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A Phenomenological Study of the Doctor-Patient Relationship in Diabetes Treatment : = Implications for Policy Development.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
A Phenomenological Study of the Doctor-Patient Relationship in Diabetes Treatment :/
其他題名:
Implications for Policy Development.
作者:
Dortch-Lanier, Jamie K.
面頁冊數:
1 online resource (116 pages)
附註:
Source: Dissertations Abstracts International, Volume: 80-06, Section: B.
Contained By:
Dissertations Abstracts International80-06B.
標題:
Public policy. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10981598click for full text (PQDT)
ISBN:
9780438697959
A Phenomenological Study of the Doctor-Patient Relationship in Diabetes Treatment : = Implications for Policy Development.
Dortch-Lanier, Jamie K.
A Phenomenological Study of the Doctor-Patient Relationship in Diabetes Treatment :
Implications for Policy Development. - 1 online resource (116 pages)
Source: Dissertations Abstracts International, Volume: 80-06, Section: B.
Thesis (Ph.D.)--Niagara University, 2017.
Includes bibliographical references
Diabetes affects many; the Centers for Disease Control and Prevention's (CDC) 2014 Diabetes Report Card states that over the past four decades, "the number of adults with diagnosed diabetes in the United States nearly quadrupled to 21.3 million. The Centers note that and estimated 86 million US adults, more than one of three, have pre-diabetes, which can increase the risk of developing Type 2 diabetes, heart disease, and stroke" (p. 1-2). The CDC further projects in this document that one-third of adults in the U.S. will develop and/or be diagnosed with diabetes by 2050" (CDC, 2014). This alarming number of future patients will all likely require medical care of varying complexity to manage the disease. Diabetes treatment involves many facets and each person may have a different regimen. Diet, exercise, glucose level monitoring, and other medical interventions are the most common treatment options. However, there is another element that may affect treatment and its efficacy - the doctor-patient relationship - which, dependent on a web of variables, may develop as positive or negative. In either case, the dynamics of this doctor-patient relationship may predict or even correlate with patient fidelity to treatment regimen and, in turn, short- and long-term medical outcomes. The purpose of this study to identify the characteristics of the doctor-patient relationship, from a patient's perspective. It is important for patients to have a voice and for others to understand what is important to them. Physicians need to understand that patients view them as expert beings and seek them for guidance with medical treatment. However, a halo effect is often present among doctors who may make immediate judgements regarding the patient and their requisite medical treatment without consideration of the patient's input and concerns. This study explores the patients' lived experiences with their physicians and their perceptions. Identifying the important factors in a doctor-patient relationship, and what is meaningful to the patients, may be enhanced by partially structured interviews. These interviews are used to answer the research question, What are the lived experiences of patients' interactions with their doctor about diabetes care? The interviews are focused on the patients with respect to their diabetes treatment and the doctor-patient relationship. As previously stated, most literature is from a physician's perspective. This study will provide a different perspective with the hope of creating insight and invoking thought among the readers. Although presented from a patient's perspective to assist physicians, it is believed patients may learn from this well. Patients reading this study, who are struggling with their treatment and possibly experiencing a negative doctor-patient relationship, will realize they are not alone. Negative doctor-patient relationships are unfortunate, but are still opportunities for learning. As detailed in this study, the doctor-patient relationship does not affect just the patient's health compliance, it impacts them emotionally as well, which overlaps with their daily lives. Patients experiencing high glucose levels may experience fatigue and frequent urination. This fatigue restricts interactions with family, friends, and may affect the person's work performance. Having a positive doctor-patient relationship, with encouragement and understanding, may help the patient achieve health compliance with favorable glucose levels, thus enabling the patient to participate with other functions of life. This disease is not isolated just within the medical regimen. If uncontrolled, it has lasting effects on the patient's life, overall.
Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023
Mode of access: World Wide Web
ISBN: 9780438697959Subjects--Topical Terms:
532803
Public policy.
Subjects--Index Terms:
DiabetesIndex Terms--Genre/Form:
542853
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Diabetes affects many; the Centers for Disease Control and Prevention's (CDC) 2014 Diabetes Report Card states that over the past four decades, "the number of adults with diagnosed diabetes in the United States nearly quadrupled to 21.3 million. The Centers note that and estimated 86 million US adults, more than one of three, have pre-diabetes, which can increase the risk of developing Type 2 diabetes, heart disease, and stroke" (p. 1-2). The CDC further projects in this document that one-third of adults in the U.S. will develop and/or be diagnosed with diabetes by 2050" (CDC, 2014). This alarming number of future patients will all likely require medical care of varying complexity to manage the disease. Diabetes treatment involves many facets and each person may have a different regimen. Diet, exercise, glucose level monitoring, and other medical interventions are the most common treatment options. However, there is another element that may affect treatment and its efficacy - the doctor-patient relationship - which, dependent on a web of variables, may develop as positive or negative. In either case, the dynamics of this doctor-patient relationship may predict or even correlate with patient fidelity to treatment regimen and, in turn, short- and long-term medical outcomes. The purpose of this study to identify the characteristics of the doctor-patient relationship, from a patient's perspective. It is important for patients to have a voice and for others to understand what is important to them. Physicians need to understand that patients view them as expert beings and seek them for guidance with medical treatment. However, a halo effect is often present among doctors who may make immediate judgements regarding the patient and their requisite medical treatment without consideration of the patient's input and concerns. This study explores the patients' lived experiences with their physicians and their perceptions. Identifying the important factors in a doctor-patient relationship, and what is meaningful to the patients, may be enhanced by partially structured interviews. These interviews are used to answer the research question, What are the lived experiences of patients' interactions with their doctor about diabetes care? The interviews are focused on the patients with respect to their diabetes treatment and the doctor-patient relationship. As previously stated, most literature is from a physician's perspective. This study will provide a different perspective with the hope of creating insight and invoking thought among the readers. Although presented from a patient's perspective to assist physicians, it is believed patients may learn from this well. Patients reading this study, who are struggling with their treatment and possibly experiencing a negative doctor-patient relationship, will realize they are not alone. Negative doctor-patient relationships are unfortunate, but are still opportunities for learning. As detailed in this study, the doctor-patient relationship does not affect just the patient's health compliance, it impacts them emotionally as well, which overlaps with their daily lives. Patients experiencing high glucose levels may experience fatigue and frequent urination. This fatigue restricts interactions with family, friends, and may affect the person's work performance. Having a positive doctor-patient relationship, with encouragement and understanding, may help the patient achieve health compliance with favorable glucose levels, thus enabling the patient to participate with other functions of life. This disease is not isolated just within the medical regimen. If uncontrolled, it has lasting effects on the patient's life, overall.
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