Meta-analytic work on physician-patient communication has revealed that White patients receive a higher quality of care in technical, interpersonal, and "positive-talk" domains of communication with their physicians (Hall et al 1988).
The Hippocratic work On the Physician recommends that physicians always be well-kempt, honest, calm, understanding, and serious.
The effect of prolonged work hours on physician wellbeing, physician-patient relationships, and patient safety is an area of ongoing interest, especially in the context of policies limiting resident physician work hours.
The idea of respect for patient autonomy has transformed health care practice, which had traditionally worked on physician-based paternalism, and the principle enters into issues such as informed consent, truthtelling, confidentiality, respecting refusals of life-saving treatment, the use of patients as subjects in medical experimentation, and so on.
In the case of the physicians -as the main providers of health care services- this is consistent with the growing literature on the importance of non-monetary work circumstances on physicians' overall work satisfaction [ 25].
Not all states value the work of physicians on Medicaid patients as lowly as does New Jersey and, for that matter, New York, even though both states rank near the top in the United States in terms of per-capita income.
In two previous survey-based studies on the effect of removing the paper-based medical record on the work of physicians, nurses and medical secretaries, we concluded that to scan and eliminate the paper based record was feasible, but that the medical secretaries were the group that reported to benefit the most from the change.
Nursing homes will be included if: they have at least two DSC Units; nursing staff members, psychologist and physician work on one of these units exclusively; one care team cares for at least fifteen residents that are diagnosed with dementia; participating units have not planned a reorganization or other interventions that can influence the study within half a year before or during the study.
they have at least two DSC Units; nursing staff members, psychologist and physician work on one of these units exclusively; one care team cares for at least fifteen residents that are diagnosed with dementia; participating units have not planned a reorganization or other interventions that can influence the study within half a year before or during the study.
