Treatment FAQ

how medical provider perception of patients affects treatment

by Annamarie Will Published 2 years ago Updated 2 years ago

Research has shown that healthcare providers often have a modest understanding of their patients’ beliefs with respect to patients’ preferences for involvement in making decisions about their health, 18 desire for information, 19 perceptions of health condition, 20 interest in life-sustaining treatments, 21 beliefs about treatment effectiveness and diagnosis, 22 level of health literacy, 23 and emotional conditions. 24, 25 Since perceptions of patients can influence healthcare providers’ communication and decision-making, 26, 27 and since healthcare providers may have limited awareness of their patients’ beliefs, research is needed to determine what factors may contribute to a greater understanding of patients’ beliefs and values.

Full Answer

Do healthcare providers perceive the quality of their interactions with patients?

These findings are consistent with other studies suggesting that healthcare providers may perceive the quality of their interactions with patients differently than do patients.24, 33–35

What are the changing expectations of patients toward health-care providers?

However, the changing expectations of the patients toward health-care providers and health-care facilities and increasing commercialization of health care has led to people demanding more from their health-care providers than just effective treatment.

How important is the healthcare provider’s response for understanding patients’ health beliefs?

The relative importance of each healthcare provider’s response for understanding their patients’ health beliefs and values—is reflected by the total number of votes and the sum of the ranks given to that response in Table 3. Table 3 Healthcare Provider Perceptions of Patients

Do patients perceive natural treatments as more effective than healthcare providers?

Even though not statistically significant, patients perceived a more biological cause (p = .056) for their illness, and better effectiveness of natural treatments (p = .052) as compared to healthcare providers.

Why is understanding perception important for healthcare professionals?

Knowing the perceptions of professionals about the quality of communication may be useful for identifying deficiencies and the repercussion of the same in the decision-making process and health care in general.

Why is understanding patient perspective important?

Identifying patients' standpoints on their health condition and treatments offers an opportunity for critical discussion of differences of opinions and promotes communication exchange and agreement about the appropriate course of action.

What factors affect the relationship between patient and healthcare provider?

The factors considered in the context of the patients' DAG were: hospital level, ethnicity, income satisfaction, waiting time, consultation time with the doctor, the expectation of treatment result, trust in the doctor, hospital environment, and media influence.

When healthcare providers look at problems from multiple perspectives patients benefit?

Understanding how to leverage and coordinate different perspectives will help to cut down on miscommunications and improve patient care. Errors can be avoided — and lives saved — by reducing the common tendency to view complex clinical issues through just one lens.

What is patient perspective in healthcare?

“Patient perspective” is the patient's experience of PH and its impact on him/her and caregivers, including symptomatic, intellectual, psychosocial, spiritual and goal-oriented dimensions of the disease and its treatment.

What is a healthcare perspective?

The perspective is the point of view adopted when deciding which types of costs and health benefits are to be included in an economic evaluation. Typical viewpoints are those of the patient, hospital/clinic, healthcare system or society.

What factors affect patients quality of care?

Patient socio-demographic variables. ... Patient cooperation. ... Type of patient illness (severity of illness) ... Provider socio-demographic variables. ... Provider competence (Knowledge and skills) ... Provider motivation and satisfaction. ... Healthcare system.

Why is patient and provider relationship important?

Effective physician-patient communication has been shown to positively influence health outcomes by increasing patient satisfaction, leading to greater patient understanding of health problems and treatments available, contributing to better adherence to treatment plans, and providing support and reassurance to ...

What are some of the factors that affect patient-provider communication?

According to Epstein et al.11-12, high-quality patient-provider communication shares four elements: 1) eliciting and understanding the patient's perspective, 2) understanding the patient's unique psychosocial background, 3) reaching a shared understanding of the problem and its treatment with the patient, and 4) ...

How would you define quality of care from the provider and patient perspectives?

Quality of care from the patient's perspective can be defined as `the totality of features and characteristics of a health care product or services, that bear on its ability to satisfy stated or implied needs of the consumers of these products or services'.

What responsibility do doctors or other health care providers have to their patients when evaluating their health risks?

The physician must be professionally competent, act responsibly, seek consultation when necessary, and treat the patient with compassion and respect, and the patient should participate responsibly in the care including through informed decision making, giving consent to or declining treatment as the case might be.

Why is continuity of care important in healthcare?

Research has shown that continuity of care leads to patients being more likely to follow medical advice and utilize preventative care such as immunizations or cancer screening. Increased continuity of care by physicians is associated with lower mortality rates.

