N 2 (187) 2024. P. 45–49

ASSESSMENT OF CORRELATION LEVELS IN THE STRUCTURE OF CONFLICTS WITHIN THE DOCTOR–PATIENT SYSTEM

Bukovinian State Medical University, Chernivtsi, Ukraine

DOI 10.32782/2226-2008-2024-2-8

Actuality. Doctors face difficulties every day in their practical work, communicating with patients who have different emotional and psychological conditions. In most cases, patients visit the doctor not because they want to; often they are brought to the hospital unwillingly by relatives or friends. Medical care is now perceived as a service that a healthcare facility provides to a patient. Therefore, it is quite logical that the patient visiting a doctor or starting treatment has certain expectations, that is, creates an idealized image of the doctor and the treatment process in general.

The aim of the study. Analyze and evaluate relationships in conflict situations in the “doctor–patient” system.

Materials and methods. With the use of statistical and medical-epidemiological methods, an analysis of anonymous questionnaires of 48 medical heads and 1146 patients was carried out in order to study the relationship between conflict situations and the effective work of medical institutions.

The results. The average strength of the relationship regarding the assessment of conflict situations among doctors showed (C=0.044 (p=0.762)) that the respondents often and actively participate in conflicts arising in the team and do not consider it necessary to learn how to resolve such conflict situations. The weak connection of doctors demonstrated (C=0.151 (p=0.295)) that there are 2 groups of respondents – some believe that this does not prevent them and other people from solving conflicts with profit for both sides, others – who need to try to reach a compromise or not to conflict. Evaluating the responses of patients, it was established that different groups of patients are in conflict, but those who are not satisfied with sanitary and hygienic conditions (C=0,208 (p<0,001)) and stand in line for more than half an hour (C=0,247 (p<0,001)) often dissatisfied with the results of the provision medical care, and vice versa.

Conclusion. In medical teams, conflicts often arise and doctors actively participate in them. Among patients who have conflicts, there are only those who are not satisfied with the results of medical care.

Key words: conflict situations, structure of conflict, correlation, doctor, patient.

