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Barriers to Effective Doctor-Patient Relationship Based on PRECEDE PROCEED Model
Saeideh Ghaffarifar1, Fazlollah Ghofranipour, Fazlollah Ahmadi
1Tarbiat Modares University. sa.ghafarifar@yahoo.com.
Effective doctor-patient relationships are hindered by contextual, regulatory, and physician skill barriers. Improving communication skills training in medical schools is crucial for patient satisfaction and physician confidence.
Area of Science:
- Medical Education
- Health Communication
- Healthcare Management
Background:
- The physician-patient relationship is fundamental to healthcare delivery and patient outcomes.
- Effective communication skills are essential for building trust and ensuring patient satisfaction.
- Understanding barriers to this relationship is critical for medical training and practice.
Purpose of the Study:
- To explore the perspectives of medical interns and faculty on factors influencing the physician-patient relationship.
- To identify barriers to establishing and maintaining effective doctor-patient connections within Iranian medical universities.
Main Methods:
- Utilized the PRECEDE PROCEED model for a structured approach.
- Conducted semi-structured interviews with 7 interns and 14 faculty members.
- Employed directed content analysis to identify key themes and meaning units.
Main Results:
- Identified significant barriers to effective doctor-patient relationships.
- Highlighted the influence of contextual and regulatory factors on the relationship.
- Emphasized the role of physicians' content, process, and perceptual skills.
Conclusions:
- Recommended faculty and curriculum development to enhance communication skills.
- Advocated for establishing dedicated communication skills departments in medical schools.
- Suggested leveraging health education and promotion theories for intervention design.
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