Abstract:
OBJECTIVES:Patient-centred care is related to better health outcomes, greater patient satisfaction and reduced healthcare costs. One of the core components of patient-centred care, defined in the patient-centred clinical method, is enhancing the patient-doctor relationship. In this study, we aim to measure the therapeutic alliance in consultations between patients and family doctors in Belgium, and explore which patient, provider and practice characteristics are associated with the strength of the therapeutic alliance. DESIGN:Cross-sectional cohort study using the Working Alliance Inventory for General Practice (WAI-GP). The patients and family doctors completed a survey after the consultation. The survey consisted of the WAI-GP, demographics, consultation characteristics and variables related to the patient-doctor relationship. SETTING:Belgian primary care. PARTICIPANTS:Every third patient (both practice and house call visits) was invited to participate. 170 patient-doctor dyads from four practices were included. Total of 10 doctors (30% men, age range 24-63 years) and 170 patients (35.9% men, age range 18-92 years). PRIMARY AND SECONDARY OUTCOME MEASURES:Primary outcome was the WAI-GP score and its correlations with characteristics of the doctor (gender, age) and patients (gender, age, chronic disease, number of annual consultations). RESULTS:The median WAI-GP score reported after these consultations was 4.5±0.62. Higher WAI-GP scores were reported for consultations with male doctors and by older patients. In the subsample of patients with a chronic illness, higher WAI-GP scores were reported by patients who had more than 10 follow-up consultations per year. CONCLUSIONS:Consultation quality is an important aspect of healthcare, but attention is needed to understand how the WAI-GP performs in relation to variables that are beyond control, such as gender of the physician, age of the patient and variables related to building continuity of care. This has implications for the measurement of quality of healthcare.
journal_name
BMJ Openjournal_title
BMJ openauthors
Boeckxstaens P,Meskens A,Van der Poorten A,Verpoort AC,Sturgiss EAdoi
10.1136/bmjopen-2019-033710subject
Has Abstractpub_date
2020-02-05 00:00:00pages
e033710issue
2issn
2044-6055pii
bmjopen-2019-033710journal_volume
10pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:The International Cancer Benchmarking Partnership (ICBP) is a collaboration between 6 countries and 12 jurisdictions with similar primary care-led health services. This study investigates primary care physician (PCP) behaviour and systems that may contribute to the timeliness of investigating for cancer and ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2014-007212
更新日期:2015-05-27 00:00:00
abstract:OBJECTIVES:To evaluate the effect of social network influences on seasonal influenza vaccination uptake by healthcare workers. DESIGN:Cross-sectional, observational study. SETTING:A large secondary care NHS Trust which includes four hospital sites in Greater Manchester. PARTICIPANTS:Foundation doctors (FDs) working ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026997
更新日期:2019-08-30 00:00:00
abstract:OBJECTIVES:To examine trends in opioid prescribing in primary care, identify patient and general practice characteristics associated with long-term and stronger opioid prescribing, and identify associations with changes in opioid prescribing. DESIGN:Trend, cross-sectional and longitudinal analyses of routinely recorde...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010276
更新日期:2016-05-13 00:00:00
abstract:INTRODUCTION:Colorectal cancer is the fourth most common type of cancer and the second most common cause of cancer-related deaths in the UK. The full blood count (FBC) is a blood test that may play a role in early detection of the disease. Previous studies have aimed to identify how levels of individual components, suc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032759
更新日期:2019-12-16 00:00:00
abstract:OBJECTIVE:To compare maternal and neonatal birth outcomes and morbidities associated with the intention to give birth in two freestanding midwifery units and two tertiary-level maternity units in New South Wales, Australia. DESIGN:Prospective cohort study. PARTICIPANTS:494 women who intended to give birth at freestan...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006252
更新日期:2014-10-31 00:00:00
abstract:OBJECTIVES:Professional paediatrics associations play an important role in promoting the highest standard of care for women and children. Education and guidelines must be made in the best interests of patients. Given the importance of breastfeeding for the health, development and survival of infants, children and mothe...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029035
更新日期:2019-08-10 00:00:00
