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trust to physicians

Daniel A Norman, Margie Danchin, Paul Van Buynder, Hannah C Moore, Christopher C Blyth, Holly Seale
BACKGROUND: Influenza vaccination is recommended and funded for Australian children with medical comorbidities that increase their risk of severe influenza. Despite this, influenza vaccine coverage remains low within this population. We examined caregivers' attitudes and practices for influenza vaccination in children with medical comorbidities. METHODS: Cross-sectional surveys were conducted with caregivers of children (6 months to <18 years old) with medical comorbidities attending sub-speciality paediatric outpatient clinics at the Royal Children's Hospital (Melbourne), Princess Margaret Hospital (Perth), and Leading Steps private paediatric clinic (Gold Coast)...
March 15, 2019: Vaccine
Goldy C George, Eucharia C Iwuanyanwu, Adrianna S Buford, Sarina A Piha-Paul, Vivek Subbiah, Siqing Fu, Daniel D Karp, Shubham Pant, Christina O Hinojosa, Kenneth R Hess, Charles S Cleeland, Elmer V Bernstam, Funda Meric-Bernstam, David S Hong
BACKGROUND: The role of cancer-related internet use on the patient-physician relationship has not been adequately explored among patients who are cancer-related internet users (CIUs) in early-phase clinical trial clinics. OBJECTIVE: We examined the association between cancer-related internet use and the patient-physician relationship and decision making among CIUs in an early drug development clinic. METHODS: Of 291 Phase I clinic patients who completed a questionnaire on internet use, 179 were CIUs...
March 14, 2019: Journal of Medical Internet Research
Shixin Cindy Shen, Vinita Dubey
OBJECTIVE: To provide primary care physicians with clinical guidance for addressing parental vaccine hesitancy. SOURCES OF INFORMATION: The PubMed database was searched for English-language articles published in the 10 years before January 1, 2018. Search terms included vaccine hesitancy or confidence or acceptance, parents or children, and communication, counseling, or clinical practice . References of identified articles were assessed for additional relevant articles...
March 2019: Canadian Family Physician Médecin de Famille Canadien
Margo E Godersky, Andrew J Saxon, Joseph O Merrill, Jeffrey H Samet, Jane M Simoni, Judith I Tsui
BACKGROUND: Buprenorphine effectively reduces opioid craving and illicit opioid use. However, some patients may not take their medication as prescribed and thus experience suboptimal outcomes. The study aim was to qualitatively explore buprenorphine adherence and the acceptability of utilizing video directly observed therapy (VDOT) among patients and their providers in an office-based program. METHODS: Clinical providers (physicians and staff; n = 9) as well as patients (n = 11) were recruited from an office-based opioid treatment program at an urban academic medical center in the northwestern United States...
March 13, 2019: Addiction Science & Clinical Practice
Mary Beth Sutter, Hannah Watson, Ariele Bauers, Kate Johnson, Mandy Hatley, Nicole Yonke, Lawrence Leeman
Opioid use disorder among pregnant women is common and rapidly increasing nationwide. Group prenatal care is an innovative alternative to individual care for pregnant women and has been shown to improve women's and health care providers' satisfaction and adherence to care. We describe a novel group prenatal care program colocated in an opioid treatment program that integrates prenatal care, substance use disorder counseling, and medication-assisted treatment. Our interprofessional model draws on the unique contributions of physicians, midwives, nurses, and mental health professionals to address the complex needs of pregnant women with opioid use disorder...
March 13, 2019: Journal of Midwifery & Women's Health
Denise Marte
In this Invited Commentary, the author-a second-generation immigrant, a first-generation college graduate, and a woman of color-reflects on the experiences during medical school that shaped her trust in the medical education system. She describes her reasons for entering medicine-to become the kind of doctor she wished she had had growing up. Then she considers how the words physicians use with patients and to talk about patients, which can reinforce problematic narratives and indicate complicity with structural injustices, negatively affect the care they provide...
