patient practitioner relationship

Question 1

what are the 3 example studies

Answer 1

mckinstry and wang
mckinlay
robinson and west

Question 2

aim of mckinstry and wangs study

Answer 2

how acceptable patients found different styles of doctors’ dress and whether they felt that a doctor’s style influenced their respect for their opinion

Question 3

results of mckinstry and wangs study

Answer 3

traditionally dressed images received higher preference ratings than casually dressed ones esp for older and professional class patients

Question 4

evaluation of mckinstry and wangs study

Answer 4

strengths:
. showed importance of appearance and first impressions in developing confidence in doctors
R - consistency and reliability (same male and female used)
weaknesses:
E - lacks ecological validity (use of pictures and not real people)
G - sampling issues (does in western europe, africa ect?)

Question 5

aim of mckinlays study

Answer 5

to investigate the comprehension of medical terms by a sample of lower class women in scotland in a maternity ward

Question 6

why did mckinlay (medical terms) carry out the study

Answer 6

medical language makes health workers look more knowledgeable and keeps conversations brief because women are afraid to ask questions without looking stupid

Question 7

results of mckinlays study

Answer 7

on average each of the terms were understood by less than 40% women

Question 8

evaluation of mckinlays study

Answer 8

G - not generalisable (only used women and maternity ward no other setting)
A - useful (will help improve communication between health workers and patients)
V - ecological validity (real terms in real setting)
E - unethical (disrupting health service for survey)

Question 9

aim of robinson and wests study

Answer 9

to see if patients are more likely to disclose info about symptoms and undesirable behaviours of STD (e.g. no of sexual partners) through computer or face to face with doctor

Question 10

results of robinson and wests study

Answer 10

patients are less worried about social judgements with a computer, they admitted having more
sexual partners and revealed more symptoms

Question 11

evaluation of robinson and wests study

Answer 11

strengths:
V- carried out in a real life setting (clinic) meaning the study has high ecological validity and the results can be generalised beyond the research setting.
weaknesses:
G- only carried out in one clinic with a small sample so caution should be used when generalising the results to other patients/settings.

Question 12

type 1 error in diagnosis

Answer 12

false positive (saying they’re ill but they’re not)

Question 13

type 2 error in diagnosis

Answer 13

false negative (saying they’re fine but they’re ill)

Question 14

jargon

Answer 14

special words used by a profession that are hard for others to understand

Question 15

doctor centred consultation style

Answer 15

closed questions
straight to the point
focus on main problem not others

Question 16

patient centred consultation style

Answer 16

open questions
avoid jargon
concluded that meaningful dialogue led to more compliance

Question 17

appraisal delay

Question 18

illness delay

Question 19

utilisation delay

Question 20

ICD 11

Question 21

munchausen syndrome

Question 22

malingering