Volume 6, Issue 3 (Summer 2018)                   Iran J Health Sci 2018, 6(3): 45-52 | Back to browse issues page


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Torabipour A, Badieenasab P, Dolatshah M. Factors affecting the relationship between physician and patient in Ahvaz Community Health Centers. Iran J Health Sci 2018; 6 (3) :45-52
URL: http://jhs.mazums.ac.ir/article-1-580-en.html
Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. , parisabadieenasab@yahoo.com
Abstract:   (4216 Views)
Background and purpose: The patient-physician relationship is a cornerstone of a good primary healthcare. This study was aimed to study the factors affecting the relationship between physician and patient in Ahvaz community health centers.
Materials and Methods: In this cross-sectional study, two-hundred participants were randomly selected from 14 community health centers in Ahwaz, 2016. Data were collected using a valid Patient-Doctor relationship questionnaire (PDRQ-9). A total score of 9-45 was considered to assess communication skill of doctors. Data were analyzed using SPSS.20 Software.
Results: The results showed that the total mean and median score of physician-patient relationship was slightly higher than moderate (mean=28.58 and median=26 out of 45). The highest score (3.36 out of 5) was related to the item "I can talk to my doctor". The lowest score (2.95 out of 5) was related to the item "My doctor is dedicated to help me." Linear regression analysis shows that the waiting time for receiving services had a negative impact on the patient-doctor relationship. By increasing the waiting time for receiving services, patients' satisfaction from communication with their physicians is decreased (B = -0.112; P = 0.041).
Conclusion: The researchers concluded that the relationship between physician and patient in the studied health centers was moderate. It is necessary to develop managerial techniques to reduce waiting time of patients in order to improve the relationship between physicians and patients.
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Type of Study: Original Article | Subject: Health

