PATIENT PRACTITIONER RELASHIONSHIP Flashcards
(22 cards)
What was the aim of McKinstry and Wang’s 1991 study?
To determine how patients perceive different styles of doctors’ attire and its effect on respect for the doctor’s opinion.
What conclusion was drawn from McKinstry and Wang’s study?
Traditionally dressed doctors received higher preference ratings than casually dressed ones.
conclusion from Robinson and West (1992)
Patients are less worried about social judgements and embarrassing details with a computer.
Aim of Savage and Armstrong
to compare the effectiveness of directing and sharing styles of consultations by general practitioners on patient’s satisfaction.
Conclusion of Savage and Armstrong
It seems that for a simple physical illness a traditional biomedical approach to diagnosis and treatment is preferred and effective.
Aim of safer et al
To discover which psychological factors affect delay at each of the 3 delay stages
Main features of Munchausen syndrome
Pathologic lying (pseudologia fantastica), Peregrination (traveling or wandering), Recurrent, feigned or simulated illness
3 supporting features of munchausen
Borderline and/or antisocial personality traits, Deprivation in childhood, Evidence of self-induced physical signs
what was Aleem and Ajarim (1995) about
Muchausen syndrome - presenting immunodeficiency
what was McKinlay about
Verbal communication and comprehension of medical terms
How many patients were initially selected for the Savage and Armstrong (1990) study?
359 randomly selected patients from one inner London general practice.
How many patients refused to participate in the Savage and Armstrong (1990) study?
Four patients refused to participate.
How were patients assigned to consultation styles in Savage and Armstrong (1990)?
They were randomized to receive either a directing or sharing style of consultation.
What aspects of patient satisfaction were measured in the study?
Patients’ satisfaction with the doctor’s understanding, explanation, and perceived immediate and one-week help.
How did patient satisfaction levels generally appear in Savage and Armstrong (1990)?
Patients reported high satisfaction levels, with only three neutral or negative responses.
How did the directing style affect patients’ perceptions of the doctor’s understanding and explanation?
It led to patients feeling the doctor completely understood their problem and provided an excellent explanation.
How did the directing style affect subjective improvement reported by patients one week later?
Patients in the directing style group reported greater subjective improvement.
What is a strength of the Savage and Armstrong (1990) study regarding validity?
It was conducted in a real-life setting, making it high in ecological validity.
What methodological strength did the study have?
The research was standardized.
What was notable about the patient demographic in the study?
Patients were of a range of ages and genders/sexes.
What was a limitation of the data collection method in the study?
The questionnaire collected quantitative data, making it easier to analyze but less informative on detailed feelings.
What was a sampling limitation in the Savage and Armstrong (1990) study?
Participants were all from one doctor’s surgery, limiting generalizability.
