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THE PATIENT-PHYSICIAN ENCOUNTER DATO’ AHMAD TAJUDIN JAAFAR VICE PRESIDENT 1 (ACADEMIC) MEDICAL & ALLIED HEALTH SCIENCE ALL...
WHAT DO PATIENTS WANT? <ul><li>Able to trust the competence and efficacy of the physician </li></ul><ul><li>Able to negoti...
WHAT DO PATIENTS WANT? <ul><li>Allay the fears by telling them everything that they want to know </li></ul><ul><li>Discuss...
THE RELATIONSHIP BETWEEN PATIENT AND PHYSICIAN <ul><li>Analyzed since 1900 </li></ul><ul><li>When cure is impossible and t...
DIMENSIONS OF PATIENT-PHYSICIAN ENCOUNTER <ul><li>Instrumental Component </li></ul><ul><li>- Competence of the physicians ...
DIMENSIONS OF PATIENT-PHYSICIAN ENCOUNTER <ul><li>2. Expressive Component </li></ul><ul><li>- Reflects the art of medicine...
3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>The Activity-Passivity Model </li></ul><ul><li>- Power diffe...
3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>- Patient must accept it </li></ul><ul><li>- Physician an ac...
3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>2. The Guidance - Cooperative Model </li></ul><ul><li>- Most...
3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>- Doctor is supportive and non-authoritarian, responsible fo...
3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>3. The Mutual Participation Model – (Shared Responsibility) ...
WHAT IS THE OPTIMAL MODEL? <ul><li>In between guidance-cooperation and mutual participation </li></ul><ul><li>In reality, ...
WHAT IS THE OPTIMAL MODEL? <ul><li>As patient becomes more confident and knowledgeable, mutual relationship set in as they...
EFFICACY OF TREATMENT <ul><li>Dependent on patient carrying out directives of physician </li></ul><ul><li>Non adherent sug...
EFFICACY OF TREATMENT <ul><li>The assumption here is that: </li></ul><ul><li>- The treatment is appropriate and effective ...
EFFECT OF AN EFFECTIVE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>- Where the Patient-Physician relationship includes: </li></...
EFFECT OF AN EFFECTIVE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>BETTER ADHERENCE TO TREATMENT </li></ul><ul><li>PATIENT SATI...
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The Patient Physician Encounter

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Transcript of "The Patient Physician Encounter"

  1. 1. THE PATIENT-PHYSICIAN ENCOUNTER DATO’ AHMAD TAJUDIN JAAFAR VICE PRESIDENT 1 (ACADEMIC) MEDICAL & ALLIED HEALTH SCIENCE ALLIANZE COLLEGE OF MEDICAL SCIENCES
  2. 2. WHAT DO PATIENTS WANT? <ul><li>Able to trust the competence and efficacy of the physician </li></ul><ul><li>Able to negotiate through the health care system effectively </li></ul><ul><li>Treated with dignity and respect </li></ul><ul><li>Understand how the sickness and treatment affect their lives </li></ul>
  3. 3. WHAT DO PATIENTS WANT? <ul><li>Allay the fears by telling them everything that they want to know </li></ul><ul><li>Discuss the effect of their illness on their family, friends and finances </li></ul><ul><li>Able to plan for the future </li></ul><ul><li>How to care for themselves away from the clinical setting </li></ul><ul><li>Patients want the doctor to focus on their pain, physical discomfort and functional disabilities </li></ul>
  4. 4. THE RELATIONSHIP BETWEEN PATIENT AND PHYSICIAN <ul><li>Analyzed since 1900 </li></ul><ul><li>When cure is impossible and treatment is limited, bedside manner was emphasized </li></ul><ul><li>Now with the importance of psychosocial model in medicine, renewed interest is seen with medicine as a social process </li></ul><ul><li>Harm can be done by use of the knife or slip of a word </li></ul>
  5. 5. DIMENSIONS OF PATIENT-PHYSICIAN ENCOUNTER <ul><li>Instrumental Component </li></ul><ul><li>- Competence of the physicians performing the technical aspects of care such as: </li></ul><ul><li>* Performing Diagnostic tests </li></ul><ul><li>* Physical Examination </li></ul><ul><li>* Prescribing Treatment </li></ul>
  6. 6. DIMENSIONS OF PATIENT-PHYSICIAN ENCOUNTER <ul><li>2. Expressive Component </li></ul><ul><li>- Reflects the art of medicine including the effective portion of the interaction such as: </li></ul><ul><li>- Warmth </li></ul><ul><li>- Empathy </li></ul><ul><li>- How the physician approach the patient </li></ul>
  7. 7. 3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>The Activity-Passivity Model </li></ul><ul><li>- Power differential between patient and physician is necessary for a steady course of medical care. </li></ul><ul><li>- Patient seeks information and treatment and physician formulate decision. </li></ul>
  8. 8. 3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>- Patient must accept it </li></ul><ul><li>- Physician an active partner, whilst patient is passive and no control </li></ul>
  9. 9. 3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>2. The Guidance - Cooperative Model </li></ul><ul><li>- Most prevalent </li></ul><ul><li>- Physician recommends treatment and patient cooperates </li></ul><ul><li>- “Doctor knows best” theory </li></ul>
  10. 10. 3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>- Doctor is supportive and non-authoritarian, responsible for choosing appropriate treatment </li></ul><ul><li>- Patient are expected to follow </li></ul>
  11. 11. 3 COMMON MODELS OF THE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>3. The Mutual Participation Model – (Shared Responsibility) </li></ul><ul><li>- Doctor and patient share responsibilities for decision making and planning course of treatment </li></ul><ul><li>- Patient and doctor respectful of each other expectation and values </li></ul>
  12. 12. WHAT IS THE OPTIMAL MODEL? <ul><li>In between guidance-cooperation and mutual participation </li></ul><ul><li>In reality, the relationship changes over time </li></ul><ul><li>Early on, relationship is guidance in nature </li></ul>
  13. 13. WHAT IS THE OPTIMAL MODEL? <ul><li>As patient becomes more confident and knowledgeable, mutual relationship set in as they: </li></ul><ul><li>- Monitor their symptoms </li></ul><ul><li>- Report difficulties </li></ul><ul><li>- Work as a team to modify plan </li></ul>
  14. 14. EFFICACY OF TREATMENT <ul><li>Dependent on patient carrying out directives of physician </li></ul><ul><li>Non adherent suggest a complete failure to follow a prescribed treatment </li></ul>
  15. 15. EFFICACY OF TREATMENT <ul><li>The assumption here is that: </li></ul><ul><li>- The treatment is appropriate and effective </li></ul><ul><li>- Association between adherence and improved health </li></ul><ul><li>- Patient is able to carry out the treatment plan </li></ul>
  16. 16. EFFECT OF AN EFFECTIVE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>- Where the Patient-Physician relationship includes: </li></ul><ul><li>* Competence </li></ul><ul><li>* Communication </li></ul><ul><li>* Effective style </li></ul><ul><li>-These factors provide for PATIENT SATISFACTION </li></ul><ul><li>WITH CARE </li></ul><ul><li>- Leads to BETTER ADHERENCE TO TREATMENT </li></ul>
  17. 17. EFFECT OF AN EFFECTIVE PATIENT-PHYSICIAN RELATIONSHIP <ul><li>BETTER ADHERENCE TO TREATMENT </li></ul><ul><li>PATIENT SATISFACTION WITH CARE </li></ul><ul><li>IMPROVED HEALTH </li></ul><ul><li>BETTER QUALITY OF LIFE </li></ul>
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