Speak with Patients, not at them. Analysing the Foundations of Trust in Medical Care
DOI:
https://doi.org/10.3989/RIS.2007.10.10Keywords:
Doctor-patient Relationship, Patient Satisfaction, Communication, Information, Patient Participation, Quality of HealthcareAbstract
Various studies have focused on defining the roles that both doctors and patients should adopt during consultations with a view to improving user satisfaction and confidence in the medical care they receive. These two factors clearly contribute to ensuring compliance with the advice and treatments prescribed by healthcare providers and the subsequent success of consultations. Due to the lack of consensus among researchers, this paper aims to empirically examine how confidence in healthcare varies based on assessments made by users regarding different aspects of medical care. The data were taken from the Survey of primary healthcare users of the Andalusian Healthcare Service in 2006. Trust in healthcare is highly related to the satisfaction users express in the four variables examined in the study. The main conclusion is that successful doctor-patient relationships are based on effective communication and not a mere exchange of information.
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References
Balint, M. (1961), El médico, el paciente y la enfermedad, Buenos Aires, Editorial Ateneo.
Barca, I.; R. Parejo, P. Gutiérrez, F. Fernández, G. Alejandre y F. López (2004), “La información al paciente y su participación en la toma de decisiones clínicas”, Atención Primaria 33, 7: 361-7. doi:10.1157/13060760
Biedma, L. y R. Serrano (2007), “¿Existe relación entre satisfacción del paciente y género del médico?”, IESA Working Paper Series, disponible en http://www.iesaa.csic.es/en/documentos-trabajo-2007.php
Bohigas, L. (1995), “La satisfacción del paciente”, Gaceta Sanitaria: 9: 283-285.
Bolaños, E. y A. Sarriá Santamera (2003), “Perspectiva de los pacientes sobre la diabetes tipo 2 y relación con los profesionales sanitarios: un estudio cualitativo”, Atención Primaria 32, n.º 4: 195-201.
Brody, D. S., S. M. Miller, C. E. Lerman, D. G. Smith, C. G. Lázaro y M. J. Blum (1989), “The relationship between patients’ satisfaction with their physicians and perceptions about interventions they desired and received”, Medical Care 27, supp. 11: 1027-1035. doi:10.1097/00005650-198911000-00004 PMid:2586185
Chin, J. J. (2002), “Doctor-patient relationship: from medical paternalism to enhanced autonomy”, Singapore Medical Journal 43: 152-5.
Davis, M. S. (1968), “Variations in patients’ compliance with doctors’ advice: an empirical analysis of patterns of communications”, American Journal of Public Health 58: 274. doi:10.2105/AJPH.58.2.274 PMid:5688773 PMCid:1228155
Donabedian, A. (1984), La calidad de la atención médica. Definición y métodos de evaluación, México, Ed. La Prensa Mexicana.
Ferguson, W. J. y L. M. Candib (2002), “Culture, language, and the doctor-patient relationship”, Family Medicine 34: 353-61.
Fiscella, K., S. Meldrum, P. Franks, C. Shields, P. Duberstein, S. McDaniel y R. Epstein (2004), “Patient trust: is it related to patient-centered behaviour of primary care physicians?”, Medical Care 42: 1049-55. doi:10.1097/00005650-200411000-00003 PMid:15586831
Fitzpatrick, R. (1984), “Satisfaction with health care”, The Experience of Illness, Tavistock, London, ed. R. Fitzpatrick, pp. 154-175.
Gámez Gómez, M. D.; J. Mata Luque, R. Llamas Fuentes, L. Pérula De Torres, R. Ruiz Moral e I. Jaramillo Martín (2003), “Relación entre el cumplimiento de las expectativas de los pacientes en consultas de atención primaria y los resultados de salud”, Atención Primaria: 32-95.
Hall, J. A.; D. I. Roter y N. R. Katz (1988), “Meta-analysis of correlates of provider behavior in medical encounters”, Medical Care 26: 657-675. doi:10.1097/00005650-198807000-00002 PMid:3292851
Ibern, P. (1992), “La mesura de la satisfacció en els serveis sanitaris”, Gaceta Sanitaria 6: 176-185.
Inglefinger, F. J. (1980), “Arrogance”, The New England Journal of Medicine 303: 1507-1511.
Korsch, B. M., E. K. Gozzi y V. Francis (1968), “Gaps in doctor-patient communication: I. Doctor-patient interaction and patient satisfaction”, Pediatrics 42: 855.
Lain Entralgo, P. (1983), La relación médico-enfermo, Madrid, Alianza Editorial.
Lassen, L. (1991), “Connections between the quality of consultations and patient compliance in general practice”, Family Practice, vol. 8, pp. 154-60. doi:10.1093/fampra/8.2.154 PMid:1874362
Ley, P. (1983), “Patients’ understanding and recall in clinical communication failure”, en Pendleton D. and J. Hasler (eds.), Doctor-patient communication, Londres, Academics Press, pp. 89-107.
Ley, P. (1988), Communication with patients: improving satisfaction and compliance, London, Croom Helm.
