From the Heart to Heart; The Communicative Problems and Resources in the Cardiology Service
Downloads
Background: Cardiovascular diseases (CVDs) are the main cause of death in Iran and the incidence of CVDs is observed during individuals’ active ages. The quality of healthcare includes the doctor-patient relationship and, like other chronic conditions, it plays an important role in the treatment of CVDs. This relationship varies among health providers from different cultures. The purpose of this study was to demonstrate the variables effective on and perceived needs for building doctor-patient relationships from health providers' point of view which can help patients with CVDs in Iran.
Methods: The present qualitative study was performed in 2018 in Iran. We conducted a focus group with open-ended questions on the general study subject. Participants were selected using purposive sampling method based on their job experiences related to the subject of the study. We used the descriptive coding method for data analysis.
Results: Themes that affected the quality of the doctor-patient relationship include better communication among the health delivery system staff, patients having an active role in treatment decisions, physicians’ interpersonal communicative skills, physicians’ experiences, and the therapy setting in Iran.
Downloads
Abel, W. M., & Efird, J. T. (2013). The Association between Trust in Health Care Providers and Medication Adherence among Black Women with Hypertension. Front.Public Health, 1, 66. doi:10.3389/fpubh.2013.00066 [doi]. Retrieved from PM:24350234
Anhang, P. R., Elliott, M. N., Zaslavsky, A. M., Hays, R. D., Lehrman, W. G., Rybowski, L. et al. (2014). Examining the role of patient experience surveys in measuring health care quality. Med Care Res Rev, 71(5), 522-554. doi:1077558714541480 [pii];10.1177/1077558714541480 [doi]. Retrieved from PM:25027409
Bauer, A. M., Parker, M. M., Schillinger, D., Katon, W., Adler, N., Adams, A. S. et al. (2014). Associations between antidepressant adherence and shared decision-making, patient-provider trust, and communication among adults with diabetes: diabetes study of Northern California (DISTANCE). J Gen.Intern.Med, 29(8), 1139-1147. doi:10.1007/s11606-014-2845-6 [doi]. Retrieved from PM:24706097
Baumann, M., Tchicaya, A., Vanderpool, K., Lorentz, N., & Le, B. E. (2015). Life satisfaction, cardiovascular risk factors, unhealthy behaviours and socioeconomic inequality, 5 years after coronary angiography. BMC Public Health, 15, 668. doi:10.1186/s12889-015-2047-0 [doi];10.1186/s12889-015-2047-0 [pii]. Retrieved from PM:26174092
Bender, B. G. (2014). Nonadherence in chronic obstructive pulmonary disease patients: what do we know and what should we do next? Curr Opin.Pulm.Med, 20(2), 132-137. doi:10.1097/MCP.0000000000000027 [doi]. Retrieved from PM:24452102
Camacho, N., De Jong, M., & Stremersch, S. (2014). The effect of customer empowerment on adherence to expert advice. Int.J.Res.Mark., 31(3), 293-308.