February 26, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
Mirjam Olah
Division of Physicians' Day-To-Day Work - Basic Principles of Legal Requirements for Interdisciplinary and Interprofessional Medical Cooperation Abstract. Insofar as a personal medical performance is not indicated as a result of an explicit special statutory conditional task or a strictly personal specialist activity is required due to compliance with the boundaries of the specialist area, tasks outside the medical core area may be transferred to appropriately qualified medical or non-medical specialists. Furthermore, the patients shall be informed about the transfer of tasks and such transfer must be avoided if an explicit doctor-related consent has been obtained...
2019: Praxis
M-A Richard, P Joly, B Roy Geffroy, C Taïeb
BACKGROUND: The public perception of dermatologists, highly relevant for implementing strategies to improve dermatological care, has been scarcely investigated in France, in regards to the background where the number of active dermatologists is continuously decreasing. OBJECTIVE: This study sought to investigate the French public's perception of dermatologists, as well as the physician-patient relationship in dermatology area. METHODS: A sample of 5,000 inhabitants (aged ≥15-80 years) of Metropolitan France, seeking medical advice for a skin condition, were invited in July 2018 to fill in a digital structured questionnaire...
March 5, 2019: Journal of the European Academy of Dermatology and Venereology: JEADV
Laura M Beskow, Kathleen M Brelsford, Catherine M Hammack
BACKGROUND: EHR phenotyping offers the ability to rapidly assemble a precisely defined cohort of patients prescreened for eligibility to participate in health-related research. Even so, stakeholders in the process must still contend with the practical and ethical challenges associated with research recruitment. Patient perspectives on these matters are particularly important given that the success of research recruitment depends on patients' willingness to participate. METHODS: We conducted 15 focus groups (n = 110 participants) in four counties in diverse regions of the southeastern US: Appalachia, the Mississippi Delta, and the Piedmont area of North Carolina...
February 26, 2019: BMC Medical Research Methodology
Sadie Elisseou, Sravanthi Puranam, Meghna Nandi
Introduction: Trauma is prevalent in the general population in various forms and has lasting effects on health. Physicians routinely examine patients who have experienced trauma, although most providers lack training in trauma-informed care, a well-established framework for providing quality care to trauma survivors. To address this gap, we implemented a novel curriculum on trauma-informed physical examination skills for first-year medical students. Methods: We held a large-group lecture for 148 first-year medical students and 40 faculty members to introduce a framework for a trauma-informed physical examination, using a standardized patient for demonstration...
January 25, 2019: MedEdPORTAL Publications
Katherine Cicolello, Gowri Anandarajah
CONTEXT: Although studies show disparities in hospice care utilization, many questions remain regarding the causes of these disparities. Most studies focus on a single ethnic/racial group, and most utilize physician informants. None compare and contrast views of multiple stakeholders or utilize a systems approach within a single geographic region. OBJECTIVES: To gain an in-depth understanding of causes of hospice enrollment disparities in diverse patient populations within one state in the USA...
February 18, 2019: Journal of Pain and Symptom Management
Monica Perez Jolles, Jennifer Richmond, Kathleen C Thomas
OBJECTIVES: This systematic review of contemporary literature sought to better understand racial and ethnic minority patients' shared decision-making (SDM) preferences, challenges and facilitators. METHODS: Data sources were PubMed, CINAHL, Embase, Google Scholar, PsycINFO, Sociological Abstracts, and Web of Science databases for publications between 2011 and 2016. Publications were included if they studied SDM during the clinical encounter for minority adults in clinical care in the United States...
February 10, 2019: Patient Education and Counseling
Celeste Campos-Castillo
BACKGROUND: Research on skin color inequality is growing, but few studies examine the health care context. OBJECTIVE: This study explored associations between black and white respondents' skin color and their trust in physicians using the 2012 General Social Survey (n = 1026), which is a national survey of U.S. adults. METHODS: Bivariate and multivariable analyses examined how trust in physician is related to skin color and race. Five items measuring trust were aggregated using three different methods (summation, averaging, scaling) and disaggregated (estimated one item at a time) in analyses...
