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Resumen Las tecnologías digitales en salud han permitido que los pacientes estén mejor informados, reducir tiempos y distancias para intervenciones en salud, lo que ha generado un cambio en la relación médico-paciente. El objetivo de este artículo fue explorar la evidencia relacionada con la influencia de WhatsApp en la relación médico-paciente. Por ello, se realizó una rápida revisión de la literatura en cinco bases de datos científicas. Obtuvimos un total de cuatro estudios que completaron los criterios de inclusión para la revisión: un reporte de caso, un estudio de casos y controles y dos estudios observacionales. El 65 % de los estudios incluidos informaron el uso de WhatsApp para la relación médico-paciente. La aplicación WhatsApp puede ser una herramienta útil como canal de comunicación en la relación. Se requiere tener especial cuidado con los aspectos éticos y legales de la comunicación entre profesionales y pacientes.
Abstract Digital technologies in health have allowed patients to be better informed, reduce times and distances for interventions in health, which has generated a change in the doctor-patient relationship. The objective of this article was to explore the evidence related to the influence of WhatsApp among the doctor-patient relationship. Therefore, a rapid review of the literature was carried out in five scientific databases. We obtained a total of four studies who completed the inclusion criteria for the review: a report case study, a case-control study, and two descriptive studies. 65% of the included studies reported the usage of WhatsApp for medical - patient relationship. WhatsApp application can be a useful tool as a communication channel in the relationship. Is required to take special care with ethical and legal aspects of communication between professionals and patients.
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PURPOSE: There have been studies on the patient-centeredness of medical students and physicians in South Korea, but no result has presented the patient-centered attitude of patients and doctors. So, this study intended to compare the attitudes of patients and doctors toward the roles that patients and physicians should play in the health care process. METHODS: One hundred and fifteen doctors and 264 patients participated in this survey using a structured questionnaire, including sociodemographic data and Patient Practitioner Orientation Scale (PPOS). The PPOS comprises sharing (sharing information, take part in decision making) and caring (respecting one's feelings, interpersonal relationships) subscales. RESULTS: The PPOS scores of the doctors and patient were 3.02 and 3.20. In detail, the doctors' sharing and caring scores were and 3.02 and 3.48, and the those of patients were 3.14 and 3.12, respectively. This results are enough to demonstrate that patients are likely to be patient-centered with regard to sharing and that doctors tend to be patient-centered in terms of caring. CONCLUSION: The patients' desire to obtain medical information and take part in decision making (sharing) are greater than those of doctors. Doctors had more patient-centered attitude than patients in terms of respects for one's feelings and interpersonal relationships (caring).
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Humans , Decision Making , Delivery of Health Care , Orientation , Republic of Korea , Students, Medical , Surveys and QuestionnairesABSTRACT
<b><i>Abstract</i></b><br><b>Introduction</b> : The purpose of this study was to identify the function of outpatients' explanatory models by qualitative research.<br><b>Methods</b> : Medical records of ninety one patients from our department were investigated from 1st September 2011 to 28th February 2012 inclusive, and were analyzed by the modified grounded theory approach.<br><b>Results</b> : The explanatory models were categorized into three groups according to their narrative, which included the following : Diagnostic model, Pathological model and Psycho-social model. Patients in the psycho-social model had no organic diseases except one pneumonia case. In the other two models, one half of the patients had organic diseases. However, the patients' self-diagnoses were frequently incorrect. We considered that their diagnostically incorrect narratives contained potential hidden messages. We therefore generated an hypothesis that patients projected their cognitive images onto the diseases they suspected.<br><b>Conclusion</b> : We consider that a patient's self-diagnosis, such as cancer or cerebral infarction, appears to contain both medical information and a metaphorical message. Further investigation is needed to understand the meaning of such hidden messages.
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PURPOSE: This study investigated the attitudes of medical students toward physicians and the roles which the doctors and patients should play in the health care process. METHODS: Attitudes toward the patient-doctor relationship of 436 medical students of the K university in Seoul were measured using the Patient-Practitioner Orientation Scale(PPOS), a validated instruments designed to measure individual preferences toward various aspects of the patient-doctor relationship. The PPOS was composed of Sharing(sharing information, take part in decision making) and Caring(respect one's feelings, interpersonal relationship) subscale. Total PPOS scores can range from patient-centered(egalitarian, whole person oriented) to disease- or doctor-centered(paternalistic, less attuned to psychosocial issues). Socio-demographic data including gender, age, school year, marital status, undergraduate major, student's and her/his family medical background and specialty choice were collected and it was investigated the possible impact of socio-demographic factors on students' attitudes. RESULTS: The PPOS score was 3.82. The Sharing and Caring scores were 3.74 and 3.90, respectively. Female gender and students of graduate entry program were significantly associated with patient-centered attitudes. Age, school year, marital status, academic background, student's and her/his family medical background, and specialty choice did not show significant associations with PPOS scores. CONCLUSION: Female and graduate students showed more patient-centered attitudes than male and undergraduate students, respectively. Given the emphasis placed on patient-centered care in the current medical environment, our results suggest further research to explore the dynamics in medical education that may foster or inhibit student attitudes toward patient-centered care.
