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Patient Perception of Physician Knowledge and Medication Adherence .. patient physician relationships have been described as important in improving patient A checklist for medication compliance and. Non-adherence has numerous patient, physician, medication and health care system A collaborative doctor-patient relationship can improve patient On the one hand, these forms of non-adherence are often viewed as. Yale New Haven Hospital (YNHH) currently offers dental treatment and oral surgery for . adherence is more likely when provider feedback is not contradictory or confusing, prescriber relationship to patient's compliance.
A final analysis including only common questions for doctors and patients led to a two-factor solution, resulting to a item questionnaire. Together these findings suggest that the Doctor-Patient Relationship Assessment Questionnaire DoPRAQ has good psychometric properties, while common questions provide a common language, for measuring the doctor-patient relationship. Keywords Doctor-patient questionnaire; Doctor-patient relationship; Assessment of therapeutic relationship; Assessment of medical consultation; Estimation of therapeutic alliance Introduction The doctor-patient relationship has been increasingly recognized as an important variable in medical practice [ 12 ].
Throughout the history of medicinepatients and doctors have scrutinized and debated their relationship, which is undoubtedly one of the most difficult among interpersonal relations, for a variety of reasons [ 12 ].
It involves interaction between individuals in non-equal positions, and sometimes it is non — voluntary and emotionally laden, where at the same time it concerns issues of vital importance and therefore requires close cooperation.
Various theoretical approaches to the relationship have been proposed, such as the internal working model [ 3 ], the organisticsystemic model [ 4 ], the functional model of the professional dominance [ 5 ], the normative model [ 6 ], the conflict model [ 7 ], the psychodynamic model [ 8 ] and others based on the way the exchange of communication happens in the clinical practice [ 9 - 11 ]. However, the topic was only recently investigated with an empirical approach.
The doctor-patient relationship is complex [ 20 ]. Patients also place emphasis on the arts [ 3132 ], clinical competence [ 33 ] and continuity of care [ 34 ], the emotional depth of the relationship [ 35 ], the development of the working alliance [ 36 ], and the satisfaction they receive [ 1835 - 38 ]. In the light of the above, it appears important to work towards the development of a common language for doctors and patients to understand, discuss and evaluate the doctor-patient relationship.
Ways of being human, of course, are expressed in so many ways: On the other hand, dialogue is not just words; it is the expression of life-felt thoughts and feelings in every moment of our daily routine.
The Development of an Instrument for the Assessment of Doctor-Patient Relationship (Dopraq-16)
All kind of forms of communication are expected in a therapeutic relationship such as asking questions, demanding answers, love, emotions of anxiety and relief or disappointment, reason, criticism, thought, hate, even mindless behavior. Along with the mentioned theories in the area, our approach stands as a rare advocate for the human sight.
It seems that even when professionals face disease, they confront their inner world as human beings. Relationship is a mutual empowerment.
And the opposite seems to be true. Experts need to be aware of the power and empowering dimension of their smile — a warm loving statement filled with multiple messages that the other is totally valued, honored, and respected as a human being. This valuing is unconditional and continuous. It is joyful, playful, and empathic. All human beings need an enveloping sense of connectedness throughout life.
This deep-seated feeling results in a sincere longing to be in contact and communicate with others around us; this desire transcends all forms of communication, dialogue and relationship. Whether we have the appropriate education and relevant experience or not to manage the situation, whether we see ourselves engaged in a theory or their specialty context, whether we are bold enough to offer a vision of being human in any human situation, we are situated to see our potential value to that exchange by offering the meaning of therapeutic relationship.
To summon the previous information, therapeutic relationship is like a dance helps to bring about the possibility of mutual contact and transformation. And that is why therapeutic relationship, role and theory-free is more critical now than it ever has been.
The aim of the present study was to develop a psychometrically robust questionnaire for doctors and patients to reflect and measure the doctor-patient relationship, following clinical consultations.
The authors feel that an assessment of the therapeutic relationship, if it is to have some clinical as well as research utility, must be independent of technical characteristics and the theoretical orientation of the doctor. Design and Methods A systematic search for questionnaires on the world literature in order to identify every available questionnaire on the doctor-patient relationship included in other relevant studies was undertaken.
Eighty-one questionnaires available in the literature and relevant questions to the therapeutic relationship were identified list in Table 7.
Physician-patient relationship and medication compliance: a primary care investigation.
In reviewing them, the following areas were identified as being of relevance: During the initial phase of our research, all the relevant items were included in two scales, one for patients and one for doctors.
Measures The Greek translation of all questions included in the questionnaires for doctors and patients found in the literature and back translation as well to the initial language, were made by two psychologists separately and a psychiatrist familiar with the subject of this research work.
Step 6 Tailor the adherence solution to the individual patient Each patient may have a unique reason for not taking their medicine. By identifying and discussing these unique reasons you can develop a personalized approach that promotes adherence in the future.
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What should I do? These are drugs with longer half-lives that may be given once a week or once a month and have little if any symptoms upon discontinuation.Effective Physician Communication
For example, fluoxetine has a long half-life compared to other commonly used antidepressants and may be a good choice for treating depression in this situation. How can I simplify a treatment regimen to encourage adherence? Adherence increases as the frequency of dosing decreases. Choosing long-acting drugs is also useful if the dosing burden is too complex.
If possible, consolidate medicines by using combination products. Patients want and are entitled to know what might happen when they take a medicine. Informing patients of potential side effects develops trust, engages the patient and gives the physician and patient the opportunity to identify the best treatment plan together.