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Revista de Salud Pública

Print version ISSN 0124-0064

Abstract

PULGARIN-VERGARA, David  and  CASTRO-ARROYAVE, Diana M.. Doctor-Patient relationship in healthcare institutions of Medellin, Colombia. Rev. salud pública [online]. 2019, vol.21, n.4, pp.411-416.  Epub July 21, 2020. ISSN 0124-0064.  https://doi.org/10.15446/rsap.v21n4.80095.

Objective

To understand the perceptions that doctors and patients have about their relationships and how the current conditions of the General System of Social Security in Health (GSSSH) influence their relationship.

Materials and Methods

The collection and analysis of information was based on the saturation principle proposed by qualitative research, through direct observation and semi-structured interviews applied to 17 patients and 15 physicians during the exercise of their roles, in the waiting and consultation environment within the selected healthcare institutions. The interviews recorded, transcribed and analyzed under five precepts of the Grounded Theory of Corbin and Strauss. The sample design was theoretical for convenience.

Results

Health system conditions on the doctor's doing, abuse of the right by some patients, the perception of uneven quality between health care promotion entities, communication failures in the Doctor-Patient Relationships, loss of prestige of the general doctors, perception of disbelief towards young doctors, among other identified perceptions, hint that changes in the GSSSH contribute to the construction of current Doctor-Patient Relationships.

Conclusions

It is essential that the actors of the GSSSH propose interventions that reinforce the communicative and psychosocial capacities in the doctors from their formative processes, as well as the provision of the GSSSH to provide conditions that allow the doctor to develop a health care focused on the patient.

Keywords : Doctor patient relations; health services; health insurance; health personnel; health services administration (source:MeSH, NLM).

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