How do healthcare providers perceive their patients' beliefs?

For instance, healthcare providers perceived that patients’ illness had lesser meaning to them, when in fact patients exemplified greater meaning of their illness and was significantly different compared to healthcare providers’ perceptions. In addition, healthcare providers perceived that patients desired less of a partnership with them and instead, patients had a significantly greater preference for partnership with their healthcare providers. These findings are consistent with other studies suggesting that healthcare providers may perceive the quality of their interactions with patients differently than do patients.24, 33–35

What are the top 3 responses that healthcare providers identified as relatively more important for understanding their patients’ health beliefs and values?

The top 3 responses that healthcare providers identified as relatively more important for understanding their patients’ health beliefs and values were education, trust, and culture . Educating patients was perceived as having the greatest impact and also as the easiest method to implement for understanding patients’ health beliefs and values by these healthcare providers.

Why do patients and healthcare providers listen and communicate with each other?

When patients and healthcare providers listen and communicate with each other, they are likely to develop a shared understanding that may improve future decision making and quality of care patients receive.

Why is it important to understand patient beliefs?

First, a key supported principle about health behavior systems is that a patient’s beliefs about health (e.g., cause of disease, controllability of an illness, value of different treatments) predicts health behaviors such as medication adherence, use of healthcare services, and lifestyle choices. 4–6Acquiring a better awareness of a patient’s health beliefs may help healthcare providers identify gaps between their own and the patient’s understanding of his or her health situation.7Consequently, this may lead to treatment choices more acceptable to the patient’s expectations and needs.8Second, healthcare providers’ skill at perceiving and understanding patients’ beliefs is also an important aspect of compassion,9, 10which equates to perceptions of higher quality care and more effective communication.11, 12Lastly, research has shown that patient satisfaction, commitment to treatment, and perceived outcomes of care are greater when the healthcare provider and patient achieve a shared understanding on issues such as the patient’s role in decision making, the meaning of diagnostic information, and the treatment plan.13–17

What are the three themes of healthcare?

The three qualitative themes most important for understanding patients’ health beliefs and values as perceived by healthcare providers were education, trust, and culture . Educating patients was perceived as having the greatest impact and also the easiest method to implement to foster providers’ understanding, with at least one patient focus group in agreement of same. Likewise, three themes were derived from patients’ perspectives as relatively more important in understanding providers’ beliefs and values; bidirectional communication, comprehensive treatment, and discipline. Overwhelmingly, bidirectional communication was perceived as a critical factor as having the greatest impact and may also be easiest to implement according to these patients.

What instrument assesses six domains of patients and healthcare providers’ illness descriptions along with structured focus groups?

Using the CONNECT instrument28which assesses six domains of patients’ and healthcare providers’ illness descriptions along with structured focus groups, this study investigated healthcare providers’ perceptions of their patients’ health beliefs and values as compared to patients’ actual beliefs, and examined if communication relationships maybe improved as a result of healthcare providers’ understanding of their patients’ illness from their perspective. Several findings were revealed and may have important implications for patient-centered medical clinics and future research.

Why is bidirectional communication important?

Bidirectional communication, comprehensive treatment, and discipline was perceived by patients as the 3 relatively more important prerequisites for understanding healthcare providers’ health beliefs and values. Additionally, Bidirectional communication was perceived by patients across all 11 groups as a critical factor for patients and healthcare providers to understand each of their health beliefs and values.

Why is antihypertensive medicine important?

Reasons given were that it was the only way to stay healthy or that it was recommended by God.

How does a piloted care model work?

The piloted care model involves remotely monitored hypertensive care services delivered through private community-based pharmacies. Cardiologists remotely monitor patients accessing hypertension care at the pharmacy by review of their blood pressure data, related complaints, and drug prescriptions as through the mHealth app and secure quality of hypertensive care. The pharmacist counsels the patient on drugs and lifestyle interventions, performs routine blood pressure monitoring, and dispenses drugs to the patients. The patients pay a monthly contribution for participating in the pilot program and pharmacists and cardiologists receive a fee for each monitored patient. The care model will be extensively described elsewhere. [Nelissen HE, et al. Submitted for publication].

How does perceived coordination of care affect patient safety?

