Volume 11, Issue 1 (2023)
Health Educ Health Promot 2023, 11(1): 1001-1017 |
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Bagheri M, somi M H, Dehghani G, Ghaffarifar S. Determinants of patient-centered communication based on the views of physicians, students and patients: a qualitative study. Health Educ Health Promot 2023; 11 (1) :1001-1017
URL: http://hehp.modares.ac.ir/article-5-65420-en.html
URL: http://hehp.modares.ac.ir/article-5-65420-en.html
1- Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
2- Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
3- Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
4- Research Center for Evidence-Based Medicine, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran. , sa.ghafarifar@gmail.com
2- Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
3- Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
4- Research Center for Evidence-Based Medicine, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran. , sa.ghafarifar@gmail.com
Abstract: (61 Views)
Background: Despite benefits of Patient -Centered Communication (PCC), there are problems in its implementation. Problems are related to characteristics of patients or health system; patterns of patient-physician interaction; or perspectives in defining PCC. This study reports determinants of PCC from the viewpoint of faculty members, medical residents and interns; and patients and recommends tips for improving Patient-Physician Relationship (PPR).
Methods: In this qualitative content analysis study in 2018, in Tabriz University of Medical Sciences, data were gathered using focus groups (62 participants), semi-structured interviews (31 participants) and participatory observations, based on purposive until the saturation was achieved. Content was analyzed through a thematic, manifest summative analysis. Standards for methodological rigor were enhanced through different strategies.
Findings: The findings were classified at four categories matched with four core concepts of PCC: 1- Respect and dignity, 2- Information sharing, 3- Participation and 4- Collaboration. Sub-categories included: recognition of patients’ individuality; attention to patients’ needs; physicians’ personal characteristics; physicians’ communication competencies; patient-focused care; patients’ trust-supported attitude; physicians’ motivation; physicians’ working context; socio-cultural induction; organizational policies; and physicians’ professional responsibility.
Conclusion: Based on the findings of this qualitative study, patient-centered communication can be characterized by: honoring patients’ individuality ; paying attention to patients’ needs; focusing on physicians’ proper personal characteristics in continuing medical education; enhancing physicians’ communication competencies; institutionalization of patient-focused care; creating trust-supported attitude among patients ; increasing physicians’ motivation; regulating physicians’ working context; serious attention to social and cultural inductions; making supportive organizational policies; and evaluating physicians’ professional responsibilities.
Methods: In this qualitative content analysis study in 2018, in Tabriz University of Medical Sciences, data were gathered using focus groups (62 participants), semi-structured interviews (31 participants) and participatory observations, based on purposive until the saturation was achieved. Content was analyzed through a thematic, manifest summative analysis. Standards for methodological rigor were enhanced through different strategies.
Findings: The findings were classified at four categories matched with four core concepts of PCC: 1- Respect and dignity, 2- Information sharing, 3- Participation and 4- Collaboration. Sub-categories included: recognition of patients’ individuality; attention to patients’ needs; physicians’ personal characteristics; physicians’ communication competencies; patient-focused care; patients’ trust-supported attitude; physicians’ motivation; physicians’ working context; socio-cultural induction; organizational policies; and physicians’ professional responsibility.
Conclusion: Based on the findings of this qualitative study, patient-centered communication can be characterized by: honoring patients’ individuality ; paying attention to patients’ needs; focusing on physicians’ proper personal characteristics in continuing medical education; enhancing physicians’ communication competencies; institutionalization of patient-focused care; creating trust-supported attitude among patients ; increasing physicians’ motivation; regulating physicians’ working context; serious attention to social and cultural inductions; making supportive organizational policies; and evaluating physicians’ professional responsibilities.
Keywords: Physician-Patient Relations, Patient-Centered Communication, Qualitative Research, Medical
Article Type: Original Research |
Subject:
Health Education and Health Behavior
Received: 2022/11/13 | Accepted: 2023/03/2 | Published: 2023/03/17
Received: 2022/11/13 | Accepted: 2023/03/2 | Published: 2023/03/17
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