MyMedR

Fulltext Presidentia address. The bedside manner in medical practice

Cameron IG

Journal of the Malaya Branch of the British Medical Association, 1937;1:1-5.

Matched MeSH terms: Physician-Patient Relations

Fulltext Enhancing doctor-patient relationship: the humanistic approach

Loh KY, Sivalingam N

Med J Malaysia, 2008 Mar;63(1):85-7; quiz 88.

Doctor-patient relationship is a special kind of social. relationship where bonding is planned and carried out with the final objective of helping the patient to achieve the treatment goal. A positive therapeutic relationship encourages active participation of patient in the treatment plan, contributing to success of treatment goals and minimizing malpractice suits. The humanistic approach emphasizes the importance of love, belonging, self esteem, self expression and the final stage of self actualization-the drive to realize one's full potential. In person centered approach to therapeutic relationship, the three most fundamental elements are congruent (genuineness), unconditioned positive regards and empathy. In daily medical consultation, applying these elements can promote greater chance of success in the therapeutic process.

Matched MeSH terms: Physician-Patient Relations*

Some aspects of the doctor-patient relationship

ALFRED ES

Med J Malaya, 1957 Jun;11(4):261-4.

PMID: 13482563

Matched MeSH terms: Physician-Patient Relations*

The importance of effective communication in preventing litigation

Hegan T

Med J Malaysia, 2003 Mar;58 Suppl A:78-82.

PMID: 14556354

Good communication in all aspects of medical practice is essential. Effective communication with your patient not only enables you to take an accurate history but also helps the patient to understand their illness and no doubt assists the healing process. Communication with other health professionals allows the team approach to healthcare to succeed. It reduces the chances of a breakdown in continuity of care, builds relationships and understanding between different disciplines and specialties and helps professionals to learn from each other. In the medico-legal field poor communication is the underlying problem in the most of cases that MPS deals with. The majority of negligence cases are not related to the clinical quality of care but are triggered by inadequate communication. A breakdown in the doctor-patient often occurs before the incident that leads to a claim. It is as if the patient is just waiting for their moment to sue. In a busy clinic or GP surgery it is often easy to forget the human needs of the patient and concentrate on their medical needs. First impressions are vital not just with the doctor but also with other staff and even the clinic or hospital itself. During the consultation careful listening, giving sincere empathy early in the consultation and an expression of understanding of their concerns will go a long way to instill confidence in the patient and reduce the likelihood of a complaint should things go wrong.

Matched MeSH terms: Physician-Patient Relations*

How culture influences patient preferences for patient-centered care with their doctors

Sheeran N, Jones L, Pines R, Jin B, Pamoso A, Eigeland J, et al.

J Commun Healthc, 2023 Jul;16(2):186-196.

PMID: 37401877 DOI: 10.1080/17538068.2022.2095098

BACKGROUND: Patient-centered care (PCC) is the prevailing model of care globally. However, most research on PCC has been conducted in Westernized countries or has focused on only two facets of PCC: decision-making and information exchange. Our study examined how culture influences patients' preferences for five facets of PCC, including communication, decision-making, empathy, individualized focus, and relationship.

METHODS: Participants (N = 2071) from Hong Kong, the Philippines, Australia, and the U.S.A. completed an online survey assessing their preferences for exchange of information, autonomy in decision-making, expression and validation of their emotions, focus on them as an individual, and the doctor-patient relationship.

RESULTS: Participants from all four countries had similar preferences for empathy and shared decision-making. For other facets of PCC, participants in the Philippines and Australia expressed somewhat similar preferences, as did those in the U.S.A. and Hong Kong, challenging East-West stereotypes. Participants in the Philippines placed greater value on relationships, whereas Australians valued more autonomy. Participants in Hong Kong more commonly preferred doctor-directed care, with less importance placed on the relationship. Responses from U.S.A. participants were surprising, as they ranked the need for individualized care and two-way flow of information as least important.

CONCLUSIONS: Empathy, information exchange, and shared decision-making are values shared across countries, while preferences for how the information is shared, and the importance of the doctor-patient relationship differ.

Matched MeSH terms: Physician-Patient Relations*

Fulltext The shaman told me so!

