Patient-Provider Relationship: Compliance with Care

Patient-Provider Relationship: Compliance with Care

AK Mohiuddin

Department of Pharmacy, World University of Bangladesh, Bangladesh 151/8, Green Road Dhanmondi, Dhaka 1205, Bangladesh

 International Journal of Hospital Pharmacy

The Provider-Patient Relationship (PPR) is a novel concept of medical sociology in which patients voluntarily approach a doctor and thus become a part of a contract in which they tend to abide with the doctor’s guidance. It has been proposed that an ideal PPR has six components, namely voluntary choice, practitioner’s competence, good communication, empathy by the doctors, continuity, and no conflict of interest. In fact, a poor PPR has been proved to be a major obstacle for both doctors and patients, and has eventually affected the quality of healthcare and ability of the patients to cope with their illness. Owing to poor PPR, patients does not show compliance with doctor advice completely; opt for practitioner -shopping by changing their practitioner repeatedly; remain anxious; may choose quacks or other non-scientific forms of treatment; significant increase in direct and indirect medical expenses. Because of recurrent change in line of treatment as per the advice of different practitioner and non-completion of the entire course of drugs, there is a definite scope for the emergence of antimicrobial resistance, which further compounds the medical cost and anxiety, and finally may develop serious forms of disease or complications. From the practitioners’ perspective, they may ask for unnecessary investigations or may give over-prescriptions, just to be safe. There is also observed a remarkable decline in human touch or empathy; and a significant rise in unhealthy competition among doctors.

Keywords: Compliance; Patient Satisfaction; Communication Skills; Empathy; Trust; Patient Comprehension; Motivation; Primary Care

Free Full-text PDF

How to cite this article:
AK Mohiuddin,Patient-Provider Relationship: Compliance with Care. International Journal of Hospital Pharmacy, 2019,4:24.


