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In order to build a global community of health for all, it is necessary to deeply understand the influencing factors of cross-cultural communication between medical professionals and patients. Factors such as different health beliefs, cultural values and communication mediators influence cross-cultural communication between medical professionals and patients, and then affect the medical satisfaction and treatment compliance. Medical education should adopt the learning concept of constructivism, advocate maintaining a humble cultural attitude, incorporate more patient perspectives and adopt cross-cultural teaching mode to improve the cross-cultural communication competence of medical students and medical staff, so as to establish a relationship based on communication and understanding.
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Resumen La investigación a partir de la perspectiva del paciente ha brindado información importante acerca de cómo la terapia es percibida, ayudando a los terapeutas a entender algunas reacciones desde los pacientes. Debido a las pocas investigaciones de este tipo en la población infantil, la terapia con niños no ha sido beneficiada por este movimiento. El presente trabajo es de carácter empírico con un enfoque de análisis cualitativo. En este estudio se exploraron las percepciones de los niños sobre distintos elementos del proceso psicoterapéutico. Para esto, se realizaron entrevistas semiestructuradas a 10 niños entre 6 y 12 años que se encontraban realizando tratamiento psicoterapéutico, o lo habían realizado en el último año. Durante las entrevistas se indagó sobre la "relación terapéutica", las "intervenciones del terapeuta", la "valoración de la terapia", las "nociones sobre la terapia", las "características de la terapia" y el "cambio percibido". Se analizaron las entrevistas bajo una metodología cualitativa consensual (CQR). Los resultados indican que los niños percibieron cambios vinculados a su propia conducta, emociones y relaciones interpersonales y pudieron relacionarlos con sus terapeutas y la alianza establecida con ellos.
Abstract Research from the patients' perspective has provided valuable information about how the psychotherapy process is perceived, helping therapists to understand some of the patient's reactions. Due to the limited research of this type in the children population, therapy with children has not benefited from this movement. The present study is an empirical work framed in a qualitative analysis approach, in which we inquired about children's perceptions about different elements related to the psychotherapeutic process. For this purpose, we conducted semi-structured interviews with 10 children between 6 and 12 years old, who were undergoing a psychotherapeutic treatment or had done it in the last year. During the interviews, we inquired about elements such as "therapeutic relationship," "therapist interventions," "therapy assessments," "notions about therapy," "therapy characteristics," and "perceived change." The interviews were analyzed using a consensual qualitative methodology (CQR). The results indicate that children were able to perceive changes concerning their behavior, emotions, and interpersonal relationships and could link these changes with their therapists and the therapeutic alliance established with them.
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Background: Rabies is a highly fatal viral disease, yet preventable through timely administration of post-exposure prophylaxis (PEP). Anti-rabies clinic (ARC) plays an important role in providing PEP. Evaluation is a systematic way to improve current activities and by careful selection of alternative ways for better planning of future. Objective: The study was done with the intention to identify the gaps in the patients’ care in terms of patient satisfaction at ARC of a tertiary care center, Bengaluru. Materials and Methods: A cross-sectional study was conducted among 260 animal bite victims who visited outpatient department of ARC. The study tool comprised three sections; socio-demographic profile, details of animal bite, and patient satisfaction scale (PS-18) which was scored using 5-point Likert scale. T-test, analysis of variance and Pearson’s correlation was used to assess the relationship between quality dimensions and PS-18 scores. Results: The mean age of the study participants was 37.33 (17.71) years and majority were males. The overall mean score of PS-18 was 4.15 (0.42). The highest and lowest mean scores of PS-18 among the components were given to communication, 4.36 (0.61) and accessibility, 3.56 (0.75), respectively. There was significant association between religion, frequency of visit, category of bite, and cost incurred with mean scores of PS-18. Out of 260, about 62.7% of them gave good scoring for PS-18. Conclusions: The study findings showed that more than half of the patients visiting the outpatient department shared a positive experience. Although the mean scores for overall PS-18 scale belonged to the grade of good scoring; due interest to be taken to improve accessibility and convenience which was the least scored among the components of PS-18.
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Background: It is a major challenge to support training for simulated patients (SPs) and maintain a SP community. In order to promote the motivation of SPs, we conducted two sessions titled “clinical diagnostics lectures” . This study qualitatively explores the impact of the lectures for SPs. Methods: Nine SPs who attended the clinical diagnostics lectures took part in focus group interviews. Transcripts were analyzed as per the Steps for Coding and Theorization (SCAT) method. Results: Fifteen concepts and six categories were generated from the focus group interviews. The categories included <Medical information learning>, <Deepening understanding of scenarios>, <Effect on performance>, <Effect on feedback>, <Motivation for learning>, and <Concerns about biasing toward medical models>. Discussion: “Clinical diagnostics lectures” provided to SPs offer a deeper understanding of scenarios and motivation for SPs to learn. However, there was concern about deviation from the patient’s perspective.