Hani S, Ching SM, Sanwani MA

Fam Med, 2012 May;44(5):356-7.

PMID: 23027120

Matched MeSH terms: Physician-Patient Relations*

The boy who didn't like me

Marret MJ

J Paediatr Child Health, 2012 Jan;48(1):83.

PMID: 22250837 DOI: 10.1111/j.1440-1754.2011.02399.x

Matched MeSH terms: Physician-Patient Relations*

Fulltext Implementing an assessment-based communication skills training in pre-clinical phase: an IMU experience

Lukman H, Beevi Z, Mohamadou G, Yeap R

Med J Malaysia, 2006 Jun;61(2):214-6.

PMID: 16898314

This article describes the communication skills programme of the International Medical University, which adopts an integrated medical curriculum. The programme, implemented in February 2005, is based on a systematic framework aimed at teaching students basic interpersonal communication skills progressively and continuously throughout the pre-clinical phase.

Matched MeSH terms: Physician-Patient Relations*

Can medicine serve two masters?

Lum MS

Med J Malaysia, 2000 Aug;55 Suppl B:30-4.

PMID: 11125518

Matched MeSH terms: Physician-Patient Relations*

Fulltext The role of doctors as counsellors

Woon TH

Med J Malaysia, 1984 Sep;39(3):182-4.

PMID: 6544918

Matched MeSH terms: Physician-Patient Relations*

Fulltext Interlocking doctor-patient trust in patient-hood: a gender perspective among mental health care users

Kamarunzaman, N.Z., Selamat, N.H.

Malaysian Journal of Psychiatry, 2017;26(1):15-29.

MyJurnal

This article aims at exploring the trust establishment among patients with depression during their journey to psychiatric patient-hood. This study was undertaken in government hospital involving 29 psychiatric outpatient users in Kedah and Pulau Pinang respectively using phenomenological study and gender lens. Semi-structured in-depth interview and non-participant observation were the tools used in data collection. The data explicated with the aid of a qualitative data analysis tool, Atlas.ti., version 7.5. Through the findings, the study identified “Trust” appears critical in the accounts of the patients in shaping the doctor-patient relationship. Five interlocking subthemes describing the health professional’s characteristic while giving the service include doctor’s integrity, concern, competencies, empathy, and autonomy enabler. The findings had highlighted that both female and male physicians had different approach to their patients, where the female physician had better chances in getting the mandate of trust. This research is useful to health professionals and governance of mental health care to fulfil the patients’ needs based on their genders.

Study site: government hospital involving 29 psychiatric outpatient users
in Kedah and Pulau Pinang

Matched MeSH terms: Physician-Patient Relations*

Fulltext Tangible impact of patient communication modules on medical students and interns

Nayak V, Nayak KR, Goyal S, Jain S, Prabhath S, Palimar V, et al.

Adv Physiol Educ, 2024 Mar 01;48(1):40-48.

PMID: 38059281 DOI: 10.1152/advan.00092.2023

Attitude, ethics, and communication are key attributes in the doctor-patient relationship and to strengthen these qualities, the National Medical Commission, the body that regulates medical education and medical professionals in India introduced a course called Attitudes, Ethics and Communication (AETCOM) in the undergraduate medical curriculum. The objective of this study was to ascertain the perceptible qualitative influence of the modules in communication in the AETCOM course and to obtain feedback on its implementation. In this cross-sectional study, the attitude of medical students in all stages of training including internship was first explored using a Communication Skills Attitude Scale. Out of 27 modules in AETCOM course, five modules named foundations of communication deal with communication, and they are taught from the first to final professional years of training. After introducing communication modules in AETCOM for all professional years, feedback was collected from interns who had completed training in all modules. The interns provided feedback with a validated scale and two focused group discussions. Additionally, feedback from faculty involved in teaching AETCOM was analyzed. There was a significant increase in the positive attitude scores in the final year and internship compared to the first year. Eighty percent of the interns agreed that communication modules in AETCOM were useful and that they equipped them with the communication skills required for actual practice during their internship. Faculty agreed that these modules motivated the students to acquire communication skills. However, faculty also felt that these modules alone may not be sufficient to learn communication skills.NEW & NOTEWORTHY In the current study, we have assessed the attitude of medical students toward learning communication skills in all stages of their training. The novelty of our study is that communication modules were formally introduced for the first time into the medical curriculum and feedback was obtained from a cohort of interns who completed training in all modules in communication from AETCOM. The feedback from faculty and students provided us with concepts to improvise these modules.

