ArticleBMJ open2020
Interpersonal factors contributing to tension in the Chinese doctor-patient-family relationship: a qualitative study in Hunan Province.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- The Influence of Perceived Social Presence on the Willingness to Communicate in Mobile Medical Consultations: Experimental Study.Journal of medical Internet research · 2022Trial
- Machine learning to predict ureteral access sheath placement failure in flexible ureteroscopy: development and prospective validation.BMC urology · 2026Article
- Qualitative phenomenological exploration of lived experiences and perspectives of Chinese hospital administrators engaged in medical dispute management.Scientific reports · 2025Article
- Public Attitudes Toward Violence Against Doctors: Sentiment Analysis of Chinese Users.JMIR medical informatics · 2025Article
- Perspectives of physicians on risk factors for patient aggression and violence against physicians in Chinese hospitals: a Q-methodology study.Human resources for health · 2025Article
- Communication Skills (CS) training of physicians in China and its role in actual challenges of patient-physician relationship: a cross-sectional survey.BMC medical education · 2022Article
- Does diagnostic uncertainty increase antibiotic prescribing in primary care?NPJ primary care respiratory medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo identify actionable barriers to communication that contribute to tension in the Chinese doctor-patient-family relationship (DPFR) among surgeons, surgical patients and their family members.
designWe employed qualitative research methods using in-depth, semistructured interviews in Mandarin and English and conducted preoperatively and postoperatively. Interviews were audio recorded, transcribed and translated into English. Data were analysed using thematic analysis.
settingAn urban, tertiary-level teaching hospital in Hunan Province, China.
participantsWe recruited a purposive sample of 11 inpatients undergoing the same minor surgery, 9 of their family members and 9 surgeons between June and August 2015.
resultsWe identified three emergent themes. First, trust degradation occurred before and during the healthcare experience. Second, the healthcare-seeking experience for patients and family members was marked by unmet expectations for achieving a basic understanding of the illness as well as powerlessness over their situation. Third, societal pressures on doctors contributed to a state of learned helplessness.
conclusionsOur findings suggest that tension in the DPFR is associated with interpersonal and structural challenges, with communication playing an important role. Reforms at all levels are needed to promote a more patient-centred experience while ensuring the well-being and security of providers.
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