ArticleJournal of family & community medicine2012
Dynamics of doctor-patient relationship: A cross-sectional study on concordance, trust, and patient enablement.
Article in Journal of family & community medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.
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Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Examining Different Factors in Web-Based Patients' Decision-Making Process: Systematic Review on Digital Platforms for Clinical Decision Support System.International journal of environmental research and public health · 2021Pooled it
- Integrating humanities curricula in medical education: a literature review.MedEdPublish (2016) · 2017Pooled it
- Public distrust in physicians and healthcare utilization: a nationwide study in China.BMC health services research · 2026Article
- Factors affecting patients' trust in physicians in the cases of prescribing invasive interventions among musculoskeletal patients referring to clinics in Shiraz, 2023: a discrete choice experiment.Scientific reports · 2026Article
- Gender Concordance and Patient Outcomes in Indian Telemedicine: Retrospective Cross-Sectional Quantitative Study of 286,000 Consultations.Journal of medical Internet research · 2026Article
- Expectations and the Patient-Doctor Relationship: Ethical Considerations in a Case of Triploidy.Healthcare (Basel, Switzerland) · 2025Article
- Factors influencing medical disputes among village doctors from seven provinces in China: a cross-sectional study.Human resources for health · 2025Article
- Factors associated with patient-physician relationships: perspectives of medical personnel in Guangxi Zhuang Autonomous Region, China.BMC health services research · 2025Article
- Enablement After Consultation in Primary Healthcare: How Do Patients and Doctors Cross-Sectionally Evaluate It in Northern Portugal.Patient preference and adherence · 2025Article
- Bounded rationality in healthcare: unraveling the psychological factors behind patient satisfaction in China.Frontiers in psychology · 2024Article
- Concordance in the healthcare context: A concept analysis.Belitung nursing journal · 2024Article
- Investigating the role of interpersonal relationships on low-income SUD patients' recovery: a qualitative analysis of various stakeholders in New York State.Addiction research & theory · 2024Article
- Parent Perceptions of Trainees in Pediatric Care: Cross-Sectional Study.JMIR formative research · 2023Article
- Rethinking the Difficult Patient: Formative Qualitative Study Using Participatory Theater to Improve Physician-Patient Communication in Rheumatology.JMIR formative research · 2023Article
- The Healthcare Relationship during the Second Wave of the COVID-19 Pandemic: A Qualitative Study in the Emergency Department of an Italian Hospital.International journal of environmental research and public health · 2023Article
- Therapeutic concordance improves blood pressure control in patients with resistant hypertension.Pharmacological research · 2023Article
- When can cancer patient treatment nonadherence be considered intentional or unintentional? A scoping review.PloS one · 2023Article
- The importance of setting and therapeutic relationships when delivering chiropractic care to those living with disadvantage.Chiropractic & manual therapies · 2022Observational
- Trust in healthcare.Journal of the Royal Society of Medicine · 2022Article
- Trust in Medicine as a Factor Conditioning Behaviors Recommended by Healthcare Experts during the COVID-19 Pandemic in Poland.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe rapid pace of medical advances coupled with specialization and super-specialization, is eroding the traditional doctor-patient relationship.
objective(a) To study the determinants of core dimensions, such as, concordance, trust, and enablement in a doctor-patient relationship; (b) to explore associations, if any, among these core dimensions. MATERIALS AND
methodsA cross-sectional study design with both quantitative and qualitative methods was employed. One hundred and ninety-eight outdoor patients were interviewed as part of the quantitative study. Three dimensions of the doctor-patient relationship, that is, physician patient concordance, trust in physician, and patient enablement were assessed using validated tools. Focus group interviews using an open-ended format among few physicians was carried out as part of the qualitative study.
resultsIn the quantitative analysis most of the sociocultural factors did not show any significant association with the doctor-patient relationship. However, gender was significantly and strongly associated with trust in the physician. Female patients showed a much lower trust in the physician (50%) as compared to male patients (75%) (OR = 0.33, 95% CI 0.17 - 0.64, Chi Sq = 12.86, P = 0.0003). A qualitative study revealed language and culture, alternative medicines, commercialization of medicine, and crowding at specialist and super-specialist clinics as barriers to a good doctor-patient relationship. Better concordance was associated with improved trust in the doctor (OR = 5.30, 95% CI 2.06 - 13.98, Chi Sq = 14.46, P = 0.0001), which in turn was associated with improved patient enablement (OR = 3.89, 95% CI = 1.60 - 9.64, Chi Sq = 10.15, P = 0.001).
conclusionGood doctor-patient concordance (agreement) leads to better trust in the physician, which in turn leads to better patient enablement, irrespective of the sociocultural determinants.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.