Relationship between health providers and patients in Mexico City
Patients are in a vulnerable position, with the balance of power often tipped in favor of the healthcare provider. This is why open two-way communication, trust, . Trust is important for patients and may be used as an indicator and potential ' marker' for how patients evaluate the quality of health care. the doctor–patient relationship is facilitated by continuity of care care may be required where multiple health care providers.
Maybe they will even get angry, I haven't heard any bad words, I cannot lie to you, but the thing is that I feel embarrassed, you can see they are always in a hurry and angry Do you know if this thing that I cannot grasp air will kill me soon? And they justified it as follows: My shortness of breath, the doctor told me that is spasm, what? No, it is not that, I didn't understand him and I felt embarrassed to tell you the truth What's the point of asking them, they don't care if I understand it or not, they don't have much time for me to bother them It is not that I'm not sure or I'm afraid to ask the doctors, but I like you, you make me feel good, that's why I'm asking you many questions, if my disease is this or that See, I asked you because I feel assured to do it.
To tell you the truth the doctor seemed kind of annoyed when I told her I didn't quite understand it, the effusion On the other hand, those who reported adequate non-clinical interaction did not ask the interviewer questions about their condition or any other related aspects. The doctor is very good, I don't understand my diagnosis because they don't explain it clearly to me. I know I have an inflamed trachea and that's why I have a tracheostomy.
But if you are asking me any suggestions, I'd suggest that the medical terms used by the doctors should be clearer so that we can understand our actual condition On the other hand, those who perceived inadequate interaction, regardless of whether they noted a remarkable improvement on their health condition, showed fear and uncertainty about their potential recovery and a considerable lack of confidence to ask the required information.
This seems to be a logical reaction to the lack of cordiality during the medical care process. Given that, there is a need to put more emphasis on the strategy to improve quality of health services. Moreover, it was corroborated the importance of the association between adequate interaction and respect to human rights.
Health providers must be fully aware that all medical actions should be at the service of human beings in the process of building up a more just and equitable society.
The findings of the present study are consistent with what was previously stated, that " Its relevance should be considered and there should be implemented and designed activities and institutional and interinstitutional relations based on legitimate expectations of their clientele The respect for human dignity and integrity requires following rules of social interaction at all levels while dealing with a social individual, particularly if this individual is a hospitalized patient and thus vulnerable due to loss of health.
High quality services cannot be provided when providers do not incorporate to their technical and scientific knowledge ethical and human values that support and legitimate their work, as underlined in previous studies.
The Doctor–Patient Relationship
This can only be achieved if health providers are aware that, in addition to sharing space and time, there is a need to share ethical and humanist codes that permeate any relationship between human beings and institutions.
These codes define the patients' needs and expectations of interpersonal interaction and allow health providers to find opportunities for their practice to be an effective based on equity and respect to human dignity.
Foucault highlighted that people patients should be converted into an object of knowledge and scientific practice rather than regarding disease as an entity. As a consequence, individuals are unable to have access to a world of technical knowledge ruled by this solemn and impenetrable group of medical and paramedic professionals of a health facility. Organizations as providers have duties such as competence, skill, and fidelity to sick members.
Organizations as payers have duties of stewardship and justice that can conflict with provider duties. Managed care organizations thus have conflicting roles and conflicting accountability. An organization's accountability to its member population and to individual members has a series of inherent conflicts.
Is the organization's primary accountability to its owners, to employer purchasers, to its population of members, or to individual, sick members? If these constituents somehow share the accountability, how are conflicting interests resolved or balanced?
Why the patient/provider relationship is key to better hospital care
For example, the use of the primary care clinician to coordinate or restrain access to other services involves the primary care clinician in accountability for resource use as well as for care of individual patients. Although unrestricted advocacy for all patients is never really achievable, the proper balance and the principles of balancing between accountability to individual patients, a population of patients, or an organization need to be made explicit and to be negotiated in new ways.
All mechanisms for paying physicians, including fee-for-service reimbursement, create financial incentives to practice medicine in certain ways. We still lack a calculus to minimize or even describe in fine detail how such conflicts affect our ability to justify trusting relationships. Even-handed social attention seems appropriate to all the different mechanisms of payment.
Balanced assessment of how the details of remuneration systems influence doctor's willingness to act on behalf of patients will best protect both the health of the public and the health of doctor—patient relationships. This is a priority for a new form of empirical, ethical research.
- The Doctor–Patient Relationship
- The Patient–Provider Relationship
- Doctor–patient relationship
Patients correctly wonder if doctors are caring for them, the plan, or their own jobs or incomes the latter is equally problematic in fee-for-service care. This ambiguity erodes trust, promotes adversarial relationships, and inhibits patient—centered care. The recent controversy over gag rules has only confirmed this set of fears in the mind of the public which is now seeking regulation of the managed care industry through the political process.
Why the patient/provider relationship is key to better hospital care
As illustrated in Figure 1the interests of patients, plans, and doctors can overlap to a greater or lesser extent. Professional ethics dictate that physicians attempt, as individuals and as a profession, to ensure that their interests and those of their patients are congruent in clinical practice. Plan interests, however, can pull physicians away from this goal, as the organization's values and their implementation inevitably influence attitudes, behavior, and experiences.
Conclusion Providers' trust in patients remains a neglected area on the trust research agenda. Empirical studies examining the factors that influence providers' trust in patients and how this might affect the quality of care and patient health-related behaviours are urgently needed to readdress this imbalance.
Further exploration of this area using observational methods is recommended. Indeed the essential role that trust plays in effective doctor—patient relationships has been long recognized [ 3 ].
Trust has been shown to be a critical factor influencing a variety of important therapeutic processes including patient acceptance of therapeutic recommendations, adherence to recommendations, satisfaction with recommendations, satisfaction with medical care, symptom improvement and patient disenrollment [ 3 ].
In a systematic review of trust research up to [ 5 ], Rowe cautions that evidence to support the claims about the impact of trust on therapeutic outcomes is in short supply.