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

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

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

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

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

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

Narrative medicine first entered China in 2011 and has developed rapidly since then. The patient-centered care, shared decision making and relational medicine in the medical sphere, together with patients narrating their illness and narratology contributed to the rise of narrative medicine. Through listening to patients' narratives, paying attention to their emotions, and representing their stories in various ways, clinicians can connect with patients and empathize with them. In this way, affiliation and mutual trust with patients can be established. Patients will feel good in the doctor-patient encounter because of such humane care, and clinicians may get satisfaction from their work. Narrative medicine courses characterized by close reading of literature and writing should be added to the curriculum of medical education as the major content of medical humanities, so as to train narrative competence for the future doctors.
China ; Curriculum ; Education, Medical ; Humans ; Narrative Medicine ; trends ; Physician-Patient Relations

To investigate the cognitive ability and coping strategy to mental disorders among medical workers in ear-nose-throat departments and its impact on doctor-patient relationship.
 Methods: A total of 78 medical workers (including doctors, nurses, and technicians) in ear-nose-throat departments from 10 general hospitals in Hunan Province were investigated by self-compiled questionnaire on the perspective and coping strategy to mental disorders among medical workers.
 Results: Mental disorders except depression and schizophrenia were poorly understood in respondents, and many of their coping strategies were inappropriate. Furthermore, subjects tend to avoid too much contact with psychiatric patients for being afraid of the mental disorders. The poorer understanding of mental disorders, the more inappropriate coping strategies in dealing with mental disorders (P<0.001). Moreover, there was a significant difference in inappropriate coping strategies to mental disorders between patients being abused and patients not being abused (P=0.017). Factors such as education background (P=0.031) and the hospital level (P=0.038) also impacted the coping strategies to mental disorders.
 Conclusion: Among all mental disorders, only depression and schizophrenia are coped with the right way in medical workers of ear-nose-throat departments. In addition, obviously negative attitude and avoidance are found in dealing with mental disorders by medical workers. Importantly, poor cognitive ability to mental disorders is the main reason for hurting doctor-patient relationship in the ear-nose-throat departments.
Adaptation, Psychological ; Cognition ; Humans ; Nose ; Pharynx ; Physician-Patient Relations

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