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The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalis...
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| Zeitschriftentitel: | Developing World Bioethics |
|---|---|
| Personen und Körperschaften: | , , , , , , |
| In: | Developing World Bioethics, 18, 2018, 1, S. 26-36 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
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| Schlagwörter: |
| author_facet |
Nie, Jing‐Bao Cheng, Yu Zou, Xiang Gong, Ni Tucker, Joseph D. Wong, Bonnie Kleinman, Arthur Nie, Jing‐Bao Cheng, Yu Zou, Xiang Gong, Ni Tucker, Joseph D. Wong, Bonnie Kleinman, Arthur |
|---|---|
| author |
Nie, Jing‐Bao Cheng, Yu Zou, Xiang Gong, Ni Tucker, Joseph D. Wong, Bonnie Kleinman, Arthur |
| spellingShingle |
Nie, Jing‐Bao Cheng, Yu Zou, Xiang Gong, Ni Tucker, Joseph D. Wong, Bonnie Kleinman, Arthur Developing World Bioethics The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism Health Policy Health (social science) Issues, ethics and legal aspects |
| author_sort |
nie, jing‐bao |
| spelling |
Nie, Jing‐Bao Cheng, Yu Zou, Xiang Gong, Ni Tucker, Joseph D. Wong, Bonnie Kleinman, Arthur 1471-8731 1471-8847 Wiley Health Policy Health (social science) Issues, ethics and legal aspects http://dx.doi.org/10.1111/dewb.12170 <jats:title>Abstract</jats:title><jats:p>To investigate the phenomenon of patient–physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi‐structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient‐physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust (particularly physicians’ distrust of patients and their relatives) leads to increased levels of fear and self‐protection by doctors which exacerbate difficulties in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization. These factors produce poorer healthcare outcomes and increasingly discontented and angry patients, escalate conflicts and disputes, and result in negative media coverage, all these ultimately contributing to even greater levels of mistrust. The vicious circle indicates not only the crisis of patient‐physician relationship but the crisis of medicine as a profession and institution. Underlying the circle is the inherent conflict of interest in the healthcare system by which health professionals and hospitals have become profit‐driven. This institutional conflict of interest seriously compromises the fundamental principle of medical professionalism—the primacy of patient welfare—as well as the traditional Chinese ideal of “medicine as the art of humanity”. Patient trust can be restored through rectifying this institutional conflict of interest and promoting medical professionalism via a series of recommended practical measures.</jats:p> The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism Developing World Bioethics |
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The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_unstemmed |
The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_full |
The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
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The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_full_unstemmed |
The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_short |
The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_sort |
the vicious circle of patient–physician mistrust in china: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
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Health Policy Health (social science) Issues, ethics and legal aspects |
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http://dx.doi.org/10.1111/dewb.12170 |
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2018 |
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26-36 |
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<jats:title>Abstract</jats:title><jats:p>To investigate the phenomenon of patient–physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi‐structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient‐physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust (particularly physicians’ distrust of patients and their relatives) leads to increased levels of fear and self‐protection by doctors which exacerbate difficulties in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization. These factors produce poorer healthcare outcomes and increasingly discontented and angry patients, escalate conflicts and disputes, and result in negative media coverage, all these ultimately contributing to even greater levels of mistrust. The vicious circle indicates not only the crisis of patient‐physician relationship but the crisis of medicine as a profession and institution. Underlying the circle is the inherent conflict of interest in the healthcare system by which health professionals and hospitals have become profit‐driven. This institutional conflict of interest seriously compromises the fundamental principle of medical professionalism—the primacy of patient welfare—as well as the traditional Chinese ideal of “medicine as the art of humanity”. Patient trust can be restored through rectifying this institutional conflict of interest and promoting medical professionalism via a series of recommended practical measures.</jats:p> |
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| description | <jats:title>Abstract</jats:title><jats:p>To investigate the phenomenon of patient–physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi‐structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient‐physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust (particularly physicians’ distrust of patients and their relatives) leads to increased levels of fear and self‐protection by doctors which exacerbate difficulties in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization. These factors produce poorer healthcare outcomes and increasingly discontented and angry patients, escalate conflicts and disputes, and result in negative media coverage, all these ultimately contributing to even greater levels of mistrust. The vicious circle indicates not only the crisis of patient‐physician relationship but the crisis of medicine as a profession and institution. Underlying the circle is the inherent conflict of interest in the healthcare system by which health professionals and hospitals have become profit‐driven. This institutional conflict of interest seriously compromises the fundamental principle of medical professionalism—the primacy of patient welfare—as well as the traditional Chinese ideal of “medicine as the art of humanity”. Patient trust can be restored through rectifying this institutional conflict of interest and promoting medical professionalism via a series of recommended practical measures.</jats:p> |
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| spelling | Nie, Jing‐Bao Cheng, Yu Zou, Xiang Gong, Ni Tucker, Joseph D. Wong, Bonnie Kleinman, Arthur 1471-8731 1471-8847 Wiley Health Policy Health (social science) Issues, ethics and legal aspects http://dx.doi.org/10.1111/dewb.12170 <jats:title>Abstract</jats:title><jats:p>To investigate the phenomenon of patient–physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi‐structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient‐physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust (particularly physicians’ distrust of patients and their relatives) leads to increased levels of fear and self‐protection by doctors which exacerbate difficulties in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization. These factors produce poorer healthcare outcomes and increasingly discontented and angry patients, escalate conflicts and disputes, and result in negative media coverage, all these ultimately contributing to even greater levels of mistrust. The vicious circle indicates not only the crisis of patient‐physician relationship but the crisis of medicine as a profession and institution. Underlying the circle is the inherent conflict of interest in the healthcare system by which health professionals and hospitals have become profit‐driven. This institutional conflict of interest seriously compromises the fundamental principle of medical professionalism—the primacy of patient welfare—as well as the traditional Chinese ideal of “medicine as the art of humanity”. Patient trust can be restored through rectifying this institutional conflict of interest and promoting medical professionalism via a series of recommended practical measures.</jats:p> The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism Developing World Bioethics |
| spellingShingle | Nie, Jing‐Bao, Cheng, Yu, Zou, Xiang, Gong, Ni, Tucker, Joseph D., Wong, Bonnie, Kleinman, Arthur, Developing World Bioethics, The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism, Health Policy, Health (social science), Issues, ethics and legal aspects |
| title | The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_full | The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_fullStr | The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_full_unstemmed | The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_short | The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_sort | the vicious circle of patient–physician mistrust in china: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| title_unstemmed | The vicious circle of patient–physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism |
| topic | Health Policy, Health (social science), Issues, ethics and legal aspects |
| url | http://dx.doi.org/10.1111/dewb.12170 |