Provider-Patient Relationship: Effective Vision to Compliance with Care

International Journal of Pharmacy and Biomedical Engineering

© 2019 by SSRG - IJPBE Journal

Volume 6 Issue 1

Year of Publication : 2019

Authors : AK Mohiuddin

10.14445/23942576/IJPBE-V6I1P102

How to Cite?

AK Mohiuddin, "Provider-Patient Relationship: Effective Vision to Compliance with Care," SSRG International Journal of Pharmacy and Biomedical Engineering, vol. 6,  no. 1, pp. 11-23, 2019. Crossref, https://doi.org/10.14445/23942576/IJPBE-V6I1P102

Abstract:

The Provider-Patient Relationship (PPR) is a novel concept of medical sociology in which patients voluntarily approach a doctor and thus become a part of a contract in which they tend to abide by the doctor's guidance. It has been proposed that an ideal PPR has six components, namely voluntary choice, practitioner's competence, good communication, empathy by the doctors, continuity, and no conflict of interest. A poor PPR has been proved to be a major obstacle for both doctors and patients and has eventually affected the quality of healthcare and the ability of the patients to cope with their illness. Owing to poor PPR, patients do not show compliance with doctor advice completely; opt for the practitioner - shopping by changing their practitioner repeatedly; remain anxious; may choose quacks or other nonscientific forms of treatment; a significant increase in direct and indirect medical expenses. Because of recurrent change in the line of treatment as per the advice of different practitioner and non-completion of the entire course of drugs, there is a definite scope for the emergence of antimicrobial resistance, which further compounds the medical cost and anxiety, and finally may develop serious forms of disease or complications. From the practitioners' perspective, they may ask for unnecessary investigations or may give over-prescriptions, just to be safe. There is also observed a remarkable decline in human touch or empathy; and a significant rise in unhealthy competition among doctors.

Keywords:

Compliance; Patient Satisfaction; Communication Skills; Empathy; Trust; Patient Comprehension; Motivation; Primary Care

References:

