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Perspectives on Neuroscience
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Healing Skills from the Underserved Patient Perspective.

Kathleen M Nemer, Larry R Churchill

    Journal of Health Care for the Poor and Underserved
    |March 6, 2018
    PubMed
    Summary

    Physician actions like sitting down, treating patients like family, and showing personal care foster strong doctor-patient relationships. Patient feelings are crucial for a positive clinical encounter.

    Area of Science:

    • Medical Sociology
    • Qualitative Health Research
    • Patient-Centered Care

    Background:

    • Meaningful doctor-patient relationships are crucial for effective healthcare delivery.
    • Medically underserved populations often face unique challenges in accessing and experiencing quality healthcare.
    • Understanding patient perspectives is vital for improving clinical interactions.

    Purpose of the Study:

    • To identify specific physician behaviors that cultivate strong doctor-patient relationships.
    • To explore these behaviors from the viewpoint of medically underserved patients.
    • To understand the qualities of engagement beyond diagnosis and treatment.

    Main Methods:

    • Qualitative research utilizing the grounded theory method.
    • Interviews conducted with 25 patients at a health clinic serving an underinsured population.

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  • Audio-recorded, transcribed, and anonymized interview data analyzed for emergent themes.

    • Main Results:

    • Six key physician actions were identified as vital for fostering meaningful relationships.
    • These actions include: 'Sits down with me,' 'Treats me like family,' 'Cares about me as a person,' 'Takes the time,' 'Gets to the root of it,' and 'Will not push me away.'
    • The patient's emotional experience during the clinical encounter was found to be critically important.

    Conclusions:

    • Specific physician actions significantly impact the quality of the doctor-patient relationship.
    • Empathy, attentiveness, and a non-dismissive approach are highly valued by underserved patients.
    • Focusing on how doctors make patients feel can enhance the overall clinical experience and relationship.