Claramita, M., Nugraheni, M. D., van Dalen, J., & van der Vleuten, C. (2013). Doctor-patient communication in Southeast Asia: a different culture? Adv Health Sci Educ Theory Pract, 18(1), 15-31. doi:10.1007/s10459-012-9352-5 [doi]. Retrieved from PM:22314942
Coleman, K., Austin, B. T., Brach, C., & Wagner, E. H. (2009). Evidence on the Chronic Care Model in the new millennium. Health Aff.(Millwood.), 28(1), 75-85. doi:28/1/75 [pii];10.1377/hlthaff.28.1.75 [doi]. Retrieved from PM:19124857
Cousin, G., Schmid, M. M., & Jaunin-Stalder, N. (2013). Finding the right interactional temperature: do colder patients need more warmth in physician communication style? Soc Sci Med, 98, 18-23. doi:S0277-9536(13)00499-1 [pii];10.1016/j.socscimed.2013.08.034 [doi]. Retrieved from PM:24331877
DiMatteo, M. R., Giordani, P. J., Lepper, H. S., & Croghan, T. W. (2002). Patient adherence and medical treatment outcomes: a meta-analysis. Med Care, 40(9), 794-811. doi:10.1097/00005650-200209000-00009 [doi]. Retrieved from PM:12218770
Evers, A. W. M., Colloca, L., Blease, C., Annoni, M., Atlas, L. Y., Benedetti, F. et al. (2018). Implications of Placebo and Nocebo Effects for Clinical Practice: Expert Consensus. Psychother.Psychosom., 87(4), 204-210. doi:000490354 [pii];10.1159/000490354 [doi]. Retrieved from PM:29895014
Farin, E., & Meder, M. (2010). Personality and the physician-patient relationship as predictors of quality of life of cardiac patients after rehabilitation. Health Qual.Life.Outcomes., 8, 100. doi:1477-7525-8-100 [pii];10.1186/1477-7525-8-100 [doi]. Retrieved from PM:20840774
Glasziou, P., Irwig, L., & Mant, D. (2005). Monitoring in chronic disease: a rational approach. BMJ, 330(7492), 644-648. doi:330/7492/644 [pii];10.1136/bmj.330.7492.644 [doi]. Retrieved from PM:15774996
Gopichandran, V., & Chetlapalli, S. K. (2013). Dimensions and determinants of trust in health care in resource poor settings--a qualitative exploration. PLoS.One., 8(7), e69170. doi:10.1371/journal.pone.0069170 [doi];PONE-D-13-19159 [pii]. Retrieved from PM:23874904
Hall, J. A., Horgan, T. G., Stein, T. S., & Roter, D. L. (2002). Liking in the physician--patient relationship. Patient.Educ Couns., 48(1), 69-77. doi:S073839910200071X [pii];10.1016/s0738-3991(02)00071-x [doi]. Retrieved from PM:12220752
Harmon, G., Lefante, J., & Krousel-Wood, M. (2006). Overcoming barriers: the role of providers in improving patient adherence to antihypertensive medications. Curr Opin.Cardiol., 21(4), 310-315. doi:10.1097/01.hco.0000231400.10104.e2 [doi];00001573-200607000-00009 [pii]. Retrieved from PM:16755199
Hillen, M. A., de Haes, H. C., & Smets, E. M. (2011). Cancer patients' trust in their physician-a review. Psychooncology., 20(3), 227-241. doi:10.1002/pon.1745 [doi]. Retrieved from PM:20878840
Hillen, M. A., Onderwater, A. T., van Zwieten, M. C., de Haes, H. C., & Smets, E. M. (2012). Disentangling cancer patients' trust in their oncologist: a qualitative study. Psychooncology., 21(4), 392-399. doi:10.1002/pon.1910 [doi]. Retrieved from PM:21280138
Honavar, S. G. (2018). Patient-physician relationship - Communication is the key. Indian J Ophthalmol., 66(11), 1527-1528. doi:IndianJOphthalmol_2018_66_11_1527_244045 [pii];10.4103/ijo.IJO_1760_18 [doi]. Retrieved from PM:30355854
Jin, J., Sklar, G. E., Min, S. O., V, & Chuen, L. S. (2008). Factors affecting therapeutic compliance: A review from the patient's perspective. Ther Clin Risk.Manag., 4(1), 269-286. doi:10.2147/tcrm.s1458 [doi]. Retrieved from PM:18728716
Lyznicki, J. M., Young, D. C., Riggs, J. A., & Davis, R. M. (2001). Obesity: assessment and management in primary care. Am.Fam.Physician., 63(11), 2185-2196. Retrieved from PM:11417771
Nguyen, G. C., LaVeist, T. A., Harris, M. L., Datta, L. W., Bayless, T. M., & Brant, S. R. (2009). Patient trust-in-physician and race are predictors of adherence to medical management in inflammatory bowel disease. Inflamm.Bowel.Dis, 15(8), 1233-1239. doi:10.1002/ibd.20883 [doi]. Retrieved from PM:19177509
Oprea, L., Braunack-Mayer, A., Rogers, W. A., & Stocks, N. (2010). An ethical justification for the Chronic Care Model (CCM). Health Expect., 13(1), 55-64. doi:HEX581 [pii];10.1111/j.1369-7625.2009.00581.x [doi]. Retrieved from PM:19906213
Orom, H., Underwood, W., III, Cheng, Z., Homish, D. L., & Scott, I. (2018). Relationships as Medicine: Quality of the Physician-Patient Relationship Determines Physician Influence on Treatment Recommendation Adherence. Health Serv.Res, 53(1), 580-596. doi:10.1111/1475-6773.12629 [doi]. Retrieved from PM:27981559
Petrie, K. J., & Rief, W. (2019). Psychobiological Mechanisms of Placebo and Nocebo Effects: Pathways to Improve Treatments and Reduce Side Effects. Annu.Rev Psychol, 70, 599-625. doi:10.1146/annurev-psych-010418-102907 [doi]. Retrieved from PM:30110575
Piette, J. D., Heisler, M., Krein, S., & Kerr, E. A. (2005). The role of patient-physician trust in moderating medication nonadherence due to cost pressures. Arch Intern.Med, 165(15), 1749-1755. doi:165/15/1749 [pii];10.1001/archinte.165.15.1749 [doi]. Retrieved from PM:16087823
Rogers, W., & Braunack-Mayer, A. J. (9 A.D.). Practical Ethics for General Practice. Oxford medical publications. Oxford, UK: Oxford University Press.
