Volume 24, Issue 3 (10-2021)                   jha 2021, 24(3): 32-42 | Back to browse issues page

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khodadadi Z, Tabatabaee S S, bakhshi M, Leghaei F, moghri J. Factors Affecting Patient’s Engagement with Physician in Angioplasty Patients: A Case Study. jha 2021; 24 (3) :32-42
URL: http://jha.iums.ac.ir/article-1-3745-en.html
1- M.Sc., School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
2- Assistant Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3- Assistant Professor, School of Nursing and Midwifery Care, Mashhad University of Medical Sciences, Mashhad, Iran
4- M.Sc., School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
5- Assistant Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. , moghrij@mums.ac.ir
Abstract:   (1468 Views)
Introduction: Patient engagement is a concept that has gained special importance in medical care today, and is considered as a valuable goal in patient care. With the evolution of modern health from a disease-centered model to a patient-centered model, patient interaction has played an important role in improving the health care processes. This study aims to identify the factors affecting the patient's interaction with the physician.
Methods: This is an applied study with a qualitative-descriptive method. First, the information of patients who underwent angioplasty in 2019 was extracted from the hospital information system. Then, in-depth interviews with patients were conducted using a semi-structured interview guide. In the next step, we analyzed the data using qualitative content analysis with MAXQDA.
Results: After analyzing data, we were able to extract 1072 codes. Then, we categorized the codes into two sub-categories of supply side (physician) and demand side (patient). We identified 11 factors affecting supply-side interaction (information, physician behavior, education, access, cost, responsiveness, patient perception of physician expertise and skill, managerial weakness, facilities, trust, and satisfaction with physician), as well as seven factors on demand-side (personal problems, patient questioning spirit, response from other sources, financial problems, lack of knowledge and awareness, advice from others, and self-medication).
Conclusion: It is expected that the patient's interaction with his/her physician after angioplasty could accelerate the patient's recovery process, prevent possible complications, and reduce costs. Recognizing the effective factors and designing appropriate interventions on the supply and demand side that can lead to improving patient interactions with physicians, and pave the way for promoting community health.
Full-Text [PDF 941 kb]   (608 Downloads)    
Type of Study: Research | Subject: Health Services Management
Received: 2021/07/4 | Accepted: 2021/09/19 | Published: 2021/11/28

1. Diamond GA, Rozanski A, Steuer M. Playing doctor: Application of game theory to medical decision-making. J Chronic Dis.1986;39(9):669-77. [DOI:10.1016/0021-9681(86)90148-7]
2. Higgins T, Larson E, Schnall R. Unraveling the meaning of patient engagement: A concept analysis. Patient Educ Couns.2017 Jan;100(1):30-6. [DOI:10.1016/j.pec.2016.09.002]
3. Graffigna G, Barello S, Riva G, Bosio AC. Patient engagement: The key to redesign the exchange between the demand and supply for healthcare in the era of active ageing. Stud Health Technol Inform. 2014;203:85-95.
4. Majid U,Gagliardi A. Clarifying the degrees, modes, and muddles of "meaningful" patient engagement in health services planning and designing. Patient Educ Couns. 2019 Sep,102(9):1581-89. [DOI:10.1016/j.pec.2019.04.006]
5. Shakeri A. Microeconomics 2: Theories and applications. Tehran: Ney Publishing;2006.
6. Domecq JP, Prutsky G, Elraiyah T, Wang Z, Nabhan M, Shippee N, et al. Patient engagement in research: A systematic review. BMC Health Serv Res. 2014 Feb.14(89):1-9. [DOI:10.1186/1472-6963-14-89]
7. Sans S, Kesteloot H, Kromhout D. The burden of cardiovascular diseases mortality in Europe. Task force of the European society of cardiology on cardiovascular mortality and morbidity statistics in Europe. Eur Heart J.1997 Aug;18(8):1231-48. [DOI:10.1093/oxfordjournals.eurheartj.a015434]
8. Kazemnejad A, Faramand S, Zayeri F, Salehi M, Yazdani Cherati J. Geographical maps of the relative death rate due to cardiovascular diseases in Mazandaran province, 2008. Journal of Mazandaran University of Medical Sciences. 2012; 22 (94):62-9. [In Persian]
9. Clark NM. Management of chronic disease by patients. Annu Rev Public Health, 2003;24:289-313. [DOI:10.1146/annurev.publhealth.24.100901.141021]
10. Ghafari Nasab E, Karimi Kh, Mosavat SE, Ghaseminajad MA. The Qualitative Study of Doctor-Patient Interaction Patterns. Bioethics Journal.2017;7(25):17-29. [In Persian]
11. Norhayati MN, Masseni AA, Azlina I. Patient satisfaction with doctor-patient interaction and its association with modifiable cardiovascular risk factors among moderately-high risk patients in primary healthcare. PeerJ.2017 Feb;5(2983):1-12. [DOI:10.7717/peerj.2983]
12. Peterson JC, Allegrante JP, Pirraglia PA, Robbins L, Lane KP, Boschert KA, et al. Living with heart disease after angioplasty: A qualitative study of patients who have been successful or unsuccessful in multiple behavior change. Heart Lung. 2010;39(2):105-15. [DOI:10.1016/j.hrtlng.2009.06.017]
13. Jagosh J, Donald Boudreau J, Steinert Y, Macdonald ME, Ingram L. The importance of physician listening from the patients' perspective: Enhancing diagnosis, healing, and the doctor-patient relationship. Patient Educ Couns. 2011 Dec;85(3):369-74. [DOI:10.1016/j.pec.2011.01.028]
14. Shakerinya I. Physician-patient relationship and patient's satisfaction. Medical Ethics and History of Medicine. 2009;2(3):9-16. [In Persian]
15. Bastani P, Hashemi N, Bahrami MA. Correlation of patients' health literacy and physician-patient interaction: A case study in Shahid Faghihi hospital, Shiraz, 2019. Management Strategies in Health System. 2019;4(1):47-56. [In Persian] [DOI:10.18502/mshsj.v4i1.1095]
16. Naranjiha M, Haghighat Sh, Bahador H, Shajari J, Haji Molahosseini F. Patients' satisfaction from doctors' communication: A survey in Ghods clinic in Tehran. Iranian Journal of Medical Education. 2012;12(1):77-89. [In Persian]

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