Guidelines implementation: Transforming physician/patient interaction through stages of change

2007 ◽  
Vol 27 (3) ◽  
pp. 188-189 ◽  
Author(s):  
Bob Bluman ◽  
Sandra Jarvis-Selinger ◽  
Stephen Hotz
2015 ◽  
Vol 128 (9) ◽  
pp. 1025-1028 ◽  
Author(s):  
Anita D. Misra-Hebert ◽  
Andrew Rabovsky ◽  
Chen Yan ◽  
Bo Hu ◽  
Michael B. Rothberg

2014 ◽  
Author(s):  
Andreas Schröder ◽  
Joel E Dimsdale

Somatic symptoms that cannot be attributed to organic disease account for 15 to 20% of primary care consultations and up to 50% in specialized settings. About 6% of the general population has chronic somatic symptoms that affect functioning and quality of life. This chapter focuses on the recognition and effective management of patients with excessive and disabling somatic symptoms. The clinical presentation of somatic symptoms is categorized into three groups of patients: those with multiple somatic symptoms, those with health anxiety, and those with conversion disorder. The chapter provides information to assist with making a diagnosis and differential diagnosis. Management includes ways to improve the physician–patient interaction that will benefit the patient, a step-care model based on illness severity and complexity, and psychological and pharmacologic treatment. The chapter is enhanced by figures and tables that summarize health anxiety, symptoms, differential diagnoses, and management strategies, as well as by case studies and examples. This review contains  5 highly rendered figures, 10 tables, and 235 references.


2018 ◽  
Author(s):  
Andreas Schröder ◽  
Joel E Dimsdale

Somatic symptoms that cannot be attributed to organic disease account for 15 to 20% of primary care consultations and up to 50% in specialized settings. About 6% of the general population has chronic somatic symptoms that affect functioning and quality of life. This chapter focuses on the recognition and effective management of patients with excessive and disabling somatic symptoms. The clinical presentation of somatic symptoms is categorized into three groups of patients: those with multiple somatic symptoms, those with health anxiety, and those with conversion disorder. The chapter provides information to assist with making a diagnosis and differential diagnosis. Management includes ways to improve the physician–patient interaction that will benefit the patient, a step-care model based on illness severity and complexity, and psychological and pharmacologic treatment. The chapter is enhanced by figures and tables that summarize health anxiety, symptoms, differential diagnoses, and management strategies, as well as by case studies and examples. This review contains  5 highly rendered figures, 10 tables, and 235 references.


1991 ◽  
Vol 162 (3) ◽  
pp. 271-273 ◽  
Author(s):  
Elizabeth Reisner ◽  
Gary Dunnington ◽  
Jane Beard ◽  
Don Witzke ◽  
John Fulginiti ◽  
...  

Clinics ◽  
2009 ◽  
Vol 64 (11) ◽  
pp. 1075-1083 ◽  
Author(s):  
Claudio Cohen ◽  
Rogério L'Abbate Kelian ◽  
Reinaldo Ayer Oliveira ◽  
Gisele Joana Gobbetti ◽  
Eduardo Massad

Author(s):  
Xinyi Lu ◽  
Runtong Zhang ◽  
Xiaomin Zhu

In China, the utilization of medical resources is contentious, and a large of hospitals are seriously congested because of the huge population and uneven distribution of medical resources. Online health communities (OHCs) provide patients with platforms to interact with physicians and to get professional suggestions and emotional support. This study adopted the unified theory of acceptance and use of technology to identify factors influencing patients’ behavioral intention and usage behavior when interacting with physicians in OHCs. An investigation involving 378 valid responses was conducted through several Chinese OHCs to collect data. Confirmatory factor analysis and structural equation modelling were utilized to test hypotheses. Both the reliability and validity of the scales were acceptable. All five hypotheses were supported, and behavioral intention played a significant mediating role between independent variables and dependent variables. This study clarified the mechanism by which performance expectancy, effort expectancy, social influence and attitude toward using technology affect usage behavior through the mediation of behavioral intention in OHCs. These findings suggest that OHCs can change the actions of websites such as adopting some incentives to promote patients’ intention of interaction. Physicians should understand patients’ actual attitudes toward OHCs and try to guide patients in their interactions, improving the quality of physician–patient interaction.


2017 ◽  
Vol 25 (1) ◽  
pp. 17E-30E
Author(s):  
Ronald L. Hickman ◽  
John M. Clochesy ◽  
Breanna Hetland ◽  
Marym Alaamri

Background and Purpose: There are limited reliable and valid measures of the patient– provider interaction among adults with hypertension. Therefore, the purpose of this report is to describe the construct validity and reliability of the Questionnaire on the Quality of Physician–Patient Interaction (QQPPI), in community-dwelling adults with hypertension. Methods: A convenience sample of 109 participants with hypertension was recruited and administered the QQPPI at baseline and 8 weeks later. Results: The exploratory factor analysis established a 12-item, 2-factor structure for the QQPPI was valid in this sample. The modified QQPPI proved to have sufficient internal consistency and test– retest reliability. Conclusions: The modified QQPPI is a valid and reliable measure of the provider–patient interaction, a construct posited to impact self-management, in adults with hypertension.


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