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Doctor-Patient Relationship/ Public Health Specialist –Community Relationship Dr. Yusuf Abdu Misau MBBS(ABU), MPH(UM), PhD Student(UM) Department of Social and Preventive Medicine, University of Malaya
Acknowledgement ,[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Objectives ,[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Contents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Nature of Doctor-Patient Relationship 01/19/10 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object],[object Object],[object Object]
Nature of Doctor-Patient Relationship 01/19/10 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object],[object Object],[object Object],[object Object]
DPR-Why is it relevant to us? 01/19/10 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object],[object Object],[object Object]
PERCEPTIONS OF NEED ,[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
01/19/10 Yusuf Misau-Doctor-Patient Relationship Public’s perceived need  for  care
01/19/10 Yusuf Misau-Doctor-Patient Relationship Public’s perceived need for care Note the difference between actual and perceived need Symptoms  Do  nothing No symptoms Self-med, Alternative med See GP
IMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
THE DECISION-MAKING PROCESS  ,[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
THE DECISION-MAKING ROCESS Mechanic (1968) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
SOCIAL TRIGGERS (ZOLA, 1973) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
PARSONS’ MODEL OF SICK ROLE. 01/19/10 Yusuf Misau-Doctor-Patient Relationship
Parsons’ “Ideal Patient” (Sick Role) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
[object Object],[object Object],[object Object],[object Object],[object Object],Parsons’ “Doctor” (Doctors’ Role) 01/19/10 Yusuf Misau-Doctor-Patient Relationship
Doctor’s Right ,[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Implications of Parsons’ theory ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Problems with Persons’ model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Factors influencing DPR 01/19/10 Yusuf Misau-Doctor-Patient Relationship
Factors influencing DPR ,[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Factors influencing DPR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Recap….. ,[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
TYPES OF  DOCTOR-PATIENT RELATIONSHIP 01/19/10 Yusuf Misau-Doctor-Patient Relationship
Types of doctor-patient relationships 01/19/10 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of doctor-patient relationships 01/19/10 Yusuf Misau-Doctor-Patient Relationship CONFLICT PATIENT CONTROL DOCTOR CONTROL LOW HIGH LOW DEFAULT PATERNALISM HIGH CONSUMERISM MUTUALITY
MODELS OF DPR 01/19/10 Yusuf Misau-Doctor-Patient Relationship ,[object Object],[object Object]
  MODELS OF DPR ,[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
  MODELS OF DPR ,[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
MODELS OF DPR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
MODELS OF DPR ,[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
MODELS OF DPR Transactional Analysis  or TA (Eric Berne 1986) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Transactional Analysis ,[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship Parent Child Parent Adult Child Doctor Patient reciprocal crossed Duplex/covert
SZASZ and HOLLENDER’S MODEL   Vs.  TRANSACTIONAL ANALYSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
01/19/10 Yusuf Misau-Doctor-Patient Relationship COMMUNICATION  SKILLS
A MODEL OF THE COMMUNICATION PROCESS 01/19/10 Yusuf Misau-Doctor-Patient Relationship SENDER RECEIVER E NCODI NG D ECODIN G CHANNEL Transmit Message Receive Message
COMMUNICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
COMMUNICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
COMMUNICATION STUDIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
COMMUNICATION STUDIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Why is there poor communication? ,[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Good Communication Skills In Consultation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Advantages of improved communication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship Changes in the DPR
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship Changes in the DPR
Strategies for improvement of DPR   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Strategies for improvement of DPR  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
The proposed conceptual model:  Patients preferences in dentist communication skills in the Malaysian Army 01/19/10 Yusuf Misau-Doctor-Patient Relationship DPR SOCIOEMOTIONAL BEHAVIOUR TECHNICAL COMPETENCY INTERPERSONAL COMPETENCY ,[object Object],[object Object],[object Object],[object Object],[object Object],COGNITIVE & INFORMATION  GIVING CONFLICT RESOLUTION & NEGOTIATION Ref: Zainal Abidin Z. MCD 1997
CONCLUSION ,[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
REFERENCES ,[object Object],[object Object],[object Object],[object Object],[object Object],01/19/10 Yusuf Misau-Doctor-Patient Relationship
Terima kasih 01/19/10 Yusuf Misau-Doctor-Patient Relationship                                                                                              

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Doctor Patient Relationship Yusuf Misau

  • 1. Doctor-Patient Relationship/ Public Health Specialist –Community Relationship Dr. Yusuf Abdu Misau MBBS(ABU), MPH(UM), PhD Student(UM) Department of Social and Preventive Medicine, University of Malaya
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  • 9. 01/19/10 Yusuf Misau-Doctor-Patient Relationship Public’s perceived need for care
  • 10. 01/19/10 Yusuf Misau-Doctor-Patient Relationship Public’s perceived need for care Note the difference between actual and perceived need Symptoms Do nothing No symptoms Self-med, Alternative med See GP
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  • 15. PARSONS’ MODEL OF SICK ROLE. 01/19/10 Yusuf Misau-Doctor-Patient Relationship
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  • 21. Factors influencing DPR 01/19/10 Yusuf Misau-Doctor-Patient Relationship
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  • 25. TYPES OF DOCTOR-PATIENT RELATIONSHIP 01/19/10 Yusuf Misau-Doctor-Patient Relationship
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  • 27. Types of doctor-patient relationships 01/19/10 Yusuf Misau-Doctor-Patient Relationship CONFLICT PATIENT CONTROL DOCTOR CONTROL LOW HIGH LOW DEFAULT PATERNALISM HIGH CONSUMERISM MUTUALITY
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  • 36. 01/19/10 Yusuf Misau-Doctor-Patient Relationship COMMUNICATION SKILLS
  • 37. A MODEL OF THE COMMUNICATION PROCESS 01/19/10 Yusuf Misau-Doctor-Patient Relationship SENDER RECEIVER E NCODI NG D ECODIN G CHANNEL Transmit Message Receive Message
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  • 53. Terima kasih 01/19/10 Yusuf Misau-Doctor-Patient Relationship                                                                                             

Notas do Editor

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