1. McKinstry B Paternalism and the physician-patient relationship in general practice. Br J Gen Pract. 1992 Aug;42(361):340-2. PMID: 1457157
2. LeBaron S, Reyher J, Stack JM. Paternalistic vs egalitarian physician styles: the treatment of patients in crisis. J Fam Pract. 1985 Jul;21(1):56-62.
3. Emma LA, Graham M. Realising the transformative potential of healthcare partnerships: Insights from divergent literatures and contrasting cases in high- and low-income country contexts Social Science & Medicine 92 (2013) 74-82
4. Moira S. Reflections on the physician–patient relationship: from evidence and experience British Journal of General Practice, October 2005 British Journal of General Practice 2005; Vol 55: Page 793–801
5. Rafia R. A Theoretical Review on Correspondence of Physician Patient Relationship And Treatment Decision Making Models International Journal of Multidisciplinary Research and Modern Education Volume II, Issue I, 2016 Page 534-539
6. Ritu A. Importance of patient centered communication in Lifestyle Diseases Sliceshare March 10, 2013.
7. Rhonda FB, Phyllis NB. Responding to the active and passive patient: flexibility is the key ©Blackwell Science Ltd 2002 Health Expectations 5, pp.236–245
8. Paul QB. Re-Thinking The Physician-Patient Relationship: A Physician’s Philosophical Perspective A DISSERTATION Presented to the Department of Philosophy and the Graduate School of the University of Oregon in partial fulfillment of the requirements for the degree of Physician of Philosophy December 2011
9. Jane ED. The importance of the physician-patient relationship BMJ 2009; 339 doi:
10. Health and Behavior: The Interplay of Biological, Behavioral, and Societal Influences Committee on Health and Behavior: Research, Practice and Policy, Board on Neuroscience and Behavioral Health ISBN: 0-309-51503-3, (2001) Copyright © National Academy of Sciences.
11. Stacie JL, Brooke G and others. Considerations for Providing Ambulatory Pharmacy Services for Pediatric Patients J Pediatr Pharmacol Ther 2018;23(1):4–17 DOI: 10.5863/1551-6776-23.1.4
12. Amy SC. Chapter 41. Preventing Health Care–Associated Infections. Patient Safety and Quality: An Evidence-Based Handbook for Nurses: Vol. 2 Hughes RG, editor. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr
13. Richard JF. Medication errors: the importance of an accurate drug history Br J Clin Pharmacol /67:6 / 671–675
14. Ngaire K, Stephen B and others. Physician-Patient Relationship and Medication Compliance: A Primary Care Investigation Ann Fam Med 2004;2:455-461. DOI: 10.1370/afm.139
15. Linghan S, Ye L and others. Patient Satisfaction with Hospital Inpatient Care: Effects of Trust, Medical Insurance and Perceived Quality of Care PLOS ONE | DOI:10.1371/journal.pone.0164366 October 18, 2016 Page 1-18
16. David CD, Ronald E, Steven ZP. Time and the Patient–Physician Relationship JGIM Volume 14, January (Supplement 1) 1999 Page 35-40.
17. INTERSYSTEM Creating Sustainable 21st Century Health Systems: eHealth and Health Information Technology Copyright © 2015 InterSystems Corporation InterSystems Corporation World Headquarters One Memorial Drive Cambridge, MA 02142-1356
18. Maureen M, Meri K. Commercialization of Health Care: Global and Local Dynamics and Policy Responses Project Title: Commercialization of Health Care: Global and Local Dynamics and Policy Responses UN Research Institute for Social Development
19. Bevinahalli N, Raveesh, Ragavendra BN, Shivakumar FK. Preventing medico-legal issues in clinical practice Ann Indian Acad Neurol. 2016 Oct; 19(Suppl 1): S15–S20. doi: [10.4103/0972-2327.192886] PMID: 27891020
20. AAMC Professionalism in Medicine and Medical Education Foundational Research and Key Writings 2010–2016 Journal of the Association of American Medical Colleges Copyright © 2017 by the Association of American Medical Colleges.
21. Kristine S, Stephan VB and others. Health literacy and public health: A systematic review and integration of definitions and models BMC Public Health. 2012; 12: 80. doi: [10.1186/1471-2458-12-80] PMID: 22276600
22. Piyush R, Archana K, Avinash C. How can Physicians Improve their Communication Skills? J Clin Diagn Res. 2015 Mar; 9(3): JE01–JE04. doi: [10.7860/JCDR/2015/12072.5712] PMID: 25954636
23. ClinGov Complaints and patient satisfaction: a comprehensive review of the literature CENTRE FOR CLINICAL GOVERNANCE RESEARCH © Debono D, Travaglia J. 2009
