ITEMS IN AFP WITH KEYWORD:
Jul 1, 2010 Issue
Improving Sensitivity to Patients from Other Cultures [Curbside Consultation]
In this scenario, the physician is facing several challenges: making a patient from another culture feel at ease; managing a female patient's discomfort with a male physician; and recognizing the patient's chief concern. Physicians often treat patients from cultures different from their own.
Patients who present to the clinic without having followed the treatment plan endorsed at previous visits may frustrate us on both professional and personal levels.
Social norms ingrained from early child-hood usually prescribe a polite “thank you” when a gift is received. However, the social norms that govern the relationship between the physician and patient, called professional boundaries, may require a different and more reasoned response.
This complex scenario poses many challenges. At first glance, it seems to just be about prayer—should the physician pray with a patient? However, on closer inspection it becomes clear that this scenario is about successfully balancing the patient's beliefs and stated needs with the physician's belie...
May 1, 2007 Issue
How Do EHRs Affect the Physician-Patient Relationship? [Curbside Consultation]
In the United States, 28 percent of primary care physicians use EHRs, and another 31 percent plan to implement the system within the next year.
The basic questions asked in the scenario are whether physicians should always “practice what they preach,” and whether a physician's personal life should be accessible and relevant to patients. Professional role models are important.
American society values autonomy and the belief that competent adults have the right to make virtually any decision pertaining to their health care. As health care professionals, we have a responsibility to try to make sure that our patients are mentally capable, well-informed, and free of coercion.
The interventions that have the best supporting evidence are the distribution of guidelines with standard referral forms and the involvement of specialist consultants in education. Disseminating guidelines without forms and providing physicians with feedback on referral patterns are not proven to be effective.
All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Difficulties may be traced to patient, physician, or health care system factors. Patient factors include psychiatric disorders, personality disorders, and subc...
Nov 1, 2005 Issue
Patients' Preconceptions and Convictions About Antibiotics [Curbside Consultation]
Multiple studies have demonstrated that patients who seek care for respiratory ailments often expect to receive antibiotics, and that patients or parents who expect antibiotics receive them more often than those who do not.