthening medical professionalism and medical law, develops students’ empathy for patients and communication skills, as well as builds up students’ trust in the justice system. This novel course design can be applied to teach medical ethics and law.

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“…The emotional states of doctors and patients inevitably affect communication in the treatment process [ 46 ]. Negative emotions can magnify malice, damage the DPR, intensify doctor-patient conflicts, and cause medical disputes [ 46 ].…”

Section: Methodsmentioning

confidence: 99%

Enhancing doctor-patient relationships in community health care institutions: the Patient Oriented Four Habits Model (POFHM) trial—a stepped wedge cluster randomized trial protocol

Zhu

Zhang

et al. 2023

BMC Psychiatry

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Background The poor relationship between doctors and patients is a long-standing, global problem. However, current interventions tend to focus on the training of physicians, while patient-targeted interventions still need to be improved. Considering that patients play a significant role in outpatient consultations, we developed a protocol to assess the effectiveness of the Patient Oriented Four Habits Model (POFHM) in improving doctor-patient relationships. Methods A cross-sectional incomplete stepped-wedge cluster randomized trial design will be conducted in 8 primary healthcare institutions (PHCs). Following phase I of “usual care” as control measures for each PHC, either a patient- or doctor-only intervention will be implemented in phase II. In phase III, both patients and doctors will be involved in the intervention. This study will be conducted simultaneously in Nanling County and West Lake District. The primary outcomes will be evaluated after patients complete their visit: (1) patient literacy, (2) sense of control and (3) quality of doctor-patient communication. Finally, a mixed-effects model and subgroup analysis will be used to evaluate the effectiveness of the interventions. Discussion Fostering good consultation habits for the patient is a potentially effective strategy to improve the quality of doctor-patient communication. This study evaluates the implementation process and develops a rigorous quality control manual using a theoretical domain framework under the collective culture of China. The results of this trial will provide substantial evidence of the effectiveness of patient-oriented interventions. The POFHM can benefit the PHCs and provide a reference for countries and regions where medical resources are scarce and collectivist cultures dominate. Trial registration AsPredicted #107,282 on Sep 18, 2022; https://aspredicted.org/QST_MHW

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Potential media influence on the high incidence of medical disputes from the perspective of plastic surgeons

Cited by 9 publications

References 14 publications

Sociodemographic Characteristics and Job Satisfaction of Psychiatrists in China: Results From the First Nationwide Survey

Sociodemographic Characteristics and Job Satisfaction of Psychiatrists in China: Results From the First Nationwide Survey

Developing an innovative medical ethics and law curriculum—constructing a situation-based, interdisciplinary, court-based learning course: a mixed methods study

Enhancing doctor-patient relationships in community health care institutions: the Patient Oriented Four Habits Model (POFHM) trial—a stepped wedge cluster randomized trial protocol

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