The responses were coded, and three themes around favorite patients emerged: physicians' perspectives, characteristics of favorite patients and effects of the favorite patient relationship. www.sciencedaily.com/releases/2016/07/160720125650.htm (accessed January 8, 2021). ... 40 Awkward Things Patients Have Actually Said To Doctors… It is good to recognize it, to avoid playing favorites, which is different than having favorites. "Favorite patients might not be consistently sick, but when a crisis comes they have an existing relationship to work off of.". "For patients, these findings highlight the importance of having a usual source of care, a primary care doctor with whom they can establish a relationship," says study leader Joy Lee, a postdoctoral fellow in the Department of Health Policy and Management at the Bloomberg School. 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In their responses, physicians often used the term "it's not about me" to convey that instead of thinking about how they felt about their patients they were endeavoring to provide them their best care regardless of their feelings about them -- favorable or otherwise. It is true that many doctors do not accept new Medicaid patients, in large part … "For patients, these findings highlight the importance of having a usual source of care, a primary care doctor with whom they can establish a relationship," says study leader Joy Lee, PhD, MS, a postdoctoral fellow in the Department of Health Policy and Management at the Bloomberg School. A frequently cited 1999 study in the Archives of Internal Medicine found that doctors find up to 15 percent of patient visits "difficult.". Of the 25 physicians interviewed, 22 respondents reported having favorite patients, with some characterizing them as a type of patient they regularly encounter in their practice and others as several standout patients they had treated over the course of their career. The study is published online in the journal Patient Education and Counseling and is thought to be among the first to explore the positive aspects of physicians' attitudes toward their patients. Otherwise, physicians did not identify substantial benefits favorite patients had over others except that they were better known to them. Review what other patients have said about doctors. You know, as with any relationship, some are easier than others. Have any problems using the site? (2016, July 20). Some of those with favorite patients, for example, indicated they were mindful of the boundaries around the physician-patient relationship, and did not socialize with patients outside of their practice or connect with them on social media channels such as Facebook. Content on this website is for information only. “For patients, these findings highlight the importance of having a usual source of care, a primary care doctor with whom they can establish a relationship,” said Lee in a recent news release . For the study, a researcher interviewed 25 primary care physicians working in clinical settings across the Johns Hopkins medical system. The only thing I can recall ever wanting to be, from a very young age, was wanting to be a physician. Or view hourly updated newsfeeds in your RSS reader: Keep up to date with the latest news from ScienceDaily via social networks: Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Many respondents reported that formerly challenging patients often became their favorites over time, reinforcing the benefits of patients seeing the same physician when possible. The researchers say that understanding this aspect of physician-patient relationships sheds light on how patients and physicians might best work with each other, from patients making sure they see their doctors regularly and doctors appreciating the rewards of their practice, thus avoiding burnout. The president is pushing the coronavirus theories of a Houston doctor who also says sexual visitations by demons and alien DNA are at the root of Americans’ common health concerns. Observed one participant: "Patients who I never thought I would even come to like grow into some favorites [through the] shared experience of knowing them for over a decade.". Johns Hopkins University Bloomberg School of Public Health. "Favorite patients might not be consistently sick, but when a crisis comes they have an existing relationship to work off of." It is not intended to provide medical or other professional advice. Many challenging patients, the respondents said, lacked an understanding of the limits of what physicians could do. The findings emphasize the importance of consistent access to health care so patients can see the same physician over time. However, keep in mind, you will never be the doctor's favorite patient if you consistently ask for lower fees or special treatment in the payment department. Doctors should speak slowly and avoid using jargon with their patients, the Royal College of General Practitioners (RCGP) has said.1 A report by the college said that doctors often used words that were unfamiliar to patients or that patients did not fully understand. The researchers note that uninsured patients tend to see a variety of physicians and often seek treatment at emergency rooms instead of specific practices, thus diminishing the likelihood of developing relationships with their doctors. The other physicians in the study, those indicating they had some sort of favorite patient, voiced the same concern. Dr. Jennifer Caudle Updated Jan. 17, 2019 12:31PM ET / Published Feb. 06, 2014 5:45AM ET Majority of Physicians Have Favorite Patients, Study Finds Despite having favorites, physicians report striving to provide the best care for everyone Physicians like the majority of their patients, but a majority like some more than others, a study led by researchers at the Johns Hopkins Bloomberg School of Public Health finds. ScienceDaily shares links with sites in the. “Doctors may use familiar words in unfamiliar ways,” it said. "Majority of physicians have favorite patients, study finds: Despite having favorites, physicians report striving to provide the best care for everyone." In fact, the most tangible perceived benefit for favorite patients might be that their physicians, having spent significant amounts of time with them, are best suited to care for their patients because of their knowledge of their cases. Continued Doctors' Weight, Doctors' Exercise. Uninsured patients tend to see a variety of practitioners, often seeking treatment at emergency rooms, instead of developing relationships with a specific doctor. Studies estimate that today’s doctors and “hospitalists”—medical practitioners who do most of their work in hospitals—spend just 12 to 17 percent of their day with patients. Perfect gifts for doctors can be items that are more personal – things that they can use around their homes. 