[1] McKinstry B Paternalism and the physician-patient relationship in general practice. Br J Gen Pract. 1992 Aug;42(361):340-2. PMID: 1457157
[2] LeBaron S, Reyher J, Stack JM. Paternalistic vs egalitarian physician styles: the treatment of patients in crisis. J Fam Pract. 1985 Jul;21(1):56-62.
[3] Emma LA, Graham M. Realising the transformative potential of healthcare partnerships: Insights from divergent kinds of literature and contrasting cases in high- and low-income country contexts Social Science & Medicine 92 (2013) 74-82
[4] Moira S. Reflections on the physician-patient relationship: from evidence and experience British Journal of General Practice, October 2005 British Journal of General Practice 2005; Vol 55: Page 793–801
[5] Rafia R. A Theoretical Review on Correspondence of Physician-Patient Relationship And Treatment Decision Making Models International Journal of Multidisciplinary Research and Modern Education Volume II, Issue I, 2016 Page 534-539
[6] Ritu A. Importance of patient-centered communication in Lifestyle Diseases Slideshare March 10, 2013.
[7] Rhonda FB, Phyllis NB. Responding to the active and passive patient: flexibility is the key ©Blackwell Science Ltd 2002 Health Expectations 5, pp.236–245
[8] Paul QB. Re-Thinking The Physician-Patient Relationship: A Physician's Philosophical Perspective A DISSERTATION Presented to the Department of Philosophy and the Graduate School of the University of Oregon in partial fulfillment of the requirements for the degree of Physician of Philosophy December 2011
[9] Jane ED. The importance of the physician-patient relationship BMJ 2009; 339 DOI: https://doi.org/10.1136/bmj.b3923
[10] Health and Behavior: The Interplay of Biological, Behavioral, and Societal Influences Committee on Health and Behavior: Research, Practice, and Policy, Board on Neuroscience and Behavioral Health ISBN: 0-309-51503-3, (2001) Copyright © National Academy of Sciences.
[11] Stacie JL, Brooke G, and others. Considerations for Providing Ambulatory Pharmacy Services for Pediatric Patients J Pediatr Pharmacol Ther 2018;23(1):4–17 DOI: 10.5863/1551- 6776-23.1.4
[12] Amy SC. Chapter 41. Preventing Health Care-Associated Infections. Patient Safety and Quality: An Evidence-Based Handbook for Nurses: Vol. 2 Hughes RG, editor. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr
[13] Richard JF. Medication errors: the importance of an accurate drug history Br J Clin Pharmacol /67:6 / 671–675
[14] Ngaire K, Stephen B, and others. Physician-Patient Relationship and Medication Compliance: A Primary Care Investigation Ann Fam Med 2004;2:455-461. DOI: 10.1370/afm.139
[15] Linghan S, Ye L, and others. Patient Satisfaction with Hospital Inpatient Care: Effects of Trust, Medical Insurance, and Perceived Quality of Care PLOS ONE | DOI:10.1371/journal.pone.0164366 October 18, 2016 Page 1- 18
[16] David CD, Ronald E, Steven ZP. Time and the PatientPhysician Relationship JGIM Volume 14, January (Supplement 1) 1999 Page 35-40.
[17] INTERSYSTEM Creating Sustainable 21st Century Health Systems: eHealth and Health Information Technology Copyright © 2015 InterSystems Corporation World Headquarters One Memorial Drive Cambridge, MA 02142- 1356
[18] Maureen M, Meri K. Commercialization of Health Care: Global and Local Dynamics and Policy Responses Project Title: Commercialization of Health Care: Global and Local Dynamics and Policy Responses UN Research Institute for Social Development
[19] Bevinahalli N, Raveesh, Ragavendra BN, Shivakumar FK. Preventing medico-legal issues in clinical practice Ann Indian Acad Neurol. 2016 Oct; 19(Suppl 1): S15–S20. DOI: [10.4103/0972-2327.192886] PMID: 27891020
[20] AAMC Professionalism in Medicine and Medical Education Foundational Research and Key Writings 2010–2016 Journal of the Association of American Medical Colleges Copyright © 2017 by the Association of American Medical Colleges.
[21] Kristine S, Stephan VB, and others. Health literacy and public health: A systematic review and integration of definitions and models BMC Public Health. 2012; 12: 80. DOI: [10.1186/1471-2458-12-80] PMID: 22276600
[22] Piyush R, Archana K, Avinash C. How can Physicians Improve their Communication Skills? J Clin Diagn Res. 2015 Mar; 9(3): JE01–JE04. DOI: [10.7860/JCDR/2015/12072.5712] PMID: 25954636
[23] ClinGov Complaints and patient satisfaction: a comprehensive review of the literature CENTRE FOR CLINICAL GOVERNANCE RESEARCH © Debono D, Travaglia J. 2009
