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Doctor-Patient Relationship (Public Health Specialist –Community Relationship) Dr. Yusuf Abdu Misau MBBS(ABU), MPH(UM), PhD Candidate(UM) Department of Social and Preventive Medicine, University of Malaya
Acknowledgement ,[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Objectives ,[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Contents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
What is Doctor-Patient Relationship? 03/07/11 Yusuf Misau-Doctor-Patient Relationship ,[object Object]
What is Doctor-Patient Relationship? 03/07/11 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object],[object Object]
What is Doctor-Patient Relationship? 03/07/11 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object],[object Object],[object Object],[object Object]
DPR-Why is it relevant to us? 03/07/11 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object],[object Object],[object Object]
PERCEPTIONS OF NEED ,[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
03/07/11 Yusuf Misau-Doctor-Patient Relationship Public’s perceived need  for  care
03/07/11 Yusuf Misau-Doctor-Patient Relationship Public’s perceived need for care Note the difference between actual and perceived need Symptoms  Do  nothing No symptoms Self-med, Alternative med See GP
IMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
THE DECISION-MAKING PROCESS  ,[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
THE DECISION-MAKING ROCESS Mechanic (1968) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
SOCIAL TRIGGERS (ZOLA, 1973) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
PARSONS’ MODEL OF SICK ROLE. 03/07/11 Yusuf Misau-Doctor-Patient Relationship
Parsons’ “Ideal Patient” (Sick Role) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
[object Object],[object Object],[object Object],[object Object],[object Object],Parsons’ “Doctor” (Doctors’ Role) 03/07/11 Yusuf Misau-Doctor-Patient Relationship
Doctor’s Right ,[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Implications of Parsons’ theory ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Problems with Persons’ model ,[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Factors influencing DPR 03/07/11 Yusuf Misau-Doctor-Patient Relationship
Factors influencing DPR ,[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Factors influencing DPR 03/07/11 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object],[object Object],[object Object]
Factors influencing DPR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Recap….. ,[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
TYPES OF  DOCTOR-PATIENT RELATIONSHIP 03/07/11 Yusuf Misau-Doctor-Patient Relationship
Types of doctor-patient relationships 03/07/11 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object],[object Object],[object Object],[object Object]
Default DPR ,[object Object]
Paternalism:  The disease centred DPR ,[object Object],[object Object],[object Object],[object Object]
The Paternalistic Approach ,[object Object]
Consumerism  Patient  controlled  consultation ,[object Object]
Patients beliefs and expectations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mutuality:  Patient-centered  DPR ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of doctor-patient relationships 03/07/11 Yusuf Misau-Doctor-Patient Relationship CONFLICT PATIENT CONTROL DOCTOR CONTROL LOW HIGH LOW DEFAULT PATERNALISM HIGH CONSUMERISM MUTUALITY
MODELS OF DPR 03/07/11 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object]
  MODELS OF DPR ,[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
  MODELS OF DPR ,[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
MODELS OF DPR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
MODELS OF DPR ,[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
MODELS OF DPR Transactional Analysis  or TA (Eric Berne 1986) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Transactional Analysis ,[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship Parent Child Parent Adult Child Doctor Patient reciprocal crossed
SZASZ and HOLLENDER’S MODEL   Vs.  TRANSACTIONAL ANALYSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
03/07/11 Yusuf Misau-Doctor-Patient Relationship COMMUNICATION  SKILLS
A MODEL OF THE COMMUNICATION PROCESS 03/07/11 Yusuf Misau-Doctor-Patient Relationship SENDER RECEIVER E NCODI NG D ECODIN G CHANNEL Transmit Message Receive Message
COMMUNICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
COMMUNICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
COMMUNICATION STUDIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
COMMUNICATION STUDIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Why is there poor communication? ,[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Good Communication Skills In Consultation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Advantages of improved communication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship Changes in the DPR
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship Changes in the DPR
Strategies for improvement of DPR   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Strategies for improvement of DPR  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
The proposed conceptual model:  Patients preferences in dentist communication skills in the Malaysian Army 03/07/11 Yusuf Misau-Doctor-Patient Relationship DPR SOCIOEMOTIONAL BEHAVIOUR TECHNICAL COMPETENCY INTERPERSONAL COMPETENCY ,[object Object],[object Object],[object Object],[object Object],[object Object],COGNITIVE & INFORMATION  GIVING CONFLICT RESOLUTION & NEGOTIATION Ref: Zainal Abidin Z. MCD 1997
CONCLUSION ,[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
You may wish to have my contact: ,[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
REFERENCES ,[object Object],[object Object],[object Object],[object Object],[object Object],03/07/11 Yusuf Misau-Doctor-Patient Relationship
Terima kasih Nagode Thank you 03/07/11 Yusuf Misau-Doctor-Patient Relationship                                                                                              

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Sbh.4.doctor patient+relationship yusuf+misau_2011

  • 1. Doctor-Patient Relationship (Public Health Specialist –Community Relationship) Dr. Yusuf Abdu Misau MBBS(ABU), MPH(UM), PhD Candidate(UM) Department of Social and Preventive Medicine, University of Malaya
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  • 10. 03/07/11 Yusuf Misau-Doctor-Patient Relationship Public’s perceived need for care
  • 11. 03/07/11 Yusuf Misau-Doctor-Patient Relationship Public’s perceived need for care Note the difference between actual and perceived need Symptoms Do nothing No symptoms Self-med, Alternative med See GP
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  • 16. PARSONS’ MODEL OF SICK ROLE. 03/07/11 Yusuf Misau-Doctor-Patient Relationship
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  • 22. Factors influencing DPR 03/07/11 Yusuf Misau-Doctor-Patient Relationship
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  • 27. TYPES OF DOCTOR-PATIENT RELATIONSHIP 03/07/11 Yusuf Misau-Doctor-Patient Relationship
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  • 35. Types of doctor-patient relationships 03/07/11 Yusuf Misau-Doctor-Patient Relationship CONFLICT PATIENT CONTROL DOCTOR CONTROL LOW HIGH LOW DEFAULT PATERNALISM HIGH CONSUMERISM MUTUALITY
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  • 44. 03/07/11 Yusuf Misau-Doctor-Patient Relationship COMMUNICATION SKILLS
  • 45. A MODEL OF THE COMMUNICATION PROCESS 03/07/11 Yusuf Misau-Doctor-Patient Relationship SENDER RECEIVER E NCODI NG D ECODIN G CHANNEL Transmit Message Receive Message
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  • 62. Terima kasih Nagode Thank you 03/07/11 Yusuf Misau-Doctor-Patient Relationship                                                                                             

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