ABSTRACT
Doctor-patient relationship (DPR) is the cornerstone of clinical medicine, mobilizing powerful human resources. This article analyzes the impact of COVID-19 pandemia on DPR. Due to fear of contagion, the use of telephone or digital consultation was preferred, in which only the results of laboratory and imaging tests can be reviewed, and the patient receives a diagnostic conclusion. Patients are afraid of face-to-face consultations, and healthcare centers developed measures to reduce patient influx. Thus, a new relationship ensued, generating suspicion, mistrust and fear. The empathy and affection that the doctor must project and deliver to the patient was reduced. Depending on the duration of the pandemia, doctors and patients will eventually get used to this type of relationship and a paradigm shift will occur, in which Hippocratic medicine gives way to digital medicine.
Subject(s)
Humans , Pandemics , COVID-19 , Physician-Patient Relations , Empathy , SARS-CoV-2ABSTRACT
En el presente estudio se determinó la validez de constructo y las propiedades psicométricas del Cuestionario de Condiciones de Trabajo (qCT), de Blanch, Sahagún y Cervantes (2010), en una muestra multiocupacional venezolana, que evalúa los componentes psicosociales del entorno laboral que afectan salud y rendimiento, siguiendo el método de dos pasos de Anderson y Gerbing (1988) y Boomsma (2000). Se determinaron tres modelos factoriales posibles (paso 1); se depuraron estadísticamente hasta obtener un modelo final (paso 2), que coincidió con el modelo teórico original. Adicionalmente se verificó la validez de criterio convergente del qCT con un indicador de bienestar psicológico general, encontrando que el modelo con mayor correlación con este indicador coincide con aquel de mejor ajuste obtenido en el paso 2. Se sugiere la estandarización de ítems, mediante la reducción de amplitud de respuesta en la escala Likert y el cálculo del puntaje en los factores por medio del método ponderado.
This research work aimed to establish the number of factor models underlying the Working Conditions Questionnaire (Blanch, Sahagún and Cervantes, 2010) that assesses the psychosocial components of the environment at work place. Its methodological justification is focused on the accuracy of the instrument, to clarify psychosocial aspects of work that affect employees' health and performance; as well as to determine the psychometric properties of the instrument in the country. The 2-phase method of Anderson , Gerbing and Boomsma was used to solve the error of factorial indeterminacy Exploratory Factor Analysis, and evaluate level adjustment models. Finally, two factor models were determined viable, the theoretical model obtained the highest number of indicators in the confirmatory stage setting and a good relation with the psychological well-being indicator. It is suggested items standardization, calculating weighted score obtained from confirmed factors, and reducing the scale response.