Strides in Development of Medical Education

Models of Relationship between Physicians and Patients Referring to the Clinic of Isfahan Shahid Beheshti Hospital 2007

Document Type : Original Article

Authors

Zahra Karami 1
Mahmoud Keyvanara 2

1 M.Sc. in Sociology, Expert in Health Humanity Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Ph.D. in Medical Sociology, Assistant Professor of Management & Health Services Dept. and Health Humanity Research Center, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
  Background & Objective : An appropriate relationship between a physician and a patient will lead to earning patients trust prevention of frequent referrals to multiple physicians and patients bewilderment and lastly it results in saving time and money Hence this study was conducted to determine the dominant model of relationship between physicians and patients according to patients opinion   Methods : In this crosssectional study 305 patients who for the first time referred to the physicians of the clinic of Isfahan Shahid Beheshti Hospital for their recent illness were recruited Data was collected using a researchermade questionnaire including 10 general and 19 attitudeassessing questions The questionnaires reliability and validity were already confirmed   Results : The dominant models of relationship between patients and physicians were guidancecooperation (865%) activepassive (111%) and mutual participation (24%) in order of frequency There was no significant difference between the relationship model and the patients educational or social class Guidancecooperation and activepassive models were significantly more frequent in older and younger individuals respectively (P=0047)   Conclusion : A ccording to mutual participation model (the most effective model of relationship between physicians and patients) and considering its low frequency in our study we can conclude that enhancing patients awareness about their health status and encouraging them to participate in the treatment process (which results in increasing both sides responsibility for a common goal) would improve the relationship between physicians and patients Having earned both physicians and patients trust all mentioned issues would finally facilitate health access

Keywords

Relationship between a physician and a patient
Active
passive model
Guidance
cooperation model
Mutual participation model
  1. Zali M. New principles of patient-physician relationship. Tehran: Shadiran press; 1999. [In Persian]
  2. Ghadiri Lashkajani Zolfaghari M. Patientphysician relationship. Tehran; Iran University of Medical science; 2000. [In Persian]
  3. Soltani Arabshahi K, Ajami A, Siyabani S. Investigation of doctor-patient communication skills teaching: Medical learners’ perception (stager-intern) and staffs of Iran University of Medical Sciences & Kermanshah University of Medical Sciences. Journal of Iran University of Medical Science 2004; 11(41): 423-32. [In Persian]
  4. Dana Siyadat Z. The effect of teaching communication skills on the clinical skills of infectious disease residents of the school of medicine, Isfahan University of Medical Sciences 2005. [In Persian]
  5. Keyvan Ara M. Basic principals of medical sociology. Isfahan; Isfahan University of Medical Science; 2007.
  6. DiMatteo MR, Martin L. Health Psychology. Boston: Allyn and Bacon; 2002.
  7. Scambler G. Sociologyas Applied to Medicin. 15th ed. londen; Saunders Ltd; 2003.
  8. Adam P, Herzlich C. Sociology of health and illness. Paris: Nathan; 1994.
  9. Flocke SA, Miller WL. Relationships between physician practice style, patient satisfaction, and attributes of primary care. J Fam Pract 2002; 51 (10): 835-40.
  10. Cooper-Patrick L, Gallo JJ, Gonzales JJ, Vu HT, Powe NR, Nelson C, et al. Race, Gender, and Partnership in the Patient-Physician Relationship. JAMA 1999; 282 (6): 583-9.
  11. Ghoodajani Y. The satisfaction of out patients, referring to private offices, regarding physicians’ communication, Isfahan city. Dissertation, Isfahan University of Medical Science, Isfahan School of Medicine; summer, 2002. [In Persian]
  12. Falahian M, Azhari Sh, Amir Z, Bina M. Patient-physician communication study of effect education communication by style feedback of video on clinical skills on interns of Medical University of Isfahan. Hakim 2002; 2(4): 261-5. [In Persian]
  13. Mazaheri M. Medical residents’ knowledge and attitude towards communication skills, Isfahan University of Medical Science, Isfahan School of Medicine; summer, 2001. [In Persian]
  14. Managheb E. The effect of teaching communication skills, via video feedback, on the interns’ clinical skills compared to the controls’, Isfahan University of Medical Sciences. Dissertation. Isfahan: school of Medicine; 2006. [In Persian]
  15. Johnson RL, Roter D, Powe NR, Cooper LA. Patient race/ethnicity and quality of patientphysician communication during medical visits. Am J Public Health 2004; 94 (12): 2084-90.
  16. Hooper EM, Comstock LM, Goodwin JM, Goodwin JS. Patient characteristic that influence physician behavior. Med Care 1982; 20 (6): 630-8.
  17. Weiss LJ, Blustein J. Faithful patients: The effect of long-term physician-patient relationships on the costs and use of health care by older Americans. Am J Public Health 1996; 86 (12): 1742-7.
  18. Callahan EJ, Bertakis KD, Azari R, Robbins JA, Helms LJ, Chang DW. The influence of patient age on primary care resident physicianpatient interaction. J Am Geriatr Soc 2000; 48(1): 30-5.
Strides in Development of Medical Education
Volume 6, Issue 2
2010
Pages 149-156

Home

Editorial Policy

Submit Manuscript

Guide for Authors

Peer Review Process

Guide for Reviewers

Publication Ethics Policy

Forms

Suggestion and Complain

FAQ

Contact Us