Browsing by Subject "Physician-Patient Relations"
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Item Women's attitudes and expectations regarding gynaecological examination(2009) Yanikkerem E.; Özdemir M.; Bingol H.; Tatar A.; Karadeniz G.Objective: to describe women's expectations of doctors and nurses during gynaecological examination, to identify if women have a preference for the doctor's gender, to investigate women's feelings during examination, and to determine why women consult the gynaecological outpatient clinic. Design: a descriptive and cross-sectional study using a questionnaire administered face to face. Setting: this study was performed with women recruited from those making an appointment for gynaecological examination at the gynaecological outpatient clinic at Manisa Maternity and Child Hospital between September 2004 and February 2005. Participants: four hundred and thirty-three women who applied to the gynaecological outpatient clinic at Manisa Maternity and Child Hospital. Measurements: the questionnaire included questions about the women's socio-demographic and reproductive characteristics, feelings with regard to pelvic examination, expectations of doctors and nurses during gynaecological examination, preferences regarding the gender of the physician, and the reason for the gynaecological examination. Findings: more than one-half of women felt anxious or worried about their health situation during the pelvic examination (54.8%), and 41.8% of women said that they were embarrassed about having to undress. 45.5% of women reported that they would prefer a female doctor, only 4.2% of women would prefer a male doctor in their obstetric and gynaecological care, and the remaining women (49.9%) expressed no preference. Most women (62.1%) expected the doctor to explain their health situation after examination. 71.8% of women said that the nurse should have an understanding and gentle manner, and 28.2% of women stated that the nurse should offer information to the patient about the pelvic examination. Key conclusions: it was very important for the women to participate through receiving information during the gynaecological examination. When treated with respect, the women were able to have a positive relationship with the staff. This encourages the women to attend clinics for their own health needs. Gynaecological examination is an essential part of gynaecological care and the most common procedure in gynaecological practice. Many women in the world will have a gynaecological examination several times during their lives, from youth to old age. This study could contribute to improve health programmes to make the gynaecological examination situation more positive for women. © 2007 Elsevier Ltd. All rights reserved.Item Impact of rheumatoid arthritis in Turkey: A questionnaire study(Clinical and Experimental Rheumatology S.A.S., 2014) Direskeneli H.; Akkoç N.; Bes C.; Çakir N.; Çefle A.; Çobankara V.; Dalkiliç E.; Dinç A.; Ertenli I.; Gül A.; Hamuryudan V.; Inanç M.; Kalyoncu U.; Karaaslan Y.; Kaşifoǧlu T.; Keser G.; Keskin G.; Kisacik B.; Kiraz S.; Masatlioǧlu S.; Onat A.M.; Özbek S.; Öztürk M.A.; Pamuk Ö.N.; Pay P.; Pirildar T.; Sayarlioǧlu M.; Şenel S.; Şentürk T.; Taşan D.; Terzioǧlu E.; Yazici A.; Yücel E.Objective: Unmet needs of rheumatoid arthritis (RA) patients regarding physician/patient communication, treatment preferences and quality of life issues were investigated in a Turkish survey study. Methods: The study was conducted with the contribution of 33 rheumatologists, and included 519 RA patients. The study population included patients who had been on biologic therapy for >6 months and were still receiving biologic therapy (BT group), and those who were biologic naive, but found eligible for biologic treatment (NBT group). Of the RA patients, 35.5% initially had a visit to an internal disease specialist, 25.5% to a physical therapy and rehabilitation specialist, and 12.2% to a rheumatology specialist for their RA complaints. The diagnosis of RA was made by a rheumatologist in 48.2% of patients. Results: The majority of RA patients (86.3%) visit their doctor within 15-week intervals. Most of the physician-patient communication focused on disease symptoms (99.0%) and impact of the disease on quality of life (61.8%). The proportion of RA patients who perceived their health status as good/very good/excellent was higher in the BT group than in the NBT group (74.3% vs. 51.5%, p<0.001). However, of those RA patients in the NBT group, only 24.8% have been recommended to start a biologic treatment by their doctors. With respect to dose frequency options, once-monthly injections were preferred (80%) to a bi-weekly injection schedule (8%). Conclusion: In conclusion, RA patients receiving biologic therapy reported higher rates of improved symptoms and better quality of life and seemed to be more satisfied with their treatment in our study. © Clinical and Experimental Rheumatology 2014.Item The "physician on call patient engagement trial" (POPET): Measuring the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis and asthma patients(John Wiley and Sons Inc, 2015) Cingi C.; Yorgancioglu A.; Cingi C.C.; Oguzulgen K.; Muluk N.B.; Ulusoy S.; Orhon N.; Yumru C.; Gokdag D.; Karakaya G.; Çelebi S.; Çobanoglu H.B.; Unlu H.; Aksoy M.A.Background: In this prospective, multicenter, randomized, controlled, double-blind study, we investigated the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis (AR) and asthma patients. Methods: In total, 327 patients with diagnoses of persistent AR or mild-to-severe persistent asthma were randomized into 2 intervention groups and 2 control groups upon their admission at outpatient clinics. The intervention groups (POPET-AR and POPET-Asthma) received a mobile phone application ("physician on call patient engagement trial" [POPET]), enabling them to communicate with their physician, and record their health status and medication compliance. The AR groups completed the Rhinitis Quality of Life Questionnaire (RQLQ) at initiation and at the first month of the study. The asthma groups completed the Asthma Control Test (ACT) at initiation and at the third month of the study. Results: The POPET-AR group showed better clinical improvement than the control group in terms of the overall RQLQ score as well in measures of general problems, activity, symptoms other than nose/eye, and emotion domains (p < 0.05). In the POPET-Asthma group, more patients (49%) achieved a well-controlled asthma score (ACT > 19) compared with the control group (27%); this was statistically significant (p < 0.05). Conclusion: Use of a mobile engagement platform, such as POPET, can have a significant impact on health outcomes and quality of life in both AR and asthma, potentially decreasing the number of hospital admissions, repeat doctor visits, and losses in productivity. Improvements were seen in domains related to activity, productivity, perception of disease, and emotion. © 2015 ARS-AAOA, LLC.