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The good doctor: a qualitative study of German homeopathic physicians
Harald Kliems1, Claudia M Witt
1Science & Technology Studies, Cornell University, Ithaca, NY, USA.
Objectives:
The objective of this study was to identify the factors that make a good doctor, both from a patient and a physician perspective. Is there a connection between practicing homeopathy and being a good doctor?
Methods:
This was a qualitative study of homeopathically trained physicians and their patients, using observation of patient-physician interactions (n = 29) and interviews with patients (n = 20) and with physicians (n = 4).
Results:
Patients identified the availability of time, both in itself and as a prerequisite for other physician characteristics, as the single most important factor. Other factors include scope of diagnosis/holistic approach, patient-centeredness/empathy, and perceived competence/therapeutic success. Patients did not link these factors to the homeopathic orientation of their physician, while physicians clearly made this connection.
Conclusions:
The findings confirm other studies of patient satisfaction and physician characteristics. The availability of time, a holistic approach, and high physician empathy lead to high patient satisfaction. Homeopathic physicians probably are more likely to exhibit these characteristics.
Practice Implications:
Health care policy should create conditions that enable individual physicians to be "good doctors." For medical education, a stronger emphasis on interpersonal skills and practitioner empathy could lead to higher patient satisfaction and potentially better treatment outcomes. Homeopathy might provide a good role model for this type of education.
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