There may be several potential explanations for the observed relationship between perceived coordination of care and patient safety. Patients may detect mishaps involving poor coordination of care more easily. For instance, missing relevant patient information during the point of care is a frequent problem and obtaining such information often demands the interaction between the health care provider or administrator and the patient, which alerts patient to the possibility of a care quality failure or increase their critical assessment of quality. Finally, it is possible that the results could be explained by the confounding effect of other factors not measured. For example, peoples' overall satisfaction with their health system may impact both their perceptions of care coordination and perceived safety. Although satisfaction with the health care system was not included in models, the analyses did account for other traits that could also reflect satisfaction with the health care system such as Access to Care, Continuity of Care, Communication of Care, and Providers' Respect for Patients' Preferences, potentially minimizing the risk of bias.

Why is patient engagement important?

Thus, patient engagement initiatives are essential in health care quality management , as they may be the most reliable reporters of some aspects of the health care process.

How many people completed the CWF survey?

A total of 19 738 persons 18 years and older completed telephone interviews for the CWF survey in 11 countries. The response rates for each country varied from a high of 42% in Sweden to a low of 9% in the Netherlands. For this study, participants who qualified and answered any of the 3 items measuring the outcomes (ie, medical error, medication error, or laboratory error) were included in the analysis. After excluding respondents with missing data on the independent variables, the final study sample included 9872 persons. Demographic information of subjects included in this is study can be found in the Appendix (see Supplemental Digital Content, available at: http://links.lww.com/QMH/A4 ).

What are the dimensions of quality of care?

Findings from this study did not provide evidence to support the association between perceived patient safety and the other 4 dimensions of quality of care: Communication of Care; Access to Care; Continuity of Care; and Respect for Patients' Preferences. Despite the lack of statistically significant results, there are several important aspects that should be considered for further research. Because of the limited availability of items, in the current study, the Communication of Care measure was constructed with items that only focused on communication about prescription medications. This may explain why it appears that people who reported better levels of Communication of Care were less likely to self-report medication errors (OR = 0.93; 99% CI, 0.85-1.02). Although this relationship was not significant at the .01 level, further investigations should explore this topic to find more conclusive evidence about the relationship between Communication of Care and patient safety.

What is patient safety?

The Institute of Medicine (IOM) defined patient safety as “the prevention of harm to patients from the care that is intended to help them.” 1 (p5) Safety is an essential component of delivering quality care and a fundamental principle of patient-centered care. 2, 3 To ensure patient safety, health care delivery should prevent errors, learn from the errors that occur, and be built on a culture of safety that involves health care professionals, organizations, and patients. 2

Is coordination of care a predictor of self-reported errors?

By using a multi dimensional approach to define quality of care, this study confirms that Coordination of Care is a predictor of self-reported health-related errors. Specifically, we found that when patients perceive lapses in communication among their providers and receive conflicting information from multiple health care stakeholders as measured with the items of the Coordination of Care scale (see Table 2 ), they are more likely to report medical, medication, and laboratory errors. The findings from this investigation support results from a number of other published studies that suggested that Coordination of Care is an important predictor of perceived patient safety. After adjusting for potentially important confounding variables, there was a statistically significant association between Coordination of Care and self-reported medical error, medication error, and laboratory errors. These results are consistent with those by Taylor and colleagues, 29 who used a prospective cohort study of 223 hospitalized patients and after adjusting for sociodemographic variables and length of stay, patients' reporting care coordination deficiencies among staff were 4 times more likely to experience adverse or near miss events (OR = 4.4; 95% CI, 1.4-14.0).

How Does Culture Affect The Perception Of Health?

Health influences people to think about illnesses, illness, and death, treatments, how health promotion is done, what illness or pain is experienced , and where the patients seek help and what treatment they prefer.

How Can Cultural Competence Impact The Level Of Health Care A Patient Receives?

Improve the safety and efficiency of patient communication Cultural competence can boost a patient’s performance. Medical information is collected efficiently when the communication is clear. Patients as well as providers can ask questions, be misunderstandings corrected, and build trust using this method.

Why Is Culture Important In Patient Care?

In its role, it encourages access to high-quality health care that is respectful of the cultural and physical needs of diverse populations.

How Does Cultural Differences Affect Nurses?

Nurses who lack cultural familiarity nkcultural differences can experience stress and frustration when working with culturally diverse patients and their families.

What Are Cultural Issues In Nursing?

nurses may encounter issues relating to faith and religion. An organization may refuse to provide prescriptions, blood Transfusion or surgery for non-religious reasons.

Can Cultural Competence Impact Health Disparities?

Restoring disparities with culturally competent care begins as soon as they are in place. Cares with a culturally competent approach accommodate diversity with respect to health and safety, including attitudes, styles and behaviors associated with cultural differences.

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