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Physician Perspectives on Long-Term Relationships and Friendships with Patients: A National Assessment.

Publication ,  Journal Article
Hines, HG; Avila, CJ; Rudakevych, TM; Curlin, FA; Yoon, JD
Published in: South Med J
November 2017

OBJECTIVES: Shifts in the healthcare environment have introduced challenges to the long-term continuity of the doctor-patient relationship. This study examines whether certain demographic or religious characteristics of physicians are associated with maintaining long-term relationships (LTRs) and/or friendships with their patients and describes physicians' opinions regarding the influence of such patient relationships on health outcomes. METHODS: In 2011, survey responses were obtained from 1289 US physicians from various specialties. Physicians answered 8 items that assessed their opinions regarding their friendships, sense of meaningfulness, and experience in LTRs. The χ2 test was used to examine bivariate associations between each demographic characteristic and physician responses to the importance of LTRs. The survey included 2 questions about the duration of physician practice and the number of patients seen in a typical week, 4 questions about perceived meaningfulness and friendship in the doctor-patient relationship, and 2 questions about the doctor-patient relationship setting. RESULTS: The adjusted survey response rate was 69% (1289/1863), 43% of physicians indicated that many or most of their patient relationships are LTRs, and 13.7% indicated they consider many or most of their patients to be friends. Just fewer than half of physicians (45.1%) perceive LTRs to have a great impact on clinical outcomes, 64.8% believe that LTRs contribute to patient trust, and 52.2% believe that LTRs are more likely to cause a patient to follow a physician's medical recommendations. CONCLUSIONS: This study presents a representative picture of US physicians' perceptions regarding relationships with patients. Physicians generally perceive LTRs to have a positive impact on patients' clinical outcomes, although the majority of physicians report they have few or no such relationships.

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Published In

South Med J

DOI

EISSN

1541-8243

Publication Date

November 2017

Volume

110

Issue

11

Start / End Page

679 / 684

Location

United States

Related Subject Headings

  • United States
  • Trust
  • Time Factors
  • Surveys and Questionnaires
  • Physicians
  • Physician-Patient Relations
  • Patient Outcome Assessment
  • Patient Compliance
  • Middle Aged
  • Male
 

Citation

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MLA
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Hines, H. G., Avila, C. J., Rudakevych, T. M., Curlin, F. A., & Yoon, J. D. (2017). Physician Perspectives on Long-Term Relationships and Friendships with Patients: A National Assessment. South Med J, 110(11), 679–684. https://doi.org/10.14423/SMJ.0000000000000723
Hines, Harrison G., Cynthia J. Avila, Tanya M. Rudakevych, Farr A. Curlin, and John D. Yoon. “Physician Perspectives on Long-Term Relationships and Friendships with Patients: A National Assessment.South Med J 110, no. 11 (November 2017): 679–84. https://doi.org/10.14423/SMJ.0000000000000723.
Hines HG, Avila CJ, Rudakevych TM, Curlin FA, Yoon JD. Physician Perspectives on Long-Term Relationships and Friendships with Patients: A National Assessment. South Med J. 2017 Nov;110(11):679–84.
Hines, Harrison G., et al. “Physician Perspectives on Long-Term Relationships and Friendships with Patients: A National Assessment.South Med J, vol. 110, no. 11, Nov. 2017, pp. 679–84. Pubmed, doi:10.14423/SMJ.0000000000000723.
Hines HG, Avila CJ, Rudakevych TM, Curlin FA, Yoon JD. Physician Perspectives on Long-Term Relationships and Friendships with Patients: A National Assessment. South Med J. 2017 Nov;110(11):679–684.

Published In

South Med J

DOI

EISSN

1541-8243

Publication Date

November 2017

Volume

110

Issue

11

Start / End Page

679 / 684

Location

United States

Related Subject Headings

  • United States
  • Trust
  • Time Factors
  • Surveys and Questionnaires
  • Physicians
  • Physician-Patient Relations
  • Patient Outcome Assessment
  • Patient Compliance
  • Middle Aged
  • Male