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A comunicação na saúde e relação médico-doente

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Resumo:Effective communication in the physician-patient relationship is directly related to the health promotion of patients with multimorbidity representing 70% of patients attending Primary Health Care. There are three essential factors in communication and physician-patient relationship: empathy, empowerment, and patient satisfaction with information received from the physician about his illness and morbidities. The objective of the present study is to compare the Family physicians and general practitioners and the Hospital physicians in terms of communication and physician-patient relationship in patients with multimorbidity. An exploratory observational cross-sectional study was carried out, using the convenience sample of people with multimorbidity and applying the JSPE, PEI/ICC, MAT and ECsD scales. The statistical treatment of the data was performed using descriptive statistics, the non-parametric test U Mann-Whitney and the Pearson Correlation was used. For all questions on the JSPE scale, the family doctor scored higher than the hospital physician. In the study of the correlation between the specialties, statistically significant differences were obtained. In the PEI/ICC scale of the Family physicians and general practitioners, the "better" response was predominant. In the MAT scale, an average of 39.1 was obtained. The predominant response in the ECsD questionnaire was "I know what is needed". The Pearson correlation coefficient between the JSPE and PEI/ICC scales is positive and moderate, between the PEI/ICC and MAT scales is positive and weak and between the JSPE and MAT scales is negative and almost 0. The differences between the Family physicians and general practitioners and the Hospital consultations have an impact on the results of the medical empathy felt by the patients. The results of the MAT scale demonstrate an excellent adherence to drug therapy. In the correlation between empathy, empowerment and adherence to treatment, it was verified that a higher degree of empathy is correlated with a higher degree of empowerment and that a higher degree of empowerment is correlated with a higher degree of adherence to treatment.
Autores principais:Alberto, Kathleen Pinto
Assunto:Comunicação Relação médico-doente Multimorbilidade Empatia Capacitação Communication Physician-patient relationship Multimorbidity Empathy Empowerment
Ano:2019
País:Portugal
Tipo de documento:dissertação de mestrado
Tipo de acesso:acesso embargado
Instituição associada:Universidade de Coimbra
Idioma:português
Origem:Estudo Geral - Universidade de Coimbra

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