1. ", While physicians reported that their favorite patients enriched their professional experience, a fourth theme, about challenging patients, emerged in the responses, largely unprompted by the interviewer. I'm a board-certified neurosurgeon at a major American academic center, and while medicine is an incredibly rewarding career, it puts you in contact with a lot of people doing dumb, terrible things to their bodies. I don't think anyone seeks to have favorites, yet it does happen. Otherwise, physicians did not identify substantial benefits favorite patients had over others. Their humor. Doctors have a professional and ethical duty to ensure that sexual boundary breaches between doctors and patients are avoided. I have also found that doctors tend to underestimate the clinical training that many nurses carry via years on the job and/or through advanced education. I've seen over 20 different doctors in the past 3-4 years due to medical issues of my own. Doctors want their patients to be healthy. Financial support for ScienceDaily comes from advertisements and referral programs, where indicated. Doctors told Daily Mail Online about some of the secret codes they use to describe patients to one another. ", "I think it would be surprising if doctors didn't have favorites," says Albert Wu, MD, MPH, a professor in the Bloomberg School's Department of Health Policy and Management and senior author on the paper. "I have been doing some telemedicine this past month to make a little bit of the income that I lost," says Dr Parks. The researchers say that understanding the physician-patient relationship may provide insight into how patients and physicians can best work with each other, from patients making sure they see their doctors regularly and doctors appreciating the rewards of their practice, thus avoiding burnout. Surprisingly, Lee says, many of the physicians who reported having a favorite noted that those patients were not necessarily the most compliant. In fact, the only perceived benefit for favorite patients might be that their physicians, having spent significant amounts of time with them, are best suited to care for their patients because of their knowledge of their cases. The interviews were open ended but mainly centered around eight questions about participants' perceptions of a favorite patient -- a term for which there is no consensus definition. "We discovered that doctors really thought about their relationship with patients, which is encouraging from a patient perspective. "This concern demonstrates that physicians are striving to be fair and to give all their patients the best possible care," Lee says. Six months is longer than almost any other students have to see the same patients during medical school, and, knowing residency was still years away, I was impatient for the years of follow-up I would get on my next primary care panel. My favorite patients are those who have researched their condition or symptoms prior to the visit. Views expressed here do not necessarily reflect those of ScienceDaily, its staff, its contributors, or its partners. ProPublica’s Vital Signs database, for … Many physicians in the study reported that formerly challenging patients often became their favorites over time, reinforcing the benefits of patients seeing the same physician when possible. Majority of physicians have favorite patients, study finds: Despite having favorites, physicians report striving to provide the best care for everyone. In June this year (2008), I will have been a physician for forty years, and I have never looked back and wondered if maybe I should have chosen another pathway. The physicians in the study, including the three who reported not having a favorite patient, voiced concerns that the label of "favorite" suggested preferential treatment. It's true, doctors do have favorite patients. Does your doctor have a favorite sport or hobby? "Favorite patients might not be consistently sick, but when a crisis comes they have an existing relationship to work off of.". Three of the respondents reported not having any favorite patients, and voiced concerns that the label suggested preferential treatment. Their thinking really humanizes the patient-physician relationship.". In my state, Massachusetts, doctors can also use a specialized database to track every pharmacy a patient took controlled drugs from — an especially useful tool when drug abuse is suspected. So the doctors were very familiar with their favorite patients’ personalities and health histories — allowing them to provide the best care. I can’t tell you what it is before I actually give it to him, but I’ll share a picture of it on Side-Out’s social media pages next week. . You can use online tools to see how others have rated a particular doctor. Rather, they were patients the physician had known over a period of time—anywhere from one year to several decades—and who were or had been very sick, which meant the physicians saw them more frequently and spent more time with them. If you've lost more than five percent of your usual body weight in six to 12 months, what you're experiencing is unintentional weight loss, according to one Reddit user.And this is a common symptom of cancer. I’m a small-business person — and when I’m forced to do more while getting paid less, at some point, I can’t stay in business. Physicians like the majority of their patients, but often they like certain patients more than others, a study led by researchers at the Johns Hopkins Bloomberg School of Public Health finds. The detached doctor talks in language that is over