Factors associated with the perception of problems presented in medical consultation in four cities of Peru
DOI:
https://doi.org/10.24265/horizmed.2016.v16n4.07Keywords:
Patient satisfaction, Professional practice, Doctor-patient relationshipsAbstract
Objetive: The aim of the study was to determine the factors associated with the perception of problems presented in medical consultation in four cities in Peru. Material and methods: Multicenter, analytic and transverse study, carried out between May and June 2015 in hospitals of four Peruvian cities (Lima, Ucayali, Piura and Ica). The PREMEPA scale was used to measure the characteristics of the medical consultation also medical data was recorded. Statistical analysis sought associations and p-values, through generalized linear models. Results: 804 people were surveyed. 57% were women (459); the average age was 45 years (range 26-59). Lima was the city with higher frequency of problems presented during external consultation (35%). In multivariate analysis, the frequency of problems presented during external consultation decreased with a better service (RPa: 0,7; IC95%: 0,6-3,09), better care (RPa: 0,5; IC95%: 0,4-0,6) and explanation from the treating physicians (RPA: 0.7; 95% CI: 0.6-0.8),adjusted whether the doctor was male or female, specialty and having a history of problems with a doctor. Conclusions: It was found that certain characteristics of doctor treatment during consultation can generate the perception of problems by users, so this should be taken into account to generate training and sensitization programs of the various health institutions.
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References
Mastache P. Percepción de la Comunicación en la relación Médico-Paciente por los Médicospasantes en Servicio Social de la Universidad Autónoma de Querétaro. [Tesis para optar el grado de Magister en Ciencias de la Salud]. Querétaro-México: Universidad Autónoma de Querétaro; 2011.
Moore P, Gómez G, Kurtz S, Vargas A. La comunicación médico paciente: ¿Cuáles son las habilidades efectivas?. Rev. méd. Chile. 2010; 138(8): 1047-1054.
Achenbach RE. Relación médico-paciente. Rev. argent. Dermatol. 2013; 94(4): 1-1.
Benedetti Fabrizio. Placebo and the New Physiology of the Doctor-Patient Relationship. Physiological Reviews 2013; 93(3). 1207–1246.
Caballero C. E-pacientes y la relación médico-paciente. Salud Uninorte. 2013; 29 (2): 6-7.
Germán D. Mala práctica y edad avanzada. Gaceta Médica de México. 2011;147:266-269.
Choudhry N, Fletcher R, Soumerai S. Systematic review: The relationship between clinical experience and quality of care. Ann Intern Med. 2005;142(4):260-273.
Saa D. Relación médico paciente. Colomb. Med.2008;39(3): 287-290.
Antúnez A, Torres A. La relación médico-paciente: complejidad de un vínculo indispensable. MEDICIEGO. 2014; 20 (1):1-10.
March-Cerdà JC. El derecho de los pacientes a recibir información. Rev CONAMED. 2014; 19 (4): 183-186.
Pacífico J, Gutiérrez C. Información sobre la medicación y adherencia al tratamiento antirretroviral de gran actividad en pacientes con VIH/SIDA de un Hospital De Lima, Perú. Rev Peru Med Exp Salud Publica. 2015; 32(1):66-72.
Leach CM, Mandy A, Hankins M, Bottomley LM, Cruz V, Fawkes CA, et al. Patients' expectations of private osteopathic care in the UK: a national survey of patients. BMC Complement Altern Med. 2013; 13(1): 122.
Ohm F, Vogel D, Sehner S, Wijnen-Meijer M, Harendza S . Details acquired from medical history and patients' experience of empathy – two sides of the same coin. BMC Med Educ. 2013; 13(1): 67.
Rossi-Barbosa L, Lima C, Queiroz I, Fróes S, Caldeira A. A percepção de pacientes sobre a comunicação não verbal na assistência médica. Rev. bras. educ. med. 2010;34 (3) : 75–80.
Marulanda F. Estudio sobre la automedicación en la Universidad de Antioquia, Medellín, Colombia. IATREIA. 2002;15 (4): 242- 247.
Barrie C. Enhancing Doctor-Patient Communication. Journal of Clinical Oncology. 2011;19 (18): 61-63.
Kuthning M, Hundt F. Aspects of vulnerable patients and informed consent in clinical trials. Ger Med Sci. 2013; 11.
Mongilardi N, Montori V, Riveros A, Bernabé-Ortiz A, Loza J, Málaga G. Clinicians Involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice . PLoS One. 2013;8(3):e58085.
Morales R, Cornejo M, Sánchez N, Porras T, Bravo V, Vallejos M, et al. Relación Médico-Paciente desde la perspectiva del paciente en el Hospital Nacional Almanzor Aguinaga Asenjo 2014. Revista Experiencia en Medicina del Hospital Regional Lambayeque. 2015; 1(1):20-24.
Mendoza C, Ramos-Rodríguez C, Gutierrez E. Relación médicopaciente percibida por usuarios de consultorios externos de un hospital de Lima, Perú. Horizonte Médico.2016; 16(1), 14-19.
Azcarate E, Hernández I, Guzmán M. Percepción de la calidad en la relación médico-paciente en casos de hipertensión arterial sistémica. Revista UNAM. 2011; 21(3):83-85.
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