Physician patient relationship and health outcomes science

physician patient relationship and health outcomes science

Impact of clinician-patient relationship on health outcomes confirmed director of the Empathy and Relational Science Program in the MGH. In the doctor-patient relationship (building), 60% of the studies showed a positive effect on on Health Outcomes: A Systematic Review . Social Science Citation Index, Science Citation Index, EMBASE, PsycINFO, PSYN-. The Patient-Clinician Relationship Affects Medical Outcomes Riess, MD. is the Director of the Empathy and Relational Science Program at.

In this regard, one participant mentioned: As one participant stated: Sometimes just active listening is enough….

This will enable the physician to communicate with patients in an empathetic manner. Sometimes, this has been done by engaging the patients in therapeutic decision-making. This begins with the explanation and translation of medical terminology into a comprehensible language for the patient and educating them to follow the care tasks.

Because it is my verbal communication that will assure the patients; and in this method I will educate my patients. The doctor should have the skills to convey his message.

For example, one participant mentioned: Commitment The common feature of physicians participating in this study was working in one place for years. This leads to constant communication with the patients. This form of communication between a physician and patients, in turn, creates an intimacy that it is called a sense of family relationship. Doctors show their commitment to their patients through care activities. Some of these activities, in our current medical context, are extraordinary, like home visiting or phone calls.

Others fit in the context of routine daily actions; however, in their opinion these activities are signs of respect for the patient. For example, one participant noted: This results in them trusting me. This self-confidence is an important component of the healing relationship. In this regard, one of the participants stated: Finally, expert knowledge is important in building an effective communication.

physician patient relationship and health outcomes science

Trust Trust will form as a result of the process of valuation and commitment over time. One of the participants stated: This does not always mean that cure is possible, but sometimes it means that there is hope of a few more good days, and provides opportunity for gratitude and forgiveness.

In difficult situations, physicians act differently. They do not seek false hope; however, the patient will have a pleasant experience unless there was no effective treatment.

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They could understand where they were going and what was going on. In this regard, a physician stated: Accordingly, in the Iranian society, mentioning the Islamic concepts of human relationship can improve the quantity of health relationship and can enrich the components of the physician-patient relationship.

physician patient relationship and health outcomes science

In this context, a basic element and a prerequisite to respecting human dignity is viewing every human being as a creation of God. This means that it is your intent that shapes the relationship]. These components will form the three relational elements of trust, peace and hope, and being acknowledged. The present study tried to propose a model for therapeutic relationship based on the experiences of the research participants.

In order to determine the effect of this model in the current situation of medical practice, we can evaluate it at three levels. Mutual trust, peace, and being acknowledged as the results of this relationship are equally important for both patients and physicians. Third, the healing relationship affects both parties patients and physicians. In fact, most empirical studies examining the effect of the patient-clinician relationship on medical outcomes have been observational in nature [4][5][6][7][8][9][10][11] and therefore cannot assess causality.

Nevertheless, these observational studies do suggest that relationship factors may hold important potential to affect health outcomes. The patient-clinician relationship has both emotional and informational components — what Di Blasi and colleagues have termed emotional care and cognitive care [12].

A conceptual model of physician-patient relationships: a qualitative study

Emotional care includes mutual trust, empathy, respect, genuineness, acceptance and warmth [13]. Cognitive care includes information gathering, sharing medical information, patient education, and expectation management. Initially, our primary aim was to investigate the emotional component of the patient-clinician relationship.

However, most studies of the patient-clinician relationship include both cognitive and emotional care, and consequently, we expanded our focus to include these studies also. We note, however, that studies that do not separately measure emotional care while investigating communication interventions leave unclear which factor — emotional care or cognitive care — is responsible for any beneficial effects.

We also note that the boundary between cognitive care such as communications training and emotional care that enhances the patient-clinician relationship is unclear. For example, communications interventions often train clinicians to ask more open-ended questions, to resist interrupting patients, to identify and respond to patient expectations and fears, and to check patients' understanding of the diagnosis and recommended treatment.

While these techniques are intended to improve the quality of information exchange, they are also likely to produce richer interpersonal interactions. Indeed, any intervention designed to improve communication — if effectively employed — is also likely to improve the quality of the interpersonal relationship. Previous reviews have attempted to estimate the magnitude of the effect of relational factors on health outcomes and to discern the relative impact of discrete interventions and contextual factors [12][14][15][16][17].

A conceptual model of physician-patient relationships: a qualitative study

Since the last review was published almost a decade ago, and in response to enormous changes in conceptual thinking about how best to restructure the delivery of healthcare services, we undertook an updated systematic review and meta-analysis examining whether the patient-clinician relationship has a beneficial effect on healthcare outcomes.

In contrast to previous reviews, we included in our review only randomized controlled trials RCTs that had either objective or validated subjective medical outcomes; and we excluded studies that only examined intermediate outcomes such as patient satisfaction or comprehension of medical advice.

Therefore, the current review focuses on the most rigorous sources of evidence to determine whether the relationship between patient and clinician can produce improvements in health. We report here on the thirteen studies that met our selection criteria for study design and methods.

The exact electronic search strategy and a full description are provided in File S1. Briefly, the electronic search strategy required that articles: