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从医生视角看当下医患关系认知:印度东部一家三级医疗中心的定性研究

Perception of Doctor-Patient Relationship in the Present Time from the Viewpoint of Doctors: A Qualitative Study at a Tertiary Health-Care Center in Eastern India.

作者信息

Kumar Barun, Paul Uttam Kumar, Pal Dilip Kumar

机构信息

Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India.

Department of Medicine, MGM Medical College, Kishanganj, Bihar, India.

出版信息

Indian J Community Med. 2020 Jan-Mar;45(1):100-103. doi: 10.4103/ijcm.IJCM_106_19.

Abstract

CONTEXT

Doctor-patient relationship has gone through some troubled times in the recent past. Quality data regarding this is lacking in the Indian setting.

AIMS

The study aim was to find the perception of doctors regarding doctor-patient relationship.

SETTINGS AND DESIGN

The study was conducted at a tertiary health-care center in West Bengal. It was a qualitative study including in-depth interviews and focus group discussions (FGDs).

SUBJECTS AND METHODS

The study comprised of in-depth interviews (IDI) of thirty residents and three FGDs, involving 33 residents.

STATISTICAL ANALYSIS USED

Data analysis was performed manually by deductive approach. Descriptive "codes" of the text information were done. The consolidated criteria for reporting qualitative research guidelines were followed.

RESULTS

Doctor-patient relationship was perceived as of mutual trust and respect. Overburdened doctors, impatient patients, unrealistic expectations from the treatment, and lack of infrastructure were some of the agreed-upon factors for the strained relationship. A combined corrective effort is needed to salvage the current situation.

CONCLUSIONS

A healthy doctor-patient relationship is instrumental in the holistic picture of health care. Doctors, patients, administration, and media have shared causation to the problem and have equal responsibility for its amendment.

摘要

背景

医患关系在最近经历了一些波折时期。在印度的背景下,缺乏关于这方面的高质量数据。

目的

本研究旨在了解医生对医患关系的看法。

设置与设计

该研究在西孟加拉邦的一家三级医疗保健中心进行。这是一项定性研究,包括深入访谈和焦点小组讨论(FGD)。

研究对象与方法

该研究包括对30名住院医生的深入访谈(IDI)和3次焦点小组讨论,涉及33名住院医生。

所用统计分析方法

采用演绎法手动进行数据分析。对文本信息进行描述性“编码”。遵循定性研究报告的综合标准。

结果

医患关系被视为相互信任和尊重。医生负担过重、患者不耐烦、对治疗的不切实际期望以及基础设施不足是导致关系紧张的一些公认因素。需要共同采取纠正措施来挽救当前局面。

结论

健康的医患关系对整体医疗保健状况至关重要。医生、患者、管理层和媒体都对该问题负有共同责任,并且对改善该问题负有同等责任。

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