ArticleBMC medical ethics2020
Communication patterns in the doctor-patient relationship: evaluating determinants associated with low paternalism in Mexico.
Article in BMC medical ethics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Patient Participation in Decision-Making During Nursing Care: A Relational Autonomy Perspective.Journal of advanced nursing · 2026Article
- Viewpoints of Healthcare Professionals on Care Delivery Within the Frames of Old-Age Mental Telehealth Services Operating in Low-Resource Settings.Brain sciences · 2025Article
- Navigating Communication in Racially Concordant Care: Considerations for Medical Education.Family medicine · 2025Article
- Parent-provider communication dynamics during the pediatric oncology diagnostic process in Guatemala: A qualitative study.Pediatric blood & cancer · 2024Article
- The Potential Impact of Large Language Models on Doctor-Patient Communication: A Case Study in Prostate Cancer.Healthcare (Basel, Switzerland) · 2024Article
- Communicating the diagnosis of spinal muscular atrophy in endogamous vs. non-endogamous regions.BMC neurology · 2024Article
- Review
- Understanding Perceptions and Experiences on Acceptability of Oral Ivermectin, Topical Permethrin, and their Combination in the Treatment of Adult Filipino Patients with Scabies: A Multiple Case Study.Acta medica Philippina · 2024Article
- Inequalities in access to information: The case of cancer patients treated at the prefecture of Meknes-Morocco "Qualitative Research in Sociology".Journal of education and health promotion · 2024Article
- Communication of the Diagnosis of Spinal Muscular Atrophy in the Views of Patients and Family Members, a Qualitative Analysis.International journal of environmental research and public health · 2022Article
- Cultural Differences in Patients' Preferences for Paternalism: Comparing Mexican and American Patients' Preferences for and Experiences with Physician Paternalism and Patient Autonomy.International journal of environmental research and public health · 2022Article
- "Some They Need Male, Some They Need Female": A Gendered Approach for Breast Cancer Detection in Uganda.Frontiers in global women's health · 2022Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundPaternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician's personal choices. The goal of this study was to contribute to knowledge on the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor-patient relationship characterized by low paternalism/autonomy.
methodsA self-report study on communication patterns in a sample of 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were used to analyse paternalism and associated factors.
resultsA high prevalence (68.7% [95% CI 60.0-70.5]) of paternalism was observed among mental health professionals in Mexico. The main determinants of low paternalism/autonomy were medical specialty (OR 1.67 [95% CI 1.16-2.40]) and gender, with female physicians being more likely to explicitly share diagnoses and therapeutic strategies with patients and their families (OR 1.57 [95% CI 1.11-2.22]). A pattern of highly explicit communication was strongly associated with low paternalism/autonomy (OR 12.13 [95% CI 7.71-19.05]). Finally, a modifying effect of age strata on the association between communication pattern or specialty and low paternalism/autonomy was observed.
conclusionsAmong mental health professionals in Mexico, high paternalism prevailed. Gender, specialty, and a pattern of open communication were closely associated with low paternalism/autonomy. Strengthening health professionals' competencies and promoting explicit communication could contribute to the transition towards more autonomist communication in clinical practice in Mexico. The ethical implications will need to be resolved in the near future.
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