The relationship between doctors and patients is becoming more troubled. As smaller and smaller players in ever growing systems, those who. Effective relationship marketing has been conceived to be both “defined by” and “ dependent upon” trusted customer relationships. Developing trust appears. Relationship marketing should be an everyday component of a physician's efforts to improve patient relations. Here are some tips to make it.
The clinician represented authority in a paternal way. The clinician represented success and knowledge.
The patient was visiting an oracle. Initially, the patient came to the clinician for answers regarding health.
However, the relationship was so paternalistic that eventually the patient would come to the clinician to find out in what to invest money, how to vote in an election, or which car to buy. It was not rare for a family physician to be advising, counseling, directing child rearing, or offering pre-marriage advice.
The family doctor was not only overseeing the health of a patient but could easily be the decisive word on any issue confronting the patient. In this paternalistic model of decision-making, the clinician made the decision independently.
Medicine was willing to empower people with medication knowledge and thus the possibility that patients might then question judgments about choices and dosage being prescribed. Add to the mix the growing number of TV and radio physician talk shows in which cases, symptoms, therapies, etc.
The concern being that this encourages more "arm chair physicians. Previous reviews have attempted to estimate the magnitude of the effect of relational factors on health outcomes and to discern the relative impact of discrete interventions and contextual factors .
Since the last review was published almost a decade ago, and in response to enormous changes in conceptual thinking about how best to restructure the delivery of healthcare services, we undertook an updated systematic review and meta-analysis examining whether the patient-clinician relationship has a beneficial effect on healthcare outcomes.
In contrast to previous reviews, we included in our review only randomized controlled trials RCTs that had either objective or validated subjective medical outcomes; and we excluded studies that only examined intermediate outcomes such as patient satisfaction or comprehension of medical advice.
Therefore, the current review focuses on the most rigorous sources of evidence to determine whether the relationship between patient and clinician can produce improvements in health.From Friends to 'Friending': The Impact of Social Networking on Physician-Patient Boundaries
We report here on the thirteen studies that met our selection criteria for study design and methods. The exact electronic search strategy and a full description are provided in File S1.
Briefly, the electronic search strategy required that articles: For the review by hand, the inclusion criteria were: Studies were excluded if: For a detailed description of the inclusion and exclusion criteria, please see File S2. Our electronic search yielded 6, articles. If there was any doubt, the article was retained for the next level of scrutiny.
This process yielded articles.
"The Clinician-Patient Relationship: Going Through A Change?" by Robert Grosz
Two authors examined each article's title and abstract more closely and determined that 36 of these should be inspected in depth; again, if there was any doubt, the paper was retained. We also examined the reference sections of previous reviews, and identified an additional 7 articles that potentially met our eligibility criteria. Combined, these processes yielded 43 articles. Disagreements were resolved by face-to-face discussion, leading to a consensus judgment. Thirteen articles met our inclusion and exclusion criteria.
The selection process is illustrated in Figure 1.