The physician-patient working alliance: Theory, research, and future possibilities

Fuertes, Jairo N.; Toporovsky, Arielle; Reyes, Mariela; Osborne, Jennifer Bennett

doi:10.1016/j.pec.2016.10.018

Cited by 102 publications

(86 citation statements)

References 37 publications

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“…The lack of trust poses significant challenges to our profession, particularly as greater trust in healthcare professionals is associated with positive health outcomes: continuity of care, medication adherence, provider satisfaction, symptom improvement, and intention to follow prescribed care 2,3 . Overall, trustworthiness remains a critical element of person‐centered care in dentistry 4,5 leading us to a series of critical questions.…”

Section: Declining Public Trust In Healthcare Providersmentioning

confidence: 99%

Can we talk about trust? Exploring the relevance of “Entrustable Professional Activities” in dental education

Wolcott

Quiñonez²,

Ramaswamy

et al. 2020

Journal of Dental Education

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Section: Declining Public Trust In Healthcare Providersmentioning

confidence: 99%

Can we talk about trust? Exploring the relevance of “Entrustable Professional Activities” in dental education

Wolcott

Quiñonez²,

Ramaswamy

et al. 2020

Journal of Dental Education

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“…Patient questionnaires during health care appointments measuring health status, preference for active involvement in treatment decision making, and knowledge of disease and satisfaction with care could be considered [12]. Empathy, trust, and shared decision making are core constructs to support a physician-patient working alliance [13].…”

Section: Resultsmentioning

confidence: 99%

Patient perspectives on the treatment for Hashimoto’s thyroiditis: a qualitative analysis

Lee¹,

Stetten²,

Anton³

2018

Health Prim Car

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Hashimoto's thyroiditis (HT) is an autoimmune disorder which can be accompanied by a myriad of symptoms. Conventional medicine currently treats only one of these symptoms, hypothyroidism, with thyroid hormone replacement therapy. The focus of this project was to obtain personal views from HT patients on their specific health care plan, satisfaction of the treatment offered, and overall burden of this disease. Individual semi-structured interviews were conducted to obtain this information. Emerging themes included patient experiences with health care providers, symptoms experienced by patients, and treatment options offered to patients. Results suggest patient-centered care is absent from their experiences in various health care settings and current protocol for management of HT is not sufficient for alleviating many disease-related symptoms. Participants often look beyond their health care professional to better understand the disease and to seek out additional treatments. Complementary treatment options to standard therapy were strongly desired. Obtaining direct insight from the patient's perspective could be valuable for strengthening patient-provider relationships. Health care providers being mindful, informative, and empathic of patient views could improve patient's quality of care and encourage further treatment possibilities for individuals who suffer from symptoms of Hashimoto's.

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“…We did not find any factors associated with such aftercare, except whether the patient was managed by the GP at the time of the SA, with a higher frequency of patients who received aftercare by the GP if the GP was the first caregiver following the SA. This result may be related to a stronger physician-patient-family working alliance [37,38].…”

Section: Patient Management By Gps After the Samentioning

confidence: 97%

Management in primary care at the time of a suicide attempt and its impact on care post-suicide attempt: an observational study in the French GP sentinel surveillance system

et al. 2020

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Background: We aimed to describe primary care management at the time of a suicide attempt (SA) and after the SA. Methods: An observational (cross-sectional) study was conducted among 166 sentinel GPs within France (a nongatekeeping country) between 2013 and 2017 for all GP's patients who attempted suicide. Measurements: frequency of patients 1) managed by the GP at the time of the SA, 2) addressed to an emergency department (ED), 3) without care at the time of the SA, and 4) managed by the GP after the SA and factors associated with GP management at the time of and after the SA. Results: Three hundred twenty-one SAs were reported, of which N = 95 (29.6%) were managed by the GP at the time of the SA, N = (70.5%) were referred to an ED, and N = (27.4%) remained at home. Forty-eight (14.9%) patients did not receive any care at the time of the SA and 178 (55.4%) were managed directly by an ED. GPs were more likely to be involved in management of the patient at the time of the SA if they were younger (39.2% for patients < 34 years old; 22.9% for those 35 to 54 years old, and 30.3% for those more than 55 years old p = 0.02) or the SA involved a firearm or self-cutting (51.9%) versus those involving drugs (23.7%); p = 0.006). After the SA, GPs managed 174 patients (54.2%), more often (60%) when they provided care at home at the time of the SA, p = 0.04; 1.87 [1.07; 3.35]. No other factor was associated with management by GPs after the SA.

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The physician-patient working alliance: Theory, research, and future possibilities

Cited by 102 publications

References 37 publications

Can we talk about trust? Exploring the relevance of “Entrustable Professional Activities” in dental education

Can we talk about trust? Exploring the relevance of “Entrustable Professional Activities” in dental education

Patient perspectives on the treatment for Hashimoto’s thyroiditis: a qualitative analysis

Management in primary care at the time of a suicide attempt and its impact on care post-suicide attempt: an observational study in the French GP sentinel surveillance system

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