patients' heads, assumes that they understand what was said, and keeps her eye on the clock. "We discovered that doctors really thought about their relationship with patients, which is encouraging from a patient perspective. You won't become a favorite patient by only coming in when an illness has g We might view patients who have consensual sex with their doctors … "Doctors are human too, and as humans we like some people more than others -- in both our personal and professional lives. Discover unique things to do, places to eat, and sights to see in the best destinations around the world with Bring Me! The physicians in the study, including the three who reported not having a favorite patient, voiced concerns that the label of "favorite" suggested preferential treatment. A friend asked me if doctors think about their patients … Engaging them on their thoughts of the patient case as well as getting their angle on how the patient is reacting to your choice of medical interventions will most certainly improve patient care. Dermatologists spend all day caring for their patients' skin, but how do they treat their own complexions? "You should be getting age appropriate cancer screening," the medical professional explained, citing pap smears, colonoscopies, mammograms, testicular exams, and prostate exams. Johns Hopkins University Bloomberg School of Public Health. We want our doctors to be humanistic, and patients benefit from positive regard. Doctors -- especially surgeons -- are expected to maintain a sense of decorum and professionalism at all times. "This concern demonstrates that physicians are striving to be fair and to give all their patients the best possible care," Lee says. Participants were mostly white (21, or 84 percent) and just over half were female (14, or 56 percent). Life can be tough — for doctors and patients alike. Physicians like the majority of their patients, but a majority like some more than others, a study led by researchers at the Johns Hopkins Bloomberg School of Public Health finds. ScienceDaily. The departments she works at are still open, but patients are not coming in. Note: Content may be edited for style and length. Johns Hopkins University Bloomberg School of Public Health. Do doctors have the right to "can" a patient for bad behaviour? Joy L. Lee, Mary Catherine Beach, Zackary D. Berger, Elizabeth R. Pfoh, Joseph Gallo, Sydney M. Dy, Albert W. Wu. Allure spoke with 13 top derms to find … New Device Detects Which Hand Gesture You Want to Make, Key Advance for Printing Circuitry on Wearable Fabrics, Luminescent Wood Could Light Up Homes of the Future. ScienceDaily, 20 July 2016. Surprisingly, Lee says, many physicians reported that their favorite patients were not necessarily the most compliant or those who were most similar to them. (For three, the recordings failed and the interviewer relied solely on detailed notes.) "Majority of physicians have favorite patients, study finds: Despite having favorites, physicians report striving to provide the best care for everyone." In their responses, physicians often indicated that they aim to provide all patients the best care, regardless of their feelings about them—favorable or otherwise. The vast majority have been unhelpful or detrimental to the process of myself getting diagnosed and treated But they were a stepping stone on the ladder that allowed me to climb up and explore other alternatives for my situation..However, I do have to say this. Materials provided by Johns Hopkins University Bloomberg School of Public Health. From a policy perspective, the findings highlight the importance of health insurance and consistent access to health care where patients can see the same doctor or practice over time. Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. That's the conclusion of a new study led by researchers at the Johns Hopkins Bloomberg School of Public … I spent a great deal of time deciding on a gift, and I have no doubt that it will be the only gift of its type Dr. Kales will receive! ", Patients who gave their physicians high marks for 'helpfulness' see better results in weight loss trial, Most doctors say they have favorite patients, study finds, often they like certain patients more than others, Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, 3910 Keswick Rd., Suite N2600, Baltimore, MD. Physicians have also investigated patients on the web if they were concerned about suicide risk, or needed to contact the family of an unresponsive patient. For the study, researchers interviewed 25 physicians, with 22 respondents reporting having favorite patients. More than 1 in 3 male doctors and over 1 in 4 female doctors say they are overweight.. And obesity isn't just a problem for patients… I appreciate the challenges for patients under Obamacare — high premiums, deductibles, and copayments; narrow networks limiting the choice of physician.But I have challenges, too. Rather, they were patients who the physician had known over a period of time -- anywhere from one year to several decades -- and who were or had been very sick, which meant the physicians saw them more frequently and spent more time with them. ScienceDaily. Some do and some don't. "For patients, these findings highlight the importance of having a usual source of care, a primary care doctor with whom they can establish a relationship. When you have patients that come in that are difficult or ones that you share alot in common with. When a patient takes their medication as prescribed, gets blood work done as required to check if that medication is working, and follow up as needed, it's enough to make the doctor happy. I’m worried about health care reform, too. Their thinking really humanizes the patient-physician relationship." The study, published online in the journal Patient Education and Counseling, is thought to be among the first to explore the positive aspects of physicians' attitudes towards their patients. Sometimes it’s that joke, that quip, … If you truly need help with financing, do it … All but three of the interviews were recorded and transcribed for analysis. Questions? All doctors run into few types of patients who drive us crazy. 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