Matched MeSH terms: Physician-Patient Relations*

Fulltext Perioperative application of chatbots: a systematic review and meta-analysis

Lin SJ, Sun CY, Chen DN, Kang YN, Lai NM, Chen KH, et al.

BMJ Health Care Inform, 2024 Jul 20;31(1).

PMID: 39032946 DOI: 10.1136/bmjhci-2023-100985

BACKGROUND AND OBJECTIVES: Patient-clinician communication and shared decision-making face challenges in the perioperative period. Chatbots have emerged as valuable support tools in perioperative care. A simultaneous and complete comparison of overall benefits and harm of chatbot application is conducted.

MATERIALS: MEDLINE, EMBASE and the Cochrane Library were systematically searched for studies published before May 2023 on the benefits and harm of chatbots used in the perioperative period. The major outcomes assessed were patient satisfaction and knowledge acquisition. Untransformed proportion (PR) with a 95% CI was used for the analysis of continuous data. Risk of bias was assessed using the Cochrane Risk of Bias assessment tool version 2 and the Methodological Index for Non-Randomised Studies.

RESULTS: Eight trials comprising 1073 adults from four countries were included. Most interventions (n = 5, 62.5%) targeted perioperative care in orthopaedics. Most interventions use rule-based chatbots (n = 7, 87.5%). This meta-analysis found that the majority of the participants were satisfied with the use of chatbots (mean proportion=0.73; 95% CI: 0.62 to 0.85), and agreed that they gained knowledge in their perioperative period (mean proportion=0.80; 95% CI: 0.74 to 0.87).

CONCLUSION: This review demonstrates that perioperative chatbots are well received by the majority of patients with no reports of harm to-date. Chatbots may be considered as an aid in perioperative communication between patients and clinicians and shared decision-making. These findings may be used to guide the healthcare providers, policymakers and researchers for enhancing perioperative care.

Matched MeSH terms: Physician-Patient Relations

Fulltext The structure of clinical consultation: a case of non-native speakers of English as participants

Bagheri H, Ibrahim NA, Habil H

Glob J Health Sci, 2015;7(1):249-60.

PMID: 25560336 DOI: 10.5539/gjhs.v7n1p249

In many parts of the world, patients may find it difficult to visit doctors who share the same language and culture due to the intermingling of people and international recruitment of doctors among many other reasons. In these multilingual multicultural settings (MMSs), doctor-patient interactions face new communication challenges. This study aims to identify the structure of clinical consultation and its phases in an MMS where both doctors and patients are non-native speakers (NNSs) of English.

Matched MeSH terms: Physician-Patient Relations*

Victims' barriers to discussing domestic violence in clinical consultations: a qualitative enquiry

Othman S, Goddard C, Piterman L

J Interpers Violence, 2014 May;29(8):1497-513.

PMID: 24323695 DOI: 10.1177/0886260513507136

Victims of domestic violence frequently attend health care facilities. In many cases, their abusive experience is neither disclosed nor discussed during clinical consultations. This study examined the barriers faced by women when discussing abuse with health care providers, specifically in cases involving Malaysian women with a history of domestic violence. A qualitative study using in-depth interviews was conducted with 10 women with a history of domestic violence residing at a shelter. Purposive sampling was conducted until data saturation. Using the grounded theory approach of analysis, themes that emerged from these interviews were then further analyzed to examine the barriers faced by these women. Women who experienced domestic violence faced multiple barriers while discussing their accounts of abuse with others. Values placed on the privacy of domestic violence; upholding the traditional gender roles; preserving the family unity; minimizing the abuse, the feeling of shame, self-blame; and fearing their abuser generally create internal barriers when discussing their encounters of abuse with health care providers. The perceived unknown role of health care professionals when dealing with patients experiencing domestic violence as well as the previous negative experiences in clinical consultations acted as external barriers for discussing abuse with health care providers. Women with domestic violence experiences faced internal and external barriers to discussing their abuse during clinical consultations. Physicians and health care providers must consider domestic violence in consultations with female patients. A good doctor-patient relationship that encompasses empathy, confidence, trust, support, assurance, confidentiality, and guidance can help patients with abusive backgrounds overcome these barriers, leading to the disclosure and discussion of their abusive encounters. Proper education, guidelines, and support for health care providers are required to help them assist women with histories of domestic violence.