[24] Barry E. Chapter 2. Empathy Behavioral Medicine: A Guide for Clinical Practice, Third Edition Feldman, Mitchell; Christensen, John Publisher: McGraw-Hill Medical, 2007 ISBN 10: 0071438602 ISBN 13: 9780071438605
[25] Bernadette AMC Investigating the effectiveness of communication taking place between hospital pharmacists and patients during medication counseling A thesis submitted for the degree of Physician of Philosophy at The University of Queensland in 2017 School of Pharmacy
[26] Saul JW, Simon A. From Empathy to Caring: Defining the Ideal Approach to a Healing Relationship Yale J Biol Med. 2007 Sep; 80(3): 123–130. PMID: 18299724
[27] Alex JM. Empathetic Consultation Skills in Undergraduate Medical Education: A Qualitative Approach. Submitted for the degree of Physician of Philosophy University of East Anglia Norwich Medical School 2014
[28] Andrew KS. Strategies for ensuring trustworthiness in qualitative research projects Education for Information 22 (2004) 63–75 IOS Press
[29] Walter WR. Chapter 23. Applying Information Mastery And Evidence in Practice Information Mastery: Evidence-based Family Medicine, Volume 1 By Walter Rosser, David C. Slawson, Allen F. Shaughnessy Publisher: pmph USA; 2 edition (April 1, 2004) ISBN-10: 1550091824 ISBN-13: 978- 1550091823
[30] Henriksen K Dayton E, Keyes MA, and others. Chapter 5. Understanding Adverse Events: A Human Factors Framework Patient Safety and Quality: An Evidence-Based Handbook for Nurses Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Publication No.: 08- 0043
[31] Dorr Goold S, Lipkin M. The doctor-patient relationship: challenges, opportunities, and strategies. J Gen Intern Med. 1999;14 Suppl 1(Suppl 1): S26-33.
[32] Clare MD. Informed Consent: Ethical theory, legal obligations and the physiotherapy clinical encounter Submitted for the fulfillment of Ph.D., October 2005
[33] Marie TB, Jennifer KB. Medication Adherence: WHO Cares? Mayo Clin Proc. 2011 Apr; 86(4): 304–314. DOI: [10.4065/mcp.2010.0575] PMID: 21389250
[34] Sandra P, Mark JD, Ashley D. Navigating Ethics of Physician-Patient Confidentiality: A Communication Privacy Management Analysis Perm J. 2012 Fall; 16(4): 41–45. PMID: 23251116
[35] Ray N. Introduction to Medical Ethics Centre for Reproductive Ethics and Rights UCL Institute for Women's Health London 2007 Page 31 [36] Medical Board of Australia. Good Medical Practice: A Code of Conduct for Doctors in Australia.
[37] Aravind VK, Krishnaram VD, Thasneem Z. Boundary crossings and violations in clinical settings. Indian J Psychol Med. 2012;34(1):21-4.
[38] Thomas GG, Glen OG. Misuses and Misunderstandings of Boundary Theory in Clinical and Regulatory Settings Am J Psychiatry 1998; 155:409–414
[39] PSYCH Psychiatrists' Support Service Manager, Psychiatrists' Support Service© Royal College of Psychiatrists 2013
[40] AMA Principles of Medical Ethics: I, II, IV, VII Chapter 1: Opinions On Patient-Physician Relationships
[41] Rangeel SR, Priyanka S, and others. Emerging Ethical Perspective in Physician-Patient Relationship J Clin Diagn Res. 2014 Nov; 8(11): XI01–XI04. DOI: [10.7860/JCDR/2014/10730.5152] PMID: 25584294
[42] Ramchandra DL. Chapter 2. Duties of Physicians to Other Patients Essentials of Hospital Management & Administration Publisher: Educreation Publishing ISBN: 9781545718841, 1545718849 Edition: 2018
[43] Rajesh B. Chapter 2. Duties of Physicians to their Patients Principles of Forensic Medicine & Toxicology Publisher: Jaypee Brothers Medical Publishers (P) LTD New Delhi • Panama City • London
[44] Krishnan V. Chapter 22. Medical Education vis-à-vis Medical Practice Textbook of Forensic Medicine & Toxicology: Principles & Practice Kindle Edition by Krishnan Vij (Author) Publisher: Elsevier India; 5th edition (10 February 2014) ASIN: B00JWMJZZI
[45] Ezekiel J. Emanuel, Linda L. Emanuel Four Models of the Physician-Patient Relationship JAMA. April 22/29, 1992-Vol 267, No. 16
[46] Kyriakos S. Patient participation in contemporary health care: promoting a versatile patient role Health Expect. 2016 Apr; 19(2): 175–178. DOI: [10.1111/hex.12456] PMID: 26995388
[47] Qing ZT, Hyeoneui K, Martha H. Improving Patient Comprehension and Recall of Discharge Instructions by Supplementing Free Texts with Pictographs AMIA Annu Symp Proc. 2008; 2008: 849–853. PMID: 18999109
[48] Patti GM, Jann BS. Pharmacists' Contributions to Primary Care in the United States Collaborating to Address Unmet Patient Care Needs: The Emerging Role for Pharmacists to Address the Shortage of Primary Care Providers Am J Pharm Educ. 2010 Dec 15; 74(10): S7. PMID: 21436916