Sadeghi, M., Haghdoost, A. A., Bahrampour, A., & Dehghani, M. (2017). Modeling the Burden of Cardiovascular Diseases in Iran from 2005 to 2025: The Impact of Demographic Changes. Iran J Public Health, 46(4), 506-516. Retrieved from PM:28540267
Schoen, C., Osborn, R., Huynh, P. T., Doty, M., Peugh, J., & Zapert, K. (2006). On the front lines of care: primary care doctors' office systems, experiences, and views in seven countries. Health Aff.(Millwood.), 25(6), w555-w571. doi:hlthaff.25.w555 [pii];10.1377/hlthaff.25.w555 [doi]. Retrieved from PM:17102164
Scriba, P. C. (2012). [Placebo and the relationship between doctors and patients. Overview]. Bundesgesundheitsblatt.Gesundheitsforschung.Gesundheitsschutz., 55(9), 1113-1117. doi:10.1007/s00103-012-1526-z [doi]. Retrieved from PM:22936478
Simpson, S. H., Eurich, D. T., Majumdar, S. R., Padwal, R. S., Tsuyuki, R. T., Varney, J. et al. (2006). A meta-analysis of the association between adherence to drug therapy and mortality. BMJ, 333(7557), 15. doi:bmj.38875.675486.55 [pii];10.1136/bmj.38875.675486.55 [doi]. Retrieved from PM:16790458
Sokol, M. C., McGuigan, K. A., Verbrugge, R. R., & Epstein, R. S. (2005). Impact of medication adherence on hospitalization risk and healthcare cost. Med Care, 43(6), 521-530. doi:00005650-200506000-00002 [pii];10.1097/01.mlr.0000163641.86870.af [doi]. Retrieved from PM:15908846
Stead, L. F., Buitrago, D., Preciado, N., Sanchez, G., Hartmann-Boyce, J., & Lancaster, T. (2013). Physician advice for smoking cessation. Cochrane.Database.Syst Rev,(5), CD000165. doi:10.1002/14651858.CD000165.pub4 [doi]. Retrieved from PM:23728631
Tarrant, C., Dixon-Woods, M., Colman, A. M., & Stokes, T. (2010). Continuity and trust in primary care: a qualitative study informed by game theory. Ann.Fam.Med, 8(5), 440-446. doi:8/5/440 [pii];10.1370/afm.1160 [doi]. Retrieved from PM:20843886
Wilhelm, M., Winkler, A., Rief, W., & Doering, B. K. (2016). Effect of placebo groups on blood pressure in hypertension: a meta-analysis of beta-blocker trials. J Am.Soc Hypertens., 10(12), 917-929. doi:S1933-1711(16)30559-9 [pii];10.1016/j.jash.2016.10.009 [doi]. Retrieved from PM:27865824
World Health Organization. (2018). Noncommunicable diseases country profiles 2018. Geneva, Switzerland: World Health Organization.
Copyright (c) 2021 International Journal of Body, Mind and Culture
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