Matched MeSH terms: Physician-Patient Relations*

Fulltext Informed consent: a socio-legal study

Rathor MY, Rani MF, Shah AM, Akter SF

Med J Malaysia, 2011 Dec;66(5):423-8.

PMID: 22390094 MyJurnal

Informed consent [IC] is a recognized socio-legal obligation for the medical profession. The doctrine of IC involves the law, which aims to ensure the lawfulness of health assistance and tends to reflect the concept of autonomy of the person requiring and requesting medical and/or surgical treatment. Recent changes in the health care delivery system and the complex sociological settings, in which it is practiced, have resulted in an increase in judicial activity and medical negligence lawsuits for physicians. While IC is a well-established practice, it often fails to meet its stated purpose. In the common law, the standard of medical care to disclose risks has been laid down by the Bolam test- a familiar concept to most physicians, but it has been challenged recently in many jurisdictions. This paper aims to discuss some important judgments in cases of alleged medical negligence so as to familiarize doctors regarding their socio-legal obligations. We also propose to discuss some factors that influence the quality of IC in clinical practice.

Matched MeSH terms: Physician-Patient Relations/ethics*

Fulltext Medical paternalism and patient autonomy; the dualism doctors contend with.

Sivalingam N

Med J Malaysia, 2011 Dec;66(5):421-2.

PMID: 22390093 MyJurnal

Matched MeSH terms: Physician-Patient Relations*

Fulltext Training future doctors to be patient-centred: efficacy of a communication skills training (CST) programme in a Malaysian medical institution

Lukman H, Beevi Z, Yeap R

Med J Malaysia, 2009 Mar;64(1):51-5.

PMID: 19852322 MyJurnal

This study evaluates the efficacy of the preclinical communication skills training (CST) programme at the International Medical University in Malaysia. Efficacy indicators include students' (1) perceived competency (2) attitude (3) conceptual knowledge, and (4) performance with regard to patient-centred communication. A longitudinal study with a before-after design tracked a preclinical cohort's progress on the aforementioned indicators as they advance through the training. Results indicate that following the CST, students perceived themselves to be more competent in interpersonal communication, had more positive attitude towards patient-centred communication, and developed a better conceptual knowledge of doctor-patient communication. In addition, those with good conceptual knowledge tend to demonstrate better communication skills performance at the Objective Structure Clinical Examination 12 months following the initial CST.

Matched MeSH terms: Physician-Patient Relations*

Communication skills teaching in primary care medicine

Hanafi NS, Chia YC

Med J Malaysia, 2002 Dec;57 Suppl E:74-7.

PMID: 12733197

The teaching of clinical communication skills to undergraduate medical students in the Faculty of Medicine, University of Malaya is described. It is a continuous process throughout the five-year medical curriculum which is divided into Phases I, II and III. Students are introduced to communication skills early in Phase I through an interactive session as well as a workshop on general communication skills. In Phase II, small-group two-day workshops cover the basic principles of clinical communication skills using videotapes, group discussion and role-plays. Direct contact between students and patients in actual clinical setting begin in Phase IIIA. Communication skills teaching with feedback training is carried out by videotaping the consultations. In Phase IIIB the two-way mirror is utilized as well as having workshops on certain difficult areas such as 'breaking bad news' and 'taking a sexual history'. Formal assessment is done by evaluating the behavior, language and actual interview content.

Matched MeSH terms: Physician-Patient Relations*

Fulltext Social media: the bane of practitioners?

Bhaskaran D

BJOG, 2017 Feb;124(3):525.

PMID: 28120546 DOI: 10.1111/1471-0528.14295

Matched MeSH terms: Physician-Patient Relations*

Displaying publications 1 - 20 of 113 in total