References
1. Jagzape TB, Jagzape AT, Vagha JD, Chalak A, Meshram RJ. Perception of Medical Students about Communication Skills Laboratory (CSL) in a Rural Medical College of Central India. Journal of Clinical and Diagnostic Research. 2015; 9(12):JC01-JC04. [DOI:10.7860/JCDR/2015/15176.6903]
2. Rostami H, Rahmani A, Ghahramanian A. The view point of nurses about professional relationship between nurses and physicians. Journal of Nursing and Midwifery. 2009; 7(1): 63 -72. [In persian]
3. Moin A, Anbari K. doctor-patient relationship. Journal of Shahed University.2009; 17(85):71-80. [In persian]
4. Bagheri R, Mohammadikia A, Kazmyan M, Kazemi B, Rezapour M. Evaluation of satisfaction referred to family physicians from how to establish communication skills of doctors in rural health centers of Mazandaran University of Medical Sciences. Journal of Medal Education. 2012; 2(2):30-36. [In Persian]
5. Schneider U, Ulrich V. The physician–patient relationship revisited: the patient's view. International Journal of Health Care Finance Economic. 2008; 8(4):279–300. [DOI:10.1007/s10754-008-9041-3] [PMID]
6. McKinstry B, Ashcroft RE, Car J, et al. Interventions for improving patients' trust in doctors and groups of doctors. Cochrane Database Sys Rev. 2006; 19 (3):CD004134.
7. Chou PL, Lin CC. Cancer patient's adherence and symptom management: the influence of the patient-physician relationship. Hu Li Za Zhi. 2012; 59(1):11–15. [PMID]
8. Liang C-Y, Wang K-Y, Hwang S-J, Lin K-C, Pan H-H. Factors affecting the physician-patient relationship of older veterans with inadequate health literacy: an observational study. The British Journal of General Practice. 2013; 63(610):e354-e360. [DOI:10.3399/bjgp13X667222] [PMID] [PMCID]
9. Kalateh Sadati A, Iman A, Bagheri Lankarani k. Quality and Frequency of Human Fellow Voice used in doctor-patient interaction. Journal of Bioethics.2012; 4(12):101-128. [In Persian]
10. Kalate Sadati A, Bagheri Lankarani k. A model of the patient-physician relationship in accordance with Islamic concepts. Journal of Sadra Medical Sciences. 2012; 2(3):316-325. [In Persian]
11. Asemani O. A review of the models of physician-patient relationship and its challenges. Iranian Journal of Medical Ethics. 2012; 5 (4):36-50. [In Persian]
12. Karami Z, Keyvanara M. Models of relationship between physicians and patients referring to the clinic of Isfahan shahid beheshti hospital, 2007. Strides Dev Med Educ. 2010; 6 (2):149-156. [In Persian]
13. Van Der Feltz CM, Van Oppen P, Van Marwijk WJ, De Beurs E, Van Dyck RA. Patient- doctor relationship questionnaire (PDRQ-9) in primary care: development and psychometric evaluation. General Hospital Psychiatry. 2004; 26(2): 115-20. [DOI:10.1016/j.genhosppsych.2003.08.010] [PMID]
14. Thiedke CC. What do we really know about patient satisfaction? Family Practice Management. 2007 Jan; 14(1):33-6. [PMID]
15. Brédart A, Bouleuc C, Dolbeault S. Doctor-patient communication and satisfaction with care in oncology. Current Opinion in Oncology. 2005 Jul; 17(4):351-4. [DOI:10.1097/01.cco.0000167734.26454.30] [PMID]
16. Shilling V, Jenkins V, Fallowfield L. Factor's affecting patient and clinician satisfaction with the clinical consultation: can communication skills training for clinicians improve satisfaction? Psychooncology. 2003 Sep; 12(6):599-611. [DOI:10.1002/pon.731] [PMID]
17. SaxonK, London K, Bacharouch A, Smith K, Santen S, Perry M. Patients' perceptions of Waiting Times and the Effect on Patient Satisfaction in the Emergency Department. Annals Emergency Medicine. 2013; 62 (4s): S82. [DOI:10.1016/j.annemergmed.2013.07.044]
18. Maddi Neshat M, Allah Roshanaei GH, Azimi B, Niknam A. Assessing trauma patients' waiting time and its associated factors referred to an emergency department. Payesh 2015; 14 (2): 155-165. [In persian]
19. Nasiri pour A, Jahangiri K, Aghamohamadi S. Study of Waiting Time in Shahid Dastani's Specialized Clinics of Shariati Hospital Using by Six Sigma Model. Payavard. 2011; 4 (3 and 4):50-59 [In Persian].
20. Anderson RT, Camacho FT, Balkrishnan R. Willing to wait?: The influence of patient wait time on satisfaction with primary care. BMC Health Services Research. 2007;7:31. [DOI:10.1186/1472-6963-7-31] [PMID] [PMCID]
21. Azizam NA, Shamsuddin K. healthcare provider-patient communication: a satisfaction Sstudy in the outpatient clinic at hospital Kuala Lumpur. The Malaysian Journal Medical Science. 2015; 22(3):56-64. [PMID] [PMCID]
22. Kong MC, Camacho FT, Feldman SR, Anderson RT, Balkrishnan R. Correlates of patient satisfaction with physician visit: Differences between elderly and non-elderly survey respondents. Health and Quality of Life Outcomes. 2007; 5:62. [DOI:10.1186/1477-7525-5-62] [PMID] [PMCID]
23. Tallman K, Janisse T, Frankel RM, Sung SH, Krupat E, Hsu JT. Communication practices of physicians with high patient-satisfaction ratings. The Permanente Journal. 2007; 11(1):19-29. [DOI:10.7812/TPP/06-106] [PMID] [PMCID]
24. Hasanpoor E, delgoshie B, Gorji H, khogam M, Sokhanvar M. Surveying the Standard of Outpatient Visit Time among General Hospitals: A case study in Qazvin. Journal of hospital. 2015; 14 (3):75-81. [In Persian]
25. Omer, W. Use of mobile phones to calculate consultation time and comparing with perceived time in private clinics in Erbil city, Iraq. In 141st APHA Annual Meeting (November 2-November 6, 2013). 2013.
26. Shaw KM, Davis SA, Fleischer AB, Feldman SR. The Duration of Office Visits in the United States, 1993 to 2010. American Journal of Management Care. 2014; 20(10):820-826. [PMID]
27. Chen BL, Li ED, Yamawuchi K, Kato K, Naganawa S, Miao WJ. Impact of adjustment measures on reducing outpatient waiting time in a community hospital: application of a computer simulation. Chinese Medical Journal (English Edition), 2010. 123(5): 574.
28. Migongo WA, Charnigo R, Love M, Kryscio R, Fleming ST, Pearce KA. Factors relating to patient visit time with a physician. Medical Decision Making, 2012. 32(1): 93-104. [DOI:10.1177/0272989X10394462] [PMID]

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