abstract:INTRODUCTION:Idiopathic Environmental Intolerance (IEI) attributed to electromagnetic fields (EMF) refers to self-reported sensitivity mainly characterised by the attribution of non-specific physical symptoms to low-level EMF exposure emitted from sources such as mobile phones. Scientific studies have not provided evid...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002933
更新日期:2013-08-29 00:00:00
abstract:OBJECTIVE:To examine the associations of change in body mass index (BMI) and waist circumference (WC) over an average of 4 years with subsequent mortality risk in middle-aged to older Chinese. DESIGN:Prospective cohort study based on the Guangzhou Biobank Cohort Study. SETTING:Community-based sample. PARTICIPANTS:17...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039239
更新日期:2020-12-04 00:00:00
abstract:OBJECTIVES:To investigate the relationship between low-density lipoprotein cholesterol (LDL-C) and all-cause mortality among middle-aged and elderly Chinese population. DESIGN:Prospective cohort study. SETTING:This study used data from the China Health and Retirement Longitudinal Study. PARTICIPANTS:Middle-aged and ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036976
更新日期:2020-08-16 00:00:00
abstract:OBJECTIVE:The objective of the study was to explore the experiences of those who have experienced miscarriage, focusing on men's and women's accounts of miscarriage. DESIGN:This was a qualitative study using a phenomenological framework. Following in-depth semistructured interviews, analysis was undertaken in order to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011382
更新日期:2017-03-27 00:00:00
abstract:OBJECTIVES:Socioeconomically deprived individuals with renal disease are less likely to receive a live-donor kidney transplant than less-deprived individuals. This qualitative study aimed to identify reasons for the observed socioeconomic disparity in live-donor kidney transplantation. DESIGN:A qualitative study using...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010605
更新日期:2016-03-02 00:00:00
abstract:OBJECTIVES:To determine the proportion of patients who received a treatment for Clostridioides difficile infection (CDI) among those presenting a discordant C. difficile diagnostic assay and to identify patient characteristics associated with the decision to treat CDI. DESIGN:Cross-sectional study. SETTING:Monocentri...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036342
更新日期:2020-09-13 00:00:00
abstract:INTRODUCTION:Transition between health services is widely recognised as a problematic hurdle. Yet, the factors necessary for successful transition out of child and adolescent mental health services (CAMHS) as youth reach the service boundary at age 18 are poorly understood. Further, fragmentation and variability among ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035744
更新日期:2020-02-12 00:00:00
abstract:OBJECTIVES:To identify scenarios based on socioeconomic, epidemiological and operational healthcare factors associated with tuberculosis incidence in Brazil. DESIGN:Ecological study. SETTINGS:The study was based on new patients with tuberculosis and epidemiological/operational variables of the disease from the Brazil...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018545
更新日期:2018-06-06 00:00:00
abstract:BACKGROUND:Mentoring is frequently suggested as an intervention to address gender inequalities in the workplace. OBJECTIVES:To systematically review evidence published since a definitive review in 2006 on the effectiveness of mentoring interventions aimed at achieving gender equality in academic medicine. DESIGN:Syst...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040355
更新日期:2021-01-26 00:00:00
abstract:OBJECTIVES:Alcohol consumption is the fifth leading cause of morbidity and mortality globally. The development and promotion of lower strength alcohol products may help reduce alcohol consumption and associated harms. This study assessed what a sample of UK weekly drinkers perceived to be the target groups and occasion...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024412
更新日期:2019-06-12 00:00:00
abstract:INTRODUCTION:Internal temporomandibular joint (TMJ) disorders are present in approximately 80% of patients with symptomatic temporomandibular disorders. Among the minimally invasive therapies, we find the intra-articular infiltration of substances, such as corticosteroids, hyaluronic acid or platelet-rich plasma accomp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034327
更新日期:2020-09-06 00:00:00
abstract:INTRODUCTION:Bladder cancer (BC) (including renal pelvis, ureter and urethra) is one of the most common urogenital cancers and the fourth most frequent cancer in men in the USA. In Norway, the incidence of BC has increased over the last decades. The age-standardised incidence rates per 100 000 for 2011-2015 were 53.7 i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019309
更新日期:2018-03-30 00:00:00
