OBJECTIVE: To preliminarily explore the applicable scenarios of an intraoral camera to assist oral anatomical landmarks recognition, so as to improve the clinical diagnosis and treatment mode, cultivate the concept of caring for patients, strengthen doctor-patient communication, assist experts to teach, and improve the clinical diagnosis and efficacy rate. METHODS: A new type of an intraoral camera was applied in the recognition of oral anatomy landmarks and four application scenarios were developed, namely: (1) clinical diagnosis and treatment scenarios, in which doctors used intraoral camera to conduct a comprehensive examination of patients in the mouth and take videos and photos; (2) doctor-patient communication scenarios, when the doctor told the patient about the treatment plan, the video or photo taken by the intraoral camera was displayed to the patient; (3) expert teaching scenarios, when the expert used an intraoral camera to teach in the patient's mouth, and the young doctor learned oral anatomical signs on the projection screen, with the study of theoretical lessons; (4) difficult case recording scenarios, in the process of clinical diagnosis and treatment, when encountering difficult cases, you could use intraoral camera to record and take photos for young doctors to discuss, and experts to comment and guide. RESULTS: The application of intraoral camera could: (1) improve the clinical diagnosis and treatment mode and raise the clinical diagnosis and efficacy rate; (2) stimulate young doctors' interest in learning, use intraoral camera in assessments, and skillfully combine theoretical knowledge of anatomical landmarks with clinical practice, so as to improve the teaching effect; (3) cultivate, through self or mutual use, the concept of caring for patients and reinforce the importance of gentle operation; (4) strengthen doctor-patient communication. Doctors could communicate with patients more visually, so that the patients could better understand their own situation, and strengthen the patients' trust in the doctors. CONCLUSION Intraoral camera can assist oral clinical diagnosis and treatment, such as the recognition of oral anatomical landmarks. It plays a certain role in promoting the improvement of clinical diagnosis and treatment mode, stimulating learning interest, cultivating the concept of caring for patients, and enhancing doctor-patient communication.
Humans ; Physician-Patient Relations ; Physicians ; Communication ; Mouth ; Learning

Humans ; East Asian People ; Asthma/drug therapy* ; Physicians ; Patients ; Physician-Patient Relations

Objective: This study adapted and translated the Trust in Oncologist Scale (TiOS) into the Tagalog Trust in Ophthalmologist Scale (TTOS) and validated the latter. Methods: The 18-item TiOS questionnaire was translated into Tagalog and validated in a cohort of 200 Filipino ophthalmology patients of a single institution. Internal consistency, construct validity, and test-retest reliabilities were determined. Exploratory factor analyses were also performed. Results: The TTOS showed high internal consistency with Cronbach alpha of 0.92, high reliability with Pearson's coefficient of 0.85, and high validity with Spearman’s coefficient of 0.67. Conclusion The TTOS is a valid and reliable tool to measure the level of trust of Filipino patients in their ophthalmologists.
patient-physician relationship

OBJECTIVES: To understand the perceptions of doctors, patients and forensic examiners on the current situation of medical disputes and medical damage identification in China, and to explore the medical damage identification model that is more conducive for the resolution of medical disputes. METHODS: A questionnaire was designed, and in-service clinicians, forensic examiners and inpatients in Sichuan Province and Chongqing City were randomly selected from April to November 2019. SPSS 22.0 software was used to analyze the data of various survey results. RESULTS: Compared with patients (24.92%), doctors (61.72%) believed that the current doctor-patient relationship was more tense than before; both doctors and patients were more inclined to choose voluntary consultation and people's mediation to resolve medical disputes; forensic examiners have the highest level of cognition of medical and health-related laws and regulations, followed by doctors and patients; 66.72% of doctors and 78.41% of patients believed that medical damage identification was necessary, and they were more inclined to entrust forensic identification institutions; different groups all believed that forensic examiners and doctors should participate in the identification together, 80.94% of doctors believed that the appraisal institutions should be responsible for the forensic opinion, not the appraiser. CONCLUSIONS It is suggested that the Medical Association identification and forensic identification should learn from each other and formulate basic unified rules for the identification of medical damage. It is suggested to standardize the behavior of medical damage forensic identification institutions and appraisers, to improve their own appraisal level, actively invite clinical medical experts for consultation in identification, and promote the standardized, scientization of forensic identification.
China ; Dissent and Disputes ; Forensic Medicine ; Humans ; Physician-Patient Relations ; Surveys and Questionnaires