24. Barry E. Chapter 2. Empathy Behavioral Medicine: A Guide for Clinical Practice, Third Edition Feldman, Mitchell; Christensen, John Publisher: McGraw-Hill Medical, 2007 ISBN 10: 0071438602 ISBN 13: 9780071438605
25. Bernadette AMC Investigating the effectiveness of communication taking place between hospital pharmacists and patients during medication counselling A thesis submitted for the degree of Physician of Philosophy at The University of Queensland in 2017 School of Pharmacy
26. Saul JW, Simon A. From Empathy to Caring: Defining the Ideal Approach to a Healing Relationship Yale J Biol Med. 2007 Sep; 80(3): 123–130. PMID: 18299724
27. Alex JM. Empathetic Consultation Skills in Undergraduate Medical Education: A Qualitative Approach. Submitted for the degree of Physician of Philosophy University of East Anglia Norwich Medical School 2014
28. Andrew KS. Strategies for ensuring trustworthiness in qualitative research projects Education for Information 22 (2004) 63–75 IOS Press
29. Walter WR. Chapter 23. Applying Information Mastery And Evidence in Practice Information Mastery: Evidence-based Family Medicine, Volume 1 By Walter Rosser, David C. Slawson, Allen F. Shaughnessy Publisher: pmph usa; 2 edition (April 1, 2004) ISBN-10: 1550091824 ISBN-13: 978-1550091823
30. Henriksen K Dayton E, Keyes MA and others. Chapter 5. Understanding Adverse Events: A Human Factors Framework Patient Safety and Quality: An Evidence-Based Handbook for Nurses Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Publication No.: 08-0043
31. Dorr Goold S, Lipkin M. The doctor-patient relationship: challenges, opportunities, and strategies. J Gen Intern Med. 1999;14 Suppl 1(Suppl 1):S26-33.
32. Clare MD. Informed Consent: Ethical theory, legal obligations and the physiotherapy clinical encounter Submitted for the fulfillment of PhD, October 2005
33. Marie TB, Jennifer KB. Medication Adherence: WHO Cares? Mayo Clin Proc. 2011 Apr; 86(4): 304–314. doi: [10.4065/mcp.2010.0575] PMID: 21389250
34. Sandra P, Mark JD, Ashley D. Navigating Ethics of Physician-Patient Confidentiality: A Communication Privacy Management Analysis Perm J. 2012 Fall; 16(4): 41–45. PMID: 23251116
35. Ray N. Introduction to Medical Ethics Centre for Reproductive Ethics and Rights UCL Institute for Women’s Health London 2007 Page 31
36. Medical Board of Australia. Good Medical Practice: A Code of Conduct for Doctors in Australia.
37. Aravind VK, Krishnaram VD, Thasneem Z. Boundary crossings and violations in clinical settings. Indian J Psychol Med. 2012;34(1):21-4.
38. Thomas GG, Glen OG. Misuses and Misunderstandings of Boundary Theory in Clinical and Regulatory Settings Am J Psychiatry 1998; 155:409–414
39. PSYCH Psychiatrists’ Support Service Manager, Psychiatrists’ Support Service© Royal College of Psychiatrists 2013
40. AMA Principles of Medical Ethics: I,II,IV,VII Chapter 1: Opinions On Patient-Physician Relationships
41. Rangeel SR, Priyanka S and others. Emerging Ethical Perspective in Physician-Patient Relationship J Clin Diagn Res. 2014 Nov; 8(11): XI01–XI04. doi: [10.7860/JCDR/2014/10730.5152] PMID: 25584294
42. Ramchandra DL. Chapter 2. Duties of Physicians to Other Patients Essentials of Hospital Management & Administration Publisher: Educreation Publishing ISBN: 9781545718841, 1545718849 Edition: 2018
43. Rajesh B. Chapter 2. Duties of Physicians to their Patients Principles of Forensic Medicine & Toxicology Publisher: Jaypee Brothers Medical Publishers (P) LTD New Delhi • Panama City • London
44. Krishnan V. Chapter 22. Medical Education vis-à-vis Medical Practice Textbook of Forensic Medicine & Toxicology: Principles & Practice Kindle Edition by Krishnan Vij (Author) Publisher: Elsevier India; 5th edition (10 February 2014) ASIN: B00JWMJZZI
45. Ezekiel J. Emanuel, Linda L. Emanuel Four Models of the Physician-Patient Relationship JAMA. April 22/29, 1992-Vol 267, No. 16
46. Kyriakos S. Patient participation in contemporary health care: promoting a versatile patient role Health Expect. 2016 Apr; 19(2): 175–178. doi: [10.1111/hex.12456] PMID: 26995388
47. Qing ZT, Hyeoneui K, Martha H. Improving Patient Comprehension and Recall of Discharge Instructions by Supplementing Free Texts with Pictographs AMIA Annu Symp Proc. 2008; 2008: 849–853. PMID: 18999109
48. Patti GM, Jann BS. Pharmacists’ Contributions to Primary Care in the United States Collaborating to Address Unmet Patient Care Needs: The Emerging Role for Pharmacists to Address the Shortage of Primary Care Providers Am J Pharm Educ. 2010 Dec 15; 74(10): S7. PMID: 21436916