BIBLIOGRAPHY

  1. Ustinov OV. Conflict of interest in medicine: what is it and how to act? Ukrainian Medical Journal [Internet]. 2019 [cited 2023 Jun 21]. (In Ukrainian). Available from: https://umj.com.ua/uk/stattia-161119-konflikt-interesiv-u-meditsini-shho-tse-take-i-yak-diyati
  2. Nevinska LM, Kulchytskyi VY. The role of a medical worker as a mediator in conflict resolution. 2019; 4: 35–7. doi: 10.11603/2411-1597.2019.4.10836 (In Ukrainian).
  3. Kalaur S. The training of future specialists of social sphere to conflict resolution as a scientific problem. Modern Science. 2016; 3: 42–9.
  4. Al‐Hamdan Z, Nussera H, Masa’deh R. Conflict management style of Jordanian nurse managers and its relationship to staff nurses’ intent to stay. Journal of Nursing Management. 2016; 24(2): E137–145. doi: 10.1111/jonm.12314.
  5. Dickens GL, Tabvuma T, Frost SA. Safewards: Changes in conflict, containment, and violence prevention climate during implementation. Int J Ment Health Nurs. 2020; 29(6): 1230–40. doi: 10.1111/inm.12762.
  6. Zamlynskyi VA, Shardakova AD, Adil Mohamed Abdalla Sultan Al Ali. Conflict management in modern conditions of economic activity. Economics: Time Realities. 2022; 1 : 30–9. doi: 10.15276/ETR.01.2022.4.
  7. Halynska Y, Lvovich YE, Pishenina TI, Preobrazhenskiy AP, Shaporenko OI, Stovpets OV, et al. Wissenschaft für den modern menschen. wirtschaft, management, tourismus, bildung, philosophie, gesetz. Book 1. Part 3; Koshevaya SP, Mihalchuk VN, Shaporenko OI, Radysh YF. The role and place of public policy in the processes of reforming the state governance system. Karlsruha : NetAkhatAV. 2020, p. 29–39.
  8. Alekseytsev IS, Galiahmetov RM. Conflict resolution and peculiarities of national mentality. Sociosphere. 2020; 2: 9–12 (In Ukrainian).
  9. Elder K, Turner KA, Cosgrove L, Lexchin J, Shnier A, Moore A, et al. Reporting of financial conflicts of interest by Canadian clinical practice guideline producers: a descriptive study. CMAJ. 2020; 192(23): 617–25. doi: 10.1503/cmaj.191737.
  10. Fiester A, Stites S. Using a Mediator’s Toolbox: Reducing Clinical Conflict by Learning to Reconceive the “Difficult” Patient or Family. MedEdPORTAL [Internet]. 2023 [cited 2023 Oct 24]; 19: 11324. Available from: https://www.ncbi.nlm.gov/pmc/articles/PMC10345165/pdf/mep_2374-8265.11324.pdf doi: 10.15766/mep_2374-8265.11324.
  11. Forbat L, Barclay S. Reducing healthcare conflict: outcomes from using the conflict management framework. Arch Dis Child. 2019; 104(4): 328–32. doi: 10.1136/archdischild-2018-315647.
  12. Gilbert MH, Dextras-Gauthier J, Fournier PS, Côté A, Auclair I, Knani M. Organizational constraints as root causes of role conflict. J Health Organ Manag. 2019; 33(2): 204–20. doi: 10.1108/jhom-07-2017-0169.
  13. He AJ, Qian J. Explaining medical disputes in Chinese public hospitals: the doctor-patient relationship and its implications for health policy reforms. Health Econ Policy Law. 2016; 11(4): 359–378. doi: 10.1017/s1744133116000128.
  14. Hawryluck L, Downar J, Colangelo J. Legal adjudications at the end of life: The lack of difference between best interest and substantial harm standards in conflict resolution. J Crit Care. 2019; 54: 288–9. doi: 10.1016/j.jcrc.2019.08.003.
  15. Kalbfell EL, Buffington A, Kata A, Brasel KJ, Mosenthal AC, Cooper Z, et al. Expressions of conflict following postoperative complications in older adults having major surgery. Am J Surg. 2021; 222(4): 670–6. doi: 10.1016/j.amjsurg.2021.06.004.
  16. Koibichuk V, Dzwigol G, Stenko S. Conflict Management in Health Care Institutions. Health Economics and Management Review. 2021; 4: 71–7. doi: 10.21272/hem.2021.4-07.
  17. Rongjuan W. How multiple interactions between policy instruments and the policy environment affect environmental governance efficiency. Energy & Environment. 2023; 34(3): 621–639. doi: 10.1177/0958305X221107346.
  18. Baumbach L, Frese M, Härter M, König HH, Hajek A. Patients Satisfied with Care Report Better Quality of Life and Self-Rated Health-Cross-Sectional Findings Based on Hospital Quality Data. Healthcare (Basel) [Internet]. 2023 [cited 2023 Aug 04]; 11(5): 775. Available from: https://www.mdpi.com/2227-9032/11/5/775. doi: 10.3390/healthcare11050775.
  19. Bautista JR, Zhang Y, Gwizdka J. US Physicians’ and Nurses’ Motivations, Barriers, and Recommendations for Correcting Health Misinformation on Social Media: Qualitative Interview Study. JMIR Public Health Surveill [Internet]. 2021 [cited 2023 Nov 13]; 7(9): e27715. Available from: https://publichealth.jmir.org/2021/9/e27715/. doi: 10.2196/27715.
  20. Jiang F, Zhou H, Hu L, et al. Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors. Front Psychiatry. 2019; 10: 177. doi: 10.3389/fpsyt.2019.00177.