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November 2021 -
Volume 19, Issue 11


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From the Editor

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Prevalence and Associated Factors of Diabetic ketoacidosis among Patients Living with Type 1 Diabetes in Makkah Al-Mukarramah City
[Abstract]
[pdf]

Raghad Alhajaji, Khalid Almasodi, Afaf Alhajaji, Ahmad Alturkstani, Mayada Samkari
DOI: 10.5742/MEWFM.2021.94154

Gender differences of the clinical aspects and complication risks of diabetes mellitus among outpatient clinic visits, Jeddah, Saudi Arabia
[Abstract]
[pdf]

Fathi El-Gamal, Abdulrahim Aljudaibi, Ahmed Alzahrani,
Layla Alharthy, Turki Huwait
DOI: 10.5742/MEWFM.2021.94155

Prevention of developmental delays among children at public healthcare facilities of Pakistan: protocol for a cluster Randomized Controlled Trial
[Abstract]
[pdf]

Nida Khan, Muhammad Amir Khan, Muhammad Ahmar Khan, Amna Ejaz, Azza Warraitch, Haroon Jehangir Khan
DOI: 10.5742/MEWFM.2021.94156

A retrospective study of thyroid hormone in Pediatrics: relationships with growth hormone correlation with effects of diabetes in Riyadh, Saudi Arabia
[Abstract]
[pdf]

Faisal Mujeb Alshareef, Abdullah Hamad Alfaris, Nouryah Abdulaziz Alhafez, Alanoud Saleh Albuloshi, Abdulaziz Mshaal Aljuhni, Khalid Abdulrahman Almahmoud, Majed Abdulaziz Almajdui,
Khalid Ebrahim Alswayed, Saad Ibrahim Alghuraybi, Saleh Abdulmoneim Alomary, Abdullah Ahmad Alkhudher, Faisal Turki G Alharbi, Mohammed Ahmed Almuhanna, Musaad Abdulaziz Alrashod,
Khalid Ahmed Aljasser
DOI: 10.5742/MEWFM.2021.94157

Regional Covid

Impact of COVID-19 on patients receiving chemotherapy for gynecological cancer
[Abstract]
[pdf]

Mahmoud N. Andijani, Ahmad O. Alibrahim, Sheren F. Tmraz, Lamees F. ALshenqity, Abdulaziz S. Alaama, Bayan A. Zaatari, Nisreen M. Anfinan, Khalid H. Sait
DOI: 10.5742/MEWFM.2021.94158

Immune system response to the Covid 19 virus and 3rd boosters
[Abstract]
[pdf]

Mark Spigelman
DOI: 10.5742/MEWFM.2021.94159

Impact of Covid-19 on asthmatic patients in Western region in Saudi Arabia
[Abstract]
[pdf]

Abdulrhman Nasser Zaher Alghamdi, Amal Mohammed Albaqami, Areej Mohammed Abdullah,
Doha Abdulrahmman Alsukhayri, Hamad Albulrahman Alawi, Ameera Saeed Baabbad
DOI: 10.5742/MEWFM.2021.94161

Population and Community Studies

Knowledge, Attitude and Awareness towards Corneal Donation in Aseer Region, Saudi Arabia
[Abstract]
[pdf]

Abdulrahman Mohammed Al-Amri, Faisal Misfer Alqahtani, Hassan Abdullah Alqahtani, Mansour Salem Alqahtani, Mohammed Moshabbab Alqahtani, Musaad Abdulrhman Al Shibli,
Riyad Ali Almastour, Abdulrahman Mohammed Al-Amri
DOI: 10.5742/MEWFM.2021.94162

Comparison of Body Image Perception and Depression in Polycystic Ovarian Syndrome (PCOS) and Non-PCOS Women
[Abstract]
[pdf]

Sassi Kanwal, Syeda Sadia Fatima, Fatima Abid, Aliya Jafri, Fatima Hasan Kazmi, Nargis Fatima
DOI: 10.5742/MEWFM.2021.94163

Factors Associated with Not Continuing Initiated Breastfeeding among Saudi Females in Abha
[Abstract]
[pdf]

Yasmin Taha Mandoura, Majed Alsaleh, Safar Abadi Al-Saleem
DOI: 10.5742/MEWFM.2021.94164

Education and Training

Does test anxiety and gender have an impact on OSCE Performance among medical students?
[Abstract]
[pdf]

Farzana Rizwan Arain
DOI: 10.5742/MEWFM.2021.94165

Reviews

Clinical Efficacy and Cholesterol-Lowering Effects of Inclisiran
[Abstract]
[pdf]

Muhammad Danial bin Daud
DOI: 10.5742/MEWFM.2021.94166

Malignant Melanoma
[Abstract]
[pdf]

Mazin Abdalla
DOI: 10.5742/MEWFM.2021.94167

Non-surgical options to treat androgenic alopecia
[Abstract]
[pdf]

Mazin Abdalla
DOI: 10.5742/MEWFM.2021.94168
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Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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abyad@cyberia.net.lb
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November 2021 - Volume 19, Issue 11

The Trend of Four Consultation Models in Four Specialties at Four Tertiary Care Hospitals

Abstract


Background and Aim: Multiple consultation models exist in medical practice. A comprehensive doctor-patient relationship serves as a foundation to bring about a positive outcome in terms of patient health. However, evidence of doctors’ impact on improving patients’ mental and physical health through a specific model is sparse. This study aimed to identify the most common consultation models adopted in four different specialties at four hospitals in Riyadh, Saudi Arabia.

Methods: From four tertiary care hospitals of Riyadh, clinicians (n=263) with clinical experience >3 years from Internal Medicine, Surgery, Family Medicine, and Psychiatry departments participated in this observational study. A 27-items questionnaire describing five consultation models was carried out in hard copy and a soft copy using the Snowball sampling method to receive the responses that were analyzed by using SPSS version 23.0 in the form of descriptive results.

Results: Out of 263, most clinicians (n=121, 46.0 %) were found to practice a blended consultation approach while dealing with patients. The 2nd most common adopted consultation model was the Deliberative model (n= 109, 41.4%). Other consultation (Informative and Interpretive) models were the least practiced models (1.5%).

Conclusion:
The blended consultation is found to be the most practiced consultation model. A clinician should adopt an attitude that is flexible and empathetic towards patients’ needs and expectations. Consideration should be given to assisting physicians in adapting their roles for interpersonal styles to the preferences of various patients. This expanded role will result in improved health outcomes for diverse populations utilizing health care.

Key words: Deliberative model, Doctor Behavior, Family Medicine, Interpretive Model, Paternalistic Model, Informative Model, Psychiatry







 


 

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