?. Banerjee|Debmitra Sanyal
Dynamics of doctor-patient relationship: A cross-sectional study on concordance, trust, and patient enablement
Dr. D. Y. Patil Medical College, Hospital and Research Centre|Dr. D. Y. Patil Medical College, Hospital and Research Centre
rapid pace medical advances coupled specialization superspecialization eroding traditional doctorpatient relationshipa study determinants core dimensions concordance trust enablement doctorpatient relationship b explore associations among core dimensionsa crosssectional study design quantitative qualitative methods employed one hundred ninetyeight outdoor patients interviewed part quantitative study three dimensions doctorpatient relationship physician patient concordance trust physician patient enablement assessed using validated tools focus group interviews using openended format among physicians carried part qualitative studyin quantitative analysis sociocultural factors show significant association doctorpatient relationship however gender significantly strongly associated trust physician female patients showed much lower trust physician 50 compared male patients 75 033 95 ci 017 064 chi sq 1286 p 00003 qualitative study revealed language culture alternative medicines commercialization medicine crowding specialist superspecialist clinics barriers good doctorpatient relationship better concordance associated improved trust doctor 530 95 ci 206 1398 chi sq 1446 p 00001 turn associated improved patient enablement 389 95 ci 160 964 chi sq 1015 p 0001good doctorpatient concordance agreement leads better trust physician turn leads better patient enablement irrespective sociocultural determinants