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WHEN you get sick, who do you see for your health care? Are you still looking for the same doctor, or are you using a center, office or health facility where there is a different doctor each time?
If you have chronic health problems – diseases requiring long-term treatment, diabetes, high blood pressure, high cholesterol, heart disease, arthritis and d? other conditions such as vascular collagen diseases – you will be asked to consult the doctor regularly for proper management of your disease. What you choose to do about your condition can affect your life.
The history of patient health care over the last three centuries has evolved from a single doctor to each patient. patient relationship, at the current scene where various physicians can provide patient care as part of health care. Although this may be understandable if the patient has several pathologies (co-morbidity) that must be supported by different specialists, when the patient has only one pathology but that it is examined by a different doctor each time for the same problem, the problem
Doing Research
Researchers are scientists who notice possible badociations between two or more factors, and want to know if their suspicions are true. Therefore, they propose what is called a scientific hypothesis, and then proceed to a research that seeks to prove the hypothesis, that is, to discover if what? they notice is true
. that you may have heard about, such as qualitative research, quantitative observational research, and randomized clinical trials (recognized worldwide as the benchmark for research because it primarily eliminates random biases and badociations between different studied variables Over the past 100 years, research has made crucial, if not critical, additions to our knowledge of the world and the campaign about diseases, badociated factors, and ways to improve the quality and duration of disease. The consequences of patient consultation by different physicians have recently been researched in the medical literature and have revealed that mortality rates may be lower when patients see the same doctor. over a period of time
in the British Medical Journal it was a systematic review of the relationship between mortality (mortality rate) and continuity of care. He badyzed 22 research studies published over the last 21 years and found that higher levels of continuity of care were badociated with lower mortality rates. Continuity of care for patients was received from primary care physicians as well as specialists from nine countries and six continents, suggesting that the effect was not limited to a branch of medicine or the health system .
While great progress has been made in the technological field, the human side of medicine and the consequences for each patient have been neglected, with the treatment focusing primarily on the physical factors in the doctor-patient interaction .
the doctor's personal care include the improvement of patient satisfaction, the increased likelihood that a patient will follow medical advice, the improvement of the patient's adoption of the personal preventive medicine and the significant reduction of unnecessary admissions to the hospital
found that, from the patient's point of view, continuity of care was badociated with perception The doctor was more responsive and therefore encouraged patients to disclose more to the physician, thus allowing medical interventions to be better tailored to the patient's individual needs.
This research provides an important lesson for health care systems that are not patient-centered or focused specifically on the needs of patients. The problem is not just about respecting or not respecting the patient's autonomy to determine the doctor he wants to see, but also the quality of health care and health care.
It is well known that some patients communicate better with some physicians than others, the question of a personal relationship has been underestimated recently or neglected in some health care systems. Hopefully, the results of this research will reorganize the priorities of the health system.
Dr. Derrick Aarons MD, PhD, is a Jamaican family physician and consulting bioethicist; a specialist in ethical issues in the fields of health, research and life sciences; and is the Registrar of Health and Chief of the Health Secretariat for the Turks and Caicos Islands
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