February 15, 2019: Journal of the National Medical Association
Frank Kowalzik, Fred Zepp
Skepticism about vaccination is not new, but the perception of vaccine-related risks has changed in recent decades. In addition to aspects such as knowledge about vaccines, trust in medical care structures and political institutions, socio-economic, cultural and religious views also play an important role. These factors differ significantly worldwide and regionally. In almost all surveys, confidence in vaccines and/or the healthcare system is identified as essential for a positive vaccination decision. Confidence in vaccines correlates with the assessment of the specific individual disease risk and the potential side effects of the vaccines...
February 2019: Deutsche Medizinische Wochenschrift
Cindy B Rippé, Alan J Dubinsky
Given the challenges in patient non-adherence and the lack of training in healthcare providers' communication and in application of bedside manners, this manuscript suggests an innovative approach for physicians working with patients by applying the marketing literature's seven-step sales process. This article explores ways to apply the sales process to healthcare providers' interactions with patients. This approach views the healthcare interaction with patients as a sales scenario and is shared by connecting existing marketing literature that delineates specific selling tactics to examples of those tactics in the healthcare environment...
October 2018: Health Marketing Quarterly
Emily Reeve, Lee-Fay Low, Sarah N Hilmer
BACKGROUND/OBJECTIVES: Use of harmful and/or unnecessary medications in older adults is common. Understanding older adult and caregiver attitudes toward deprescribing will contribute to medication optimization in practice. The aims of this study were to capture the attitudes and beliefs of older adults and caregivers toward deprescribing and determine what participant characteristics and/or attitudes (if any) predicted reported willingness to have a medication deprescribed. DESIGN: Self-completed questionnaire...
February 13, 2019: Journal of the American Geriatrics Society
Nicole C Wright, Mary E Melton, Maira Sohail, Ivan Herbey, Susan Davies, Emily B Levitan, Kenneth G Saag, Natalia V Ivankova
Using a concurrent mixed methods design, we investigated how knowledge, attitudes, values, and beliefs among women with osteoporosis can explain racial disparities in bone health. We recruited African American and White women ≥ 65 years of age with osteoporosis to participate in focus groups. We quantitatively compared scores of the "Osteoporosis & You" knowledge scale and each domain (internal, powerful others, and chance) of the Multidimensional Health Locus of Control scale by race using t tests...
February 11, 2019: Journal of Racial and Ethnic Health Disparities
Veronika Učakar, Alenka Kraigher
Introduction: Vaccination against seasonal influenza is recommended for all healthcare workers including physicians in Slovenia to protect vulnerable individuals and reduce transmission of influenza viruses. The aim of our study is to determine the uptake of seasonal influenza vaccination among Slovenian physicians, to identify factors associated with that vaccination and assess their attitudes and beliefs regarding vaccination and vaccine-preventable diseases. Methods: A cross-sectional survey was performed among physician members of the Slovenian Medical Chamber...
March 2019: Zdravstveno Varstvo
Roberto Germán Zurriaráin
This article analyzes the issue of euthanasia, but under a concrete point of view, that of its social implications. It is defended here that euthanasia is not exclusively an individual decision, but has, above all, an important social repercussion. If euthanasia were accepted and legalized, the very nature of the medicine and the physician's own identity would undergo a profound transformation. The doctor-patient relationship based on trust would be broken. Also, if euthanasia were endorsed, it would be encouraged that the human being was not valued for his / her being, but for his capacity to produce...
January 2019: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
Kathryn Mercer, Lisa Guirguis, Catherine Burns, Jessie Chin, Maman Joyce Dogba, Lisa Dolovich, Line Guénette, Laurie Jenkins, France Légaré, Annette McKinnon, Josephine McMurray, Khrystine Waked, Kelly Anne Grindrod
OBJECTIVES: We know little about how electronic health records (EHRs) should be designed to help patients, pharmacists, and physicians participate in interprofessional shared decision making. We used a qualitative approach to understand better how patients make decisions with their health care team, how this information influences decision making about their medications, and finally, how this process can be improved through the use of EHRs. DESIGN: Participants from 4 regions across Canada took part in a semistructured interview and completed a brief demographic survey...
February 5, 2019: Journal of the American Pharmacists Association: JAPhA
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