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Female , Humans , Male , Delivery of Health Care , Education, Medical , Marital Status , Patient-Centered Care , Seoul , Students, MedicalABSTRACT
BACKGROUND: In general practice, though patients often stop visiting ambulatory clinics of their own vo-lition despite the need for ongoing medical treatment, there is little reported research on the reasons for nonattendance in Japan. In this study, we investigated whether the patient/doctor relationship influences nonattendance rates in general practice. In addition, we investigated the reasons why patients stopped visiting the hospital.<BR>METHODS: We collected data from 115 patients (58 males, 57 females; age range: 16 to 94 years old, median age: 52 years old) whose initial diagnoses were made in our department from June to July 2000. We classified the patients into five groups based on the level of their complaints concerning the initial consultation (‘A’ representing the highest degree of complaint, ‘E’ representing the lowest) and determined the relationship between the strength of complaints and the non-attendance rate. Furthermore, we investigated the reasons for non-attendance concerning 28 patients who stopped visiting the hospital from April 2000 to November 2001.<BR>RESULTS: The non-attendance rates were 0% (014) for group A, 14.3% (2114) for group B, 5.6% (5189) for group C, 33.3% (216) for group D, and 50% (1/2) for group E. The rate tended to be higher in groups with fewer complaints. The reasons for non-attendance were the following: remission of symptoms (9 patients), request for another hospital or department (6 patients), relief due to consultation at the university hospital (6 patients), and lack of time to come to the particular hospital (5 patients) . In contrast, the most common reason for satisfaction at the time of consultation was ‘enough explanation and listening to complaints well’ in 7 of 11 patients who were satisfied with the consultation.<BR>CONCLUSIONS: The level of patient's complaints at the time of consultation is related to the non-attendance rate. However, sufficient explanation about symptoms and careful listening to complaints are important for establishing a good patient/doctor relationship.
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The purpose of this study is to develop social medicine curriculum model and to propose its management device. The study developed the curriculum model and its management plan as follows; First, the social medicine curriculum can be implemented starting from the first semester of first year through the first semester of fourth year, and is splitted up into two semesters for each year of medical school. Second, a semester consists of sixteen weeks, giving two hours course per week. Third, the sixteen weeks curriculum should be composed of sub courses which lasts at least four weeks each. Forth, the elective course of social medicine is of four blocks in total, and runs from second semester of the second year through first semester of the fourth year. This means the elective courses in the first semester are opened to third and fourth year students. And the elective courses in the second semester are opened to second and third year medical students. Fifth, the minimum number of elective courses should be more than four courses per semester. Sixth, the credits for core and elective social medicine courses are one point each for any lectures or laboratories carried out in the following way; one hour course provided for sixteen weeks or two hours course provided for eight weeks. The social medicine education stands firm as one of the core subjects in twenty-first century medical education. Thus, the effectiveness and systematic development of the program as well as running it will be the most important criterion for determining the competency of a medical school.
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Humans , Curriculum , Education , Education, Medical , Lecture , Running , Schools, Medical , Social Medicine , Students, MedicalABSTRACT
Resumo A visita médica é importante instrumento didático para o ensino dos estudantes e residentes de Medicina, mas pode ter efeitos negativos sobre os pacientes. Com o objetivo de investigar a percepção dos pacientes sobre a visita médica, foram entrevistados 20 pacientes internados num hospital-escola, por meio de uma entrevista semidirigida. Os dados obtidos mostram que a maioria dos pacientes têm uma percepção positiva da visita médica, mas relatam sentimentos conflitivos em relação à sua ocorrência. Referem dificuldades para compreender o que é dito a respeito de sua doença e sentem-se desinformados e expostos. São feitas sugestões para o melhor aproveitamento da situação de visita médica no hospital, de modo que, sem perder seu caráter didático, ela possa cumprir também um papel mais efetivo na assistência ao paciente.
Summary: Medical visits are important educational instruments in teaching residents and medical students. The goal of this study was to investigate patients perception about the medical visits. Twenty patients of a university hospital were interviewed according to a semi-structured model, where patients were asked how they felt during the medical visit, its positive and negative aspects, if they understood its content, and what changes they would make in the situation. Data collected point out that the majority of patients have a positive opinion about the medical visits, but show -conflictive feelings towards it. They resent the most the lack of information about their disease and treatment, and the personal exposure during the situation. Suggestions are made in order to improve the assistencial aspect of medical visits, without harming its educational purpose.
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The patient doctor relationship,as the essential part of medical relationship, is inevitably influenced by the medical views and develops with the evolvement of medical modes. Understanding the inner logical relationships between the medical mode and the patient-doctor relationship can facilitate the further research on the patient-doctor relationship. Currently, we should choose the mode of the patient-doctor relationship on the basis of respecting patient, emphasizing the obligation, motivating the activity of patients, and constructing an honesty-trust relationship between patient and doctor, which will make it easy to understand the ethical request of the constructing of patient-doctor relationship and make the definition of the patient doctor relationship clearer.
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The patient doctor relationship has a favorable turn through preventing ard treating SARS.People have begun to recognize the main factor is ethics problem to the patient doctor relationship.