49. Robert JA. Improving health outcomes with better patient understanding and education Risk Manag Healthc Policy. 2010; 3: 61–72. doi: [10.2147/RMHP.S7500] PMID: 22312219
50. Hiroyasu G. The Physician-Patient Relationship Desired by Society 259 JMAJ, May / June 2007 — Vol. 50, No. 3
51. Portmann J. Physician-patient relationship like marriage, without the romance. West J Med. 2000 Oct;173(4):279-82.
52. Lipkin M (1987) The medical interview as core clinical skill: the problem and the opportunity. J Gen Intern Med 2(5): 363-365.
53. Susan DG, Mack L. The Physician–Patient Relationship Challenges, Opportunities, and Strategies J Gen Intern Med. 1999 Jan; 14(Suppl 1): S26–S33. doi: [10.1046/j.1525-1497.1999.00267.x] PMID: 9933492
54. Kerse N, Buetow S, Mainous AG, Young G, Coster G and others Physician-Patient Relationship and Medication Compliance: A Primary Care Investigation. Ann Fam Med (2004) 2(5): 455-461.
55. Shachak A, Reis S. The impact of electronic medical records on patient-doctor communication during consultation: a narrative literature review. J Eval Clin Pract. 2009 Aug;15(4):641-9. doi: 10.1111/j.1365-2753.2008.01065.x. Epub 2009 Jun 10. Review. PMID: 19522722
56. Wyatt, S. Turned on or turned off? Accessing Health Information on the Internet, Gender, Technology and Methodology research group, University of Twente, Netherlands, 7 November 2001.
57. Hart, A., Henwood, F., Wyatt, S and Marshall, A. ‘The Internet, HRT and Viagra: Transformations in ‘information seeking practices’? Paper presented at Amsterdam School of Communications Research (ASCoR), University of Amsterdam, 27 March 2003.
58. Broom, A. “Virtually he@lthy: The Impact of Internet use on Disease Experience and the Physician-Patient Relationship.” Qualitative Health Research 15.3 (2005): 325-45.
59. Christine W. Duclos, Mary Eichler, Leslie Taylor, Javan Quintela, Deborah S. Main, Wilson Pace, Elizabeth W. Staton; Patient perspectives of patient–provider communication after adverse events, International Journal for Quality in Health Care, Volume 17, Issue 6, 1 December 2005, Pages 479–486,
60. José Henry Osorio Evolution and changes in the physician-patient relationship Colomb. Med. vol.42 no.3 Cali July/Sept. 2011
61. Julie S, Kevin G and others. Effect of Physician and Patient Gender Concordance on Patient Satisfaction and Preventive Care Practices J Gen Intern Med. 2000 Nov; 15(11): 761–769. doi: [10.1046/j.1525-1497.2000. 91156.x] PMID: 11119167
62. CorzerKeystone. Terminating the Physician-Patient Relationship. © 2018 Crozer-Keystone Health System.
63. National Research Council (US) Panel on Race, Ethnicity, and Health in Later Life; Anderson NB, Bulatao RA, Cohen B, editors. Critical Perspectives on Racial and Ethnic Differences in Health in Late Life. Washington (DC): National Academies Press (US); 2004. 3, Racial and Ethnic Disparities in Health and Mortality Among the U.S. Elderly Population.
64. Escarce JJ, Morales LS, Rumbaut RG. The Health Status and Health Behaviors of Hispanics. In: National Research Council (US) Panel on Hispanics in the United States; Tienda M, Mitchell F, editors. Hispanics and the Future of America. Washington (DC): National Academies Press (US); 2006. 9.
65. Ananya M. What are Health Disparities? News Medical Life Sciences Last Updated: Aug 23, 2018
66. Susanne BN, Kamyar KZ, Keith CN. ocioeconomic Disparities in Chronic Kidney Disease Adv Chronic Kidney Dis. 2015 Jan; 22(1): 6–15. doi: [10.1053/j.ackd.2014.07.002] PMID: 25573507
67. Worley MM, Schommer JC, Brown LM, Hadsall RS, Ranelli PL, Stratton TP, Uden DL. Pharmacists’ and patients’ roles in the pharmacist-patient relationship: are pharmacists and patients reading from the same relationship script? Res Social Adm Pharm. 2007 Mar;3(1):47-69. PMID: 17350557
68. JCPP, Pharmacists’ Patient Care Process May 29, 2014 Joint Commission of Pharmacy Practitioners
69. Alghurair SA, Simpson SH, Guirguis LM. What elements of the patient-pharmacist relationship are associated with patient satisfaction?. Patient Prefer Adherence. 2012;6:663-76.

Terms of Use/Privacy Policy/ Disclaimer/ Other Policies:
You agree that by using our site, you have read, understood, and agreed to be bound by all of our terms of use/privacy policy/ disclaimer/ other policies (click here for details).

This work and its PDF file(s) are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.