Mainous, A. G., R. Baker, M. M. Love,D. P. Gray y J. M. Gill (2001), “Continuity of care and trust in one’s physician: evidence from primary care in the United States and the United Kingdom”, Family Medicine, 33: 22-7.
Martínez Urionabarrenetxea, K. (2001), “Hacia un nuevo modelo de relación clínica”, Semergen 27: 291-6.
Mira, J. J. y J. Aranaz (2000), “La satisfacción del paciente como una medida del resultado de la atención sanitaria”, Medicina Clínica 114 (Supl. 3): 26-33.
Mira, J. J. y J. Rodríguez-Marín (2001), “Análisis de las condiciones en las que los pacientes toman decisiones responsables”, Medicina Clínica 116: 104-110.
Murphy, J., H. Chang, J. E. Montgomery, W.H. Rogers y D. G. Safran (2001), “The quality of physician-patient relationships. Patients’ experiences 1996-1999”, Journal of the Family Practice 50: 123-9.
Parasuman, A.; V. Zeithaml y L. Berry (1985), “A conceptual model of service quality and its implications for future research”, Journal of Marketing 49, n.º 4: 41-50.
Parasuman, A., V. Zeithaml y L. Berry (1994), “Alternative scales for measuring service quality: a comparative assessment based on psychometric and diagnostic criteria”, Journal of Marketing 70: 201-230.
Pietroni, P. H. y Chase (1993), “Partners or partisans? Patient participation at Marylebone health centre”, en The British Journal of General Practice 43: 341-344.
Roter, D. y J. Hall (1989), “Studies of doctor-patient interaction”, Annual Review of Public Health 10: 163-180. doi:10.1146/annurev.pu.10.050189.001115 PMid:2655629
Rubin, H. R. (1990), “Can patients evaluate the quality of hospital care?”, Medical Care Review 47: 267-326. doi:10.1177/107755879004700302
Ruiz Moral, R.; J. Rodríguez Salvador, L. Pérula De Torres y J. Prados Castillejo (2002), “Evolución del perfil comunicacional de los médicos residentes en medicina de familia”, Atención Primaria 29:132-44.
Ruiz Moral, R. (2006), “Estrategias para promover el trato igualitario con los pacientes”, Atención Primaria 38, n.º 3: 178-81.
Ruiz Moral, R.; Prados Torres, D. y Cabrera Rodríguez, JM. (2004), “La voz de los pacientes: mejorando el entendimiento entre médicos y pacientes”, Atención Primaria 34, n.º 6: 277-8.
Ruiz Moral, R.; Rodríguez, JJ. y Epstein, R. (2003), “¿Qué estilo de consulta debería emplear con mis pacientes?: reflexiones prácticas sobre la relación médico-paciente”, Atención Primaria 32: 594-602.
Safran, D. G., J. E. Montgomery, H. Chang, J. Murphy y W. H. Rogers (2001), “Switching doctors: predictors of voluntary disenrollment from a primary physician’s practice”, Journal of Family Practice 50: 130-6.
Serrano, R., E. Vera y V. Ateca (2005), “Searching for the most suitable tool to measure satisfaction with healthcare: the importance of patient discontent”, IESA Working Papers Series, disponible en http://www.iesaa.csic.es/es/documentos-trabajo-2005.php
Siminoff, L. A., P. Ravdin, N. Colabianchi y C. M. Sturm (2000), “Doctor-patient communication patters in breast cancer adjuvant therapy discussions”, Health Expectations 3: 26-36. doi:10.1046/j.1369-6513.2000.00074.x PMid:11281909
Sobrino, A. (2003), “Evolución de la relación médico–paciente en los últimos 100 años”, Revista Clínica Electrónica Atención Primaria, disponible en http://www.fbjoseplaporte.org/rceap/articulo.php?idnum=4&art=01 Krowinski, W.I. y S.R. Steiber (1998), Measuring and Managing Patient Satisfaction, Chicago: American Hospital Publishing.
Thom, D. (2001), “Physician behaviours that predict patient trust”, en Family Practice 50: 323-8.
Thomas, J. B. (1978), “The consultation and the therapeutic illusion”, British Medical Journal 1: 1327-1328. doi:10.1136/bmj.1.6123.1327 PMid:647263 PMCid:1604657
Torío, J. y M. C. García (1997a), “Valoración de la orientación al paciente en las consultas médicas de atención primaria”, Atención Primaria 20: 17-24.
Torío, J. y M. C. García (1997b), “Relación médico-paciente y entrevista clínica (II): opinión y preferencias de los médicos”, Atención Primaria 19: 27-34.
Torío, J. y M. C. García (1997c), “Relación médico-paciente y entrevista clínica (I): opinión y preferencias de los usuarios”, Atención Primaria 19: 18-26.
Ware, J. E., M. K. Snyder, R. Wright y A.R. Davies (1983), “Defining and Measuring patient satisfaction with medical care”, Evaluations and program planning 6: 247-263.
Winefield, H. R., T. G. Murrell, J. V. Clifford y E. A. Farmer (1995), “The usefulness of distinguishing different types of general practice consultation, or are needed skills always the same?”, Family Practice 12: 402-407. doi:10.1093/fampra/12.4.402 PMid:8826055
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