"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. Surprisingly, Lee says, many physicians reported that their favorite patients were not necessarily the most compliant or those who were most similar to them. We want our doctors to be humanistic, and patients benefit from positive regard. 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. Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. You won't become a favorite patient by only coming in when an illness has g Otherwise, physicians did not identify substantial benefits favorite patients had over others except that they were better known to them. www.sciencedaily.com/releases/2016/07/160720125650.htm (accessed January 8, 2021). Many respondents reported that formerly challenging patients often became their favorites over time, reinforcing the benefits of patients seeing the same physician when possible. 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. Uninsured patients tend to see a variety of practitioners, often seeking treatment at emergency rooms, instead of developing relationships with a specific doctor. 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. ", 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. "Majority of physicians have favorite patients, study finds: Despite having favorites, physicians report striving to provide the best care for everyone." So the doctors were very familiar with their favorite patients’ personalities and health histories — allowing them to provide the best care. 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. "This concern demonstrates that physicians are striving to be fair and to give all their patients the best possible care," Lee says. "Favorite patients might not be consistently sick, but when a crisis comes they have an existing relationship to work off of." All but three of the interviews were recorded and transcribed for analysis. "We discovered that doctors really thought about their relationship with patients, which is encouraging from a patient perspective. 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. ProPublica’s Vital Signs database, for … Discover unique things to do, places to eat, and sights to see in the best destinations around the world with Bring Me! 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. I've seen over 20 different doctors in the past 3-4 years due to medical issues of my own. 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. 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. "Favorite patients might not be consistently sick, but when a crisis comes they have an existing relationship to work off of.". Johns Hopkins University Bloomberg School of Public Health. 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. This list explains what your doctor is … Note: Content may be edited for style and length. Joy L. Lee, Mary Catherine Beach, Zackary D. Berger, Elizabeth R. Pfoh, Joseph Gallo, Sydney M. Dy, Albert W. Wu. Three of the respondents reported not having any favorite patients, and voiced concerns that the label suggested preferential treatment. "You should be getting age appropriate cancer screening," the medical professional explained, citing pap smears, colonoscopies, mammograms, testicular exams, and prostate exams. 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. Dermatologists spend all day caring for their patients' skin, but how do they treat their own complexions? It is good to recognize it, to avoid playing favorites, which is different than having favorites. The findings emphasize the importance of consistent access to health care so patients can see the same physician over time. (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. 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… Their thinking really humanizes the patient-physician relationship.". 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. 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. Participants were mostly white (21, or 84 percent) and just over half were female (14, or 56 percent). "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. Review what other patients have said about doctors. "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. When you have patients that come in that are difficult or ones that you share alot in common with. 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.". 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. A frequently cited 1999 study in the Archives of Internal Medicine found that doctors find up to 15 percent of patient visits "difficult.". Doctors have a professional and ethical duty to ensure that sexual boundary breaches between doctors and patients are avoided. The only thing I can recall ever wanting to be, from a very young age, was wanting to be a physician. Dr. Jennifer Caudle Updated Jan. 17, 2019 12:31PM ET / Published Feb. 06, 2014 5:45AM ET 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. ", "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. Life can be tough — for doctors and patients alike. Otherwise, physicians did not identify substantial benefits favorite patients had over others. 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. We might view patients who have consensual sex with their doctors … 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. ... 40 Awkward Things Patients Have Actually Said To Doctors… "Majority of physicians have favorite patients, study finds: Despite having favorites, physicians report striving to provide the best care for everyone." Continued Doctors' Weight, Doctors' Exercise. 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. Surprisingly, Lee says, many of the physicians who reported having a favorite noted that those patients were not necessarily the most compliant. The departments she works at are still open, but patients are not coming in. ScienceDaily. 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. "We discovered that doctors really thought about their relationship with patients, which is encouraging from a patient perspective. 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. Do doctors have the right to "can" a patient for bad behaviour? 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. 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. ", 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. "Favorite patients might not be consistently sick, but when a crisis comes they have an existing relationship to work off of.". Though one did observe, "There is a truth to the fact that my favorite patients probably hear back from me more rapidly than my less favorite patients. Doctors told Daily Mail Online about some of the secret codes they use to describe patients to one another. That's the conclusion of a new study led by researchers at the Johns Hopkins Bloomberg School of Public … The other physicians in the study, those indicating they had some sort of favorite patient, voiced the same concern. Their thinking really humanizes the patient-physician relationship." 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. "This concern demonstrates that physicians are striving to be fair and to give all their patients the best possible care," Lee says. I don't think anyone seeks to have favorites, yet it does happen. Does your doctor have a favorite sport or hobby? The responses were coded, and three themes around favorite patients emerged: physicians' perspectives, characteristics of favorite patients and effects of the favorite patient relationship. "Doctors are human too, and as humans we like some people more than others -- in both our personal and professional lives. My favorite patients are those who have researched their condition or symptoms prior to the visit. (For three, the recordings failed and the interviewer relied solely on detailed notes.) Content on this website is for information only. 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. 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. 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. For the study, a researcher interviewed 25 primary care physicians working in clinical settings across the Johns Hopkins medical system. Many challenging patients, the respondents said, lacked an understanding of the limits of what physicians could do. 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. Majority of physicians have favorite patients, study finds: Despite having favorites, physicians report striving to provide the best care for everyone. Materials provided by Johns Hopkins University Bloomberg School of Public Health. 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. Benefits favorite patients, which is different than having favorites, yet it does happen propublica ’ Vital... Run into few types of patients who drive us crazy and referral programs where! 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