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Introducción: diferentes autores han presentado la necesidad de complementar investigaciones cuantitativas con otras de carácter cualitativo, que permitan profundizar sobre la experiencia subjetiva de los pacientes en sus tratamientos, y su relación con el cambio en psicoterapia. Objetivos y métodos: con un diseño observacional, exploratorio-descriptivo, y un enfoque cualitativo de análisis, se realizaron 73 entrevistas semi-estructuradas a pacientes de psicoterapia. Se indagó la perspectiva de los pacientes respecto de las intervenciones llevadas a cabo por sus terapeutas. Resultados y discusión: se generaron tres áreas temáticas: 1) la percepción del formato de tratamiento ofrecido por el terapeuta al comienzo de la psicoterapia, 2) las intervenciones del terapeuta percibidas como directivas vs aquellas percibidas como receptivas y 3) la valoración del contenido y la forma en que se realizaron las intervenciones. Se discuten las implicancias de estos resultados para la práctica clínica, la investigación y el entrenamiento de terapeutas.
Introduction: Numerous psychotherapy researchers addressed the need to complement quantitative research with qualitative approaches, in order to reach a deeper understanding of patients´ subjective experience of their treatment and its relationship with change in psychotherapy. Objectives and methods: 73 semi-structured interviews to subjects who had participated in a psychotherapeutic treatment terminated within 36 months prior to the date of interview were conducted. The aim of this observational and exploratory study was to inquire patients´ perspective of the interventions carried out by their therapists. A qualitative approach, based on Hill et al. CQR (1997) was conducted to analyze the interviews. Results and discussion: Three thematic areas emerged as a result of the analysis: 1) the perception of the overview of the treatment done by the therapist at the beginning of psychotherapy, 2) indicative vs. receptive perceived interventions, and 3) participants´ assessment of the content vs. the way in which interventions were made. Implications of these findings for clinical practice, research and training of therapists are discussed.
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Humans , Therapeutics/psychology , Patient Preference , PsychotherapyABSTRACT
Aims: Skin diseases are a common reason for consulting the general practitioner (GP). Few studies have been conducted that explore the topic of chronic skin disease from the patient's perspective. The aim of this paper was to investigate experiences and perceptions of people with chronic skin diseases and their respective pathways into the health care system. Study Design: Qualitative study Place and Duration of Study: GP practices and patients’ homes; between July 2011 and August 2012. Methodology: Interviews (20-30min) with 16 patients using a semi-structured guideline were conducted. Patients were identified by their respective GP. Adult patients suffering from a chronic skin disease were included. Interviews were taped and transcribed verbatim. Qualitative analysis was conducted by two independent raters. Results: There was a broad variety of pathways into the healthcare system with about half the respondents at first contacting lay people like family members or neighbours. Nearly all participants reported an adverse effect on private, social or work life. Some of our respondents felt stigmatized. Most respondents applied a range of self-management strategies, mainly in the form of different dietary habits; many patients had also made use of complementary therapies. There were different patient expectations concerning GPs and dermatologists respectively. Conclusion: Patients with chronic skin disease show a complex health seeking behaviour which can lead to delays in accessing the official health care system. There is a considerable impact on the quality of life. Further research should address how German GPs perceive the treatment of patients with chronic skin disease and how cooperation with dermatologists can be improved.
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PURPOSE: To examined the level of patient knowledge and their perspectives about the controversial issues in total knee arthroplasty (TKA), and to evaluate the effect of a relevant explanation about the issues on the patient preferences for their particular option. MATERIALS AND METHODS: One hundred patients who visited our clinic and decided to undergo TKA were asked to complete a questionnaire asking about their knowledge and preference for 4 controversial issues: 1) surgical timing of the bilateral TKAs, 2) use of computer assisted surgery, 3) use of minimal invasive surgery, and 4) use of ceramic femoral component. The patients completed the same questionnaire after the advantages and disadvantages of each option had been explained using an explanatory document designed based upon what was documented in the literature. RESULTS: The patients were not well-informed about the issues and received their information through a non-professional source. The patients tended to prefer new options with claimed promises before an explanation. The patients preferred the options with safety, accuracy, and proven evidence after an explanation. Male patients tended to prefer simultaneous TKAs more than female patients. Younger patients preferred ceramic femoral component claimed to have better longevity more than older patients did. CONCLUSION: This study demonstrates that patients' knowledge of the current controversial issues is very limited, and that patient preferences would be significantly changed if they were given an explanation from a physician. Balanced information should be given to patients in order for them to reach a fair decision.