abstract:OBJECTIVES:To explore participants' views of Delphi surveys in core outcome set (COS) development. STUDY DESIGN AND SETTING:Patients and health professionals (n=24) from seven recently concluded COS studies that had involved a Delphi survey took part in semistructured qualitative interviews (telephone and email exchan...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032338
更新日期:2019-11-14 00:00:00
abstract:BACKGROUND:Kawasaki disease (KD) is a self-limited acute systemic vasculitis of unknown aetiology that predominantly affects infants and young children eventually associated with immunological abnormalities. Coeliac disease (CD) is an inflammatory autoimmune disease characterised by a permanent gluten intolerance, whic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018803
更新日期:2018-02-14 00:00:00
abstract:INTRODUCTION:Up to 30% of patients with a dislocated distal radial fracture (DRF) treated with closed reduction and cast immobilisation suffer from long-term functional restrictions. It remains unclear, whether duration of cast immobilisation influences functional outcome. The aim of this study is to evaluate whether t...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2018-026540
更新日期:2019-03-15 00:00:00
abstract:OBJECTIVES:Emotional issues such as depression, anxiety and post-traumatic stress disorder are common following a cardiac event. Despite their high prevalence, they often go undiagnosed and research suggests that men in particular are at higher risk. Therefore, a better understanding of men's experiences with a cardiac...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029560
更新日期:2019-09-27 00:00:00
abstract:OBJECTIVE:Concerns have been raised regarding the quality and completeness of abstract reporting in evidence reviews, but this had not been evaluated in meta-analyses of diagnostic accuracy. Our objective was to evaluate reporting quality and completeness in abstracts of systematic reviews with meta-analyses of depress...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012867
更新日期:2016-11-18 00:00:00
abstract:OBJECTIVES:Our aims were to assess the relationship between workplace violence, job satisfaction, burnout, organisational support and turnover intention, and to explore factors associated with turnover intention among nurses in Chinese tertiary hospitals. METHODS:The purposive sampling method was used to collect data ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-019525
更新日期:2018-06-09 00:00:00
abstract:OBJECTIVES:To investigate the association between the difficulty in hospital acceptance at the scene by emergency medical service (EMS) personnel and prehospital demographic factors and reasons for EMS calls. DESIGN:A retrospective, observational study. SETTING:Osaka City, Japan. PARTICIPANTS:A total of 100 649 pati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013849
更新日期:2016-10-26 00:00:00
abstract:INTRODUCTION:Diabetic foot ulcer represents a major health problem globally. Preliminary studies have indicated that systemic treatment of diabetic foot ulcer patients with hyperbaric oxygen therapy have beneficial effects on wound healing, risk of amputation, glycaemic control, atherosclerosis, inflammatory markers an...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031708
更新日期:2020-06-29 00:00:00
abstract:OBJECTIVES:To estimate hepatitis B vaccination (HBVc) coverage, and knowledge and sociodemographic determinants of full dose uptake in Federal Road Safety Corps (FRSC) members, Kaduna State, Nigeria, to inform relevant targeted vaccination policies. DESIGN:A cross sectional survey of FRSC members, Kaduna Sector Comman...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-015845
更新日期:2017-06-02 00:00:00
abstract:INTRODUCTION:Carotid intima-media thickness (CIMT) is a surrogate marker of atherosclerosis that is measured in adults and children to better understand the natural history of cardiovascular disease (CVD). In adults, CIMT is predictive of myocardial infarction and stroke. In children and adolescents, CIMT is used to as...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019644
更新日期:2018-06-04 00:00:00
abstract:OBJECTIVES:To update the current evidence base on paediatric postdischarge mortality (PDM) in developing countries. Secondary objectives included an evaluation of risk factors, timing and location of PDM. DESIGN:Systematic literature review without meta-analysis. DATA SOURCES:Searches of Medline and EMBASE were condu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023445
更新日期:2018-12-28 00:00:00
abstract:OBJECTIVES:We examined the utility of January 2004 to April 2014 Google Trends data from information searches for cancer screenings and preparations as a complement to population screening data, which are traditionally estimated through costly population-level surveys. SETTING:State-level data across the USA. PARTICI...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006678
更新日期:2015-06-08 00:00:00