[49] Robert JA. Improving health outcomes with better patient understanding and education Risk Manag Healthc Policy. 2010; 3: 61–72. DOI: [10.2147/RMHP.S7500] PMID: 22312219
[50] Hiroyasu G. The Physician-Patient Relationship Desired by Society 259 JMAJ, May / June 2007 — Vol. 50, No. 3
[51] Portmann J. Physician-patient relationship like marriage, without the romance. West J Med. 2000 Oct;173(4):279-82.
[52] Lipkin M (1987) The medical interview as core clinical skill: the problem and the opportunity. J Gen Intern Med 2(5): 363- 365.
[53] Susan DG, Mack L. The Physician-Patient Relationship Challenges, Opportunities, and Strategies J Gen Intern Med. 1999 Jan; 14(Suppl 1): S26–S33. DOI: [10.1046/j.1525- 1497.1999.00267.x] PMID: 9933492
[54] Kerse N, Buetow S, Mainous AG, Young G, Coster G, and others Physician-Patient Relationship and Medication Compliance: A Primary Care Investigation. Ann Fam Med (2004) 2(5): 455-461.
[55] Shachak A, Reis S. The impact of electronic medical records on patient-doctor communication during the consultation: a narrative literature review. J Eval Clin Pract. 2009 Aug;15(4):641-9. DOI: 10.1111/j.1365-2753.2008.01065.x. Epub 2009 Jun 10. Review. PMID: 19522722
[56] Wyatt, S. Turned on or turned off? Accessing Health Information on the Internet, Gender, Technology, and Methodology research group, University of Twente, Netherlands, 7 November 2001.
[57] Hart, A., Henwood, F., Wyatt, S and Marshall, A.' The Internet, HRT, and Viagra: Transformations in 'informationseeking practices'? Paper presented at Amsterdam School of Communications Research (ASCoR), University of Amsterdam, 27 March 2003.
[58] Broom, A. "Virtually he@lthy: The Impact of Internet use on Disease Experience and the Physician-Patient Relationship." Qualitative Health Research 15.3 (2005): 325-45.
[59] Christine W. Duclos, Mary Eichler, Leslie Taylor, Javan Quintela, Deborah S. Main, Wilson Pace, Elizabeth W. Staton; Patient perspectives of patient-provider communication after adverse events, International Journal for Quality in Health Care, Volume 17, Issue 6, 1 December 2005, Pages 479–486, https://doi.org/10.1093/intqhc/mzi065
[60] José Henry Osorio Evolution and changes in the physicianpatient relationship Colomb. Med. vol.42 no.3 Cali July/Sept. 2011
[61] Julie S, Kevin G, and others. Effect of Physician and Patient Gender Concordance on Patient Satisfaction and Preventive Care Practices J Gen Intern Med. 2000 Nov; 15(11): 761–769. DOI: [10.1046/j.1525-1497.2000. 91156.x] PMID: 11119167
[62] CorzerKeystone. Terminating the Physician-Patient Relationship. © 2018 Crozer-Keystone Health System.
[63] National Research Council (US) Panel on Race, Ethnicity, and Health in Later Life; Anderson NB, Bulatao RA, Cohen B, editors. Critical Perspectives on Racial and Ethnic Differences in Health in Late Life. Washington (DC): National Academies Press (US); 2004. 3, Racial and Ethnic Disparities in Health and Mortality Among the U.S. Elderly Population.
[64] Escarce JJ, Morales LS, Rumbaut RG. The Health Status and Health Behaviors of Hispanics. In: National Research Council (US) Panel on Hispanics in the United States; Tienda M, Mitchell F, editors. Hispanics and the Future of America. Washington (DC): National Academies Press (US); 2006. 9.
[65] Ananya M. What are Health Disparities? News Medical Life Sciences Last Updated: Aug 23, 2018
[66] Susanne BN, Kamyar KZ, Keith CN. socio-economic Disparities in Chronic Kidney Disease Adv Chronic Kidney Dis. 2015 Jan; 22(1): 6–15. DOI: [10.1053/j.ackd.2014.07.002] PMID: 25573507
[67] Worley MM, Schommer JC, Brown LM, Hadsall RS, Ranelli PL, Stratton TP, Uden DL. Pharmacists' and patients' roles in the pharmacist-patient relationship: are pharmacists and patients reading from the same relationship script? Res Social Adm Pharm. 2007 Mar;3(1):47-69. PMID: 17350557
[68] JCPP, Pharmacists' Patient Care Process May 29, 2014, Joint Commission of Pharmacy Practitioners
[69] Alghurair SA, Simpson SH, Guirguis LM. What elements of the patient-pharmacist relationship are associated with patient satisfaction?. Patient Prefer Adherence. 2012;6:663-76.
[70] Theresa O. Agbele, Joshua C. Nwambo, Ukamaka C. Nwankwo, "Patients’ Perception of Quality Nursing Care in a Federal Medical Centre" SSRG International Journal of of Nursing and Health Science 4.1(2018): 1-6.