Background: The doctor-patient relationship has been recognized throughout the history of medicine and its importance was emphasized in the delivery of healthcare services and health outcomes. One of the major roles of empathy is changing a pathologic mind’s configuration, and the establishment of a linkage between a doctor and patient is a crucial element of a strong therapeutic alliance and health outcome. This is an element to gain trust and comprehension to sustain a good communication and to eliminate burden for both the doctor and the patient. Objective: To determine the empathy scores of Physicians of Region 1 Medical Center (R1MC) Department of Family and Community Medicine (DFCM) towards patients. Methods: This was a purely descriptive study thru survey of DFCM physicians conducted among patients catered at the DFCM OPD of R1MC. Result: In this study, the authors had a total 614 respondent from the six different districts in Pangasinan. All of them were able to answer the questionnaire based on Consultation and Relational Empathy (CARE) model which was utilized in this study in assessing the empathy score of Family and Community Medicine Department Physicians in Region I Medical Center. The overall mean CARE Measure score was 48.77 (SD 3.38) and 77.2% achieved the maximum possible score of 50. Conclusion Based on the findings and analysis of the data gathered in this research study using CARE Measure, we therefore concluded that physicians from the Department of Family and Community Medicine of Region I Medical Center showed great empathy towards patients as based on the empathy score of excellent.
Physician-Patient Relations

Breast Feeding ; Female ; Humans ; Physician's Role ; Physicians, Family

China ; Decision Making ; Decision Making, Shared ; Humans ; Physician-Patient Relations

OBJECTIVE: This study aimed to compare the demographic characteristics and trauma service structures and processes of hospitals in 15 countries across the Asia Pacific, and to provide baseline data for the integrated trauma database: the Pan-Asian Trauma Outcomes Study (PATOS).METHODS: Medical directors and emergency physicians at PATOS-participating hospitals in countries across the Asia Pacific were surveyed through a standardized questionnaire. General information, trauma care system data, and trauma emergency department (ED) outcomes at each hospital were collected by email and analyzed using descriptive statistics.RESULTS: Survey data from 35 hospitals across 15 countries were collected from archived data between June 2014 and July 2015. Designated trauma centers were identified as the highest hospital level for trauma patients in 70% of surveyed countries. Half of the hospitals surveyed had special teams for trauma care, and almost all prepared activation protocol documents for these teams. Most hospitals offered specialized trauma education programs, and 72.7% of hospitals had a hospital-based trauma registry. The total number of trauma patients visiting the ED across 25 of the hospitals was 300,376. The overall survival-to-discharge rate was 97.2%; however, it varied greatly between 85.1% and 99.7%. The difference between survival-to-discharge rates of moderate and severe injury groups was highest in Taiwan (41.8%) and lowest in Thailand (18.6%).CONCLUSION: Trauma care systems and ED outcomes vary widely among surveyed hospitals and countries. This information is useful to build further detailed, systematic platforms for trauma surveillance and evidence-based trauma care policies.
Asia ; Asian Continental Ancestry Group ; Cross-Sectional Studies ; Education ; Electronic Mail ; Emergencies ; Emergency Service, Hospital ; Epidemiology ; Humans ; Physician Executives ; Taiwan ; Thailand ; Trauma Centers

Developmental delays are common in childhood, occurring in 10%-15% of preschool children. Global developmental delays are less common, occurring in 1%-3% of preschool children. Developmental delays are identified during routine checks by the primary care physician or when the parent or preschool raises concerns. Assessment for developmental delay in primary care settings should include a general and systemic examination, including plotting growth centiles, hearing and vision assessment, baseline blood tests if deemed necessary, referral to a developmental paediatrician, and counselling the parents. It is important to follow up with the parents at the earliest opportunity to ensure that the referral has been activated. For children with mild developmental delays, in the absence of any red flags for development and no abnormal findings on clinical examination, advice on appropriate stimulation activities can be provided and a review conducted in three months' time.
Child ; Child, Preschool ; Developmental Disabilities ; diagnosis ; therapy ; Female ; Humans ; Male ; Mass Screening ; methods ; Parents ; Pediatrics ; methods ; Physical Examination ; Physician-Patient Relations ; Primary Health Care ; organization & administration ; Referral and Consultation ; Singapore

Medicine is a science studying human's health and diseases as well as the regularity between them. Its research subject is human, who possess natural attribute, psychological attribute and social attribute. Therefore, medicine is bound to possess humanistic attribute. Rooted in Chinese traditional culture, Traditional Chinese Medicine contains abundant humanistic thoughts, for instance, pursuing the unity of human and nature, advocating the vital importance of life, sticking to the virtue of "medicine being humane art", abiding by the principle of "Benevolence prior to interest", complying with the medical rule of "Respecting peers". These are the very concrete reflections of medical humanistic spirit. In this article we aim to explore the humanistic thoughts contained in Traditional Chinese Medicine, and try to inherit and carry forward the spirit to better relieve the tensions between doctors and patients and improve the quality of medical services.
Humans ; Medicine, Chinese Traditional ; Physician-Patient Relations