Patient or Physician Centered Care?: Structural Implications for Clinical Interactions and the Overlooked Patient
نویسنده
چکیده
Patient-centered care is widely supported by physicians, but this wide-spread support potentially obscures the social patterning of clinical interactions. We know that patients often want religious/spiritual conversations in the context of medical care but the provision is infrequent. As there is regional variance in religiosity, a gap in the literature exists regarding whether patient populations’ religiosity is connected to physicians’ self-reported religious/spiritual interactions. Using a national sample of U.S. physicians linked to county-level measures, the author test whether both physicians’ background and patient population characteristics are related to religious/spiritual interactions. Specifically, do physicians in more religious locations report more frequent religious interactions and is this dependent on whether the physician is also religious? Or does the religiosity of patient populations fail to explain variance in the frequency of inclusion? Logistic regressions with spatial lag terms highlight the importance of physicians’ background for inclusion of religiosity/spirituality. County-level variance of religious concentration is largely unrelated to the inclusion of religiosity/spirituality. The provision of patient-centered care is complicated. The inclusion of something patient-specific, such as religious/spiritual content, may not depend on the characteristics of the patient population, but those of the physician they see.
منابع مشابه
New Dimensions in Patient–Physician Interaction: Values, Autonomy, and Medical Information in the Patient-Centered Clinical Encounter
Patient-physician interactions are increasingly influenced by the extraordinary diversification of populations and rapid expansion of medical knowledge that characterize our modern era. By contrast, the patient-physician interaction models currently used to teach medical trainees have little capacity to address these twin challenges. We developed a new model of patient-physician interaction to ...
متن کاملPatient-centered Fertility Care: From Theory to Practice
Background & aim: Healthcare areas, especially fertility care (commonly accompanied with high emotions, as well as long-term and recurring treatment periods) could exclusively benefit from patient-centered care (PCC). Despite evident advantages of PCC, this approach has not been practiced as a routine procedure in current clinical environments yet, even in western developed countries. Therefore...
متن کاملExplaining the Context of Patient-Centered Care in Critical Care Units
Introduction: Patient-centered care refers to care with respect for and responsiveness to patients’ preferences, needs, and values; in this type of care, it is ensured that a patient's values are valued in clinical decision-making. Achieving Patient-centered care is not simple and needs a proper context to be provided. Objectives: The purpose of this study is to explain the context of Pa...
متن کاملPotential Drug-drug Interactions in Post-CCU of a Teaching Hospital
Drug-drug interactions (DDIs) can lead to increased toxicity or reduction in therapeutic efficacy. This study was designed to assess the incidence of potential drug interactions (PDI) and rank their clinical value in post coronary care unit (Post-CCU) of a teaching hospital in Tehran, Iran.In this prospective study, three pharmacists with supervision of a clinical pharmacist actively gathered n...
متن کاملInm-4: Supportive and Educational Role of The Nurse and Midwife with A Focus on Patient-Centered Infertility Centers
s:3294:"Delivering high-quality care is the ultimate but challenging goal of healthcare. In all fields of healthcare, effectiveness and safety are the most acknowledged quality dimensions. Although crucial, true high quality care goes beyond this scope, and is also patient-centered. Patient centeredness is defined as ‘care that is respectful of and responsive to individual patient preferences a...
متن کامل