Series VI: Medical Sciences – SUPPLEMENT ... - Krongres

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Bulletin of the Transilvania University of Bra�ov • Vol. 2 (51) - 2009 • Series VI
Regarding the physician-patients
relations, the investigation showed that
there are some differences and meanings of
the interactions between the doctors and
sick peoples in urban and rural medical
care centres.
However, only a few patients have
received pain treatment properly adjusted
to their needs. Around 18% of patients
consider any of their therapies satisfactory
in reducing their pain.
In a rural medical centre, the patients’
satisfaction with the consultation was
related to the longer consultation times.
Opposite to this, in urban medical centre,
most patients complains sometimes about
busy doctor, who has too little time to
listen, only a small number of patients
being satisfied with the time given to
medical consultation. (Fig. 4) This aspect
is inconclusive, because it is possible that a
patient’s estimation may be altered by his
experience consultations.
Fig. 4
The results of questionnaires evaluating
patient expectations prior to the visit have
been compared with his satisfaction
measured after the consultation. In rural
area the patients are more satisfied and
more likely to comply with treatment
recommended. On the other hand, the
urban patients tend to identify the doctor as
their main source of information wishing
to receive detailed data and explanation
about their diagnosis, treatment and course
of illness, attitude that may disturb the
stages in the medical consultation
procedure.
These results are concordant with
literature data which stipulate that the lack
of sufficient attention to psychosocial
issues may be even more related to
dissatisfaction, than the presence of
attention is related to satisfaction. [2, 25]
Our study revealed a better physicianpatient
interrelation in rural than in urban
medical centre, because in the first case,
the practitioner is more familiar with
patient and his medical history, dealing
that strongly increases patient trust in
doctor. (Fig. 5) It is also true that in some
situations this relationship may be
impaired by the deficiency of communication,
due to the poor intellectual level
of the patients. The mentioned communication
difficulties can be described with
reference to problems of diagnosis, a lack
of patient’s involvement in the discussion,
or the inadequate provision of information
to the patient. [2, 14]
Fig. 5
Secondly, despite the fact that the rural
family physician is insufficient scientific
documented about the new trends of
pharmaco-therapeutic strategies in the