Page 39 - NAMAH-Oct-2017
P. 39

Namah                         An armchair view of physicians and patients





        the ‘out’ kind, descend in droves, all eager to  being consulted.
        jump the queue and catch the attention of
        the physician. The plight of people in most of  Amongst the well-heeled patients, the respect
        the emerging economies is most distressing  and admiration for a physician depends upon
        because the per capita availability of physicians  the amount of fee being charged, the waiting
        leaves much to be desired.               period to get an appointment, the seniority of
                                                 the physician in the system and the value as
        The Patient Satisfaction Quotient        well as the rare availability of the medications
                                                 being prescribed.
        It is well-known that the Patient Satisfaction
        Quotient is a function of various factors — the  This one surely does not apply to the teeming
        time spent with the physician, the quality of  multitudes who strive to keep their body and
        interaction, the seniority of the physician in  soul together day after day.
        the system hierarchy, etc.
                                                 It follows that most patients using the
        It follows that the following laws might apply:  public hospitals are left dissatisfied. It does
                                                 not occur to them that the sheer exposure
        Law #1: the more the time spent with a physician,  of such physicians is so very wide that the
        the higher the level of satisfaction of a patient.   medical advice they dish out is much better.
                                                 Superfluous investigations are discouraged.
        Admittedly, this law does not apply to those  Medications recommended are often of
        perched on a dentist chair. Nor does it apply  a generic kind, saving the patient some
        to those facing a minor surgical procedure  precious money.
        without the aid of analgesics.
                                                 A Patient Motivation-Hygiene Proposition
        Law #2: the better the quality of interaction, the
        higher the level of satisfaction of a patient.  Those familiar with Herzberg’s two-factor
                                                 theory, popular in the realm of organisational
        This law is a direct derivative of the psychology  behaviour, would notice a striking similarity
        of the individual. The more a patient is able  between the situation envisaged in organ-
        to off-load his worries and anxieties onto  isations and the one we are endeavouring
        the hapless physician, the happier he is  to explore here.
        apt to feel.
                                                 In case of organisations, job satisfaction and
        There are some exceptions here as well. A  job dissatisfaction are not part of a continuum.
        physician found making an inappropriate  Absence of satisfaction does not necessarily
        remark about the weight of a patient who is  imply presence of dissatisfaction. If the
        a member of the female of our species will  presence of Motivation Factors (respect and
        risk losing the latter’s goodwill.       recognition on the job, for instance) improves
                                                 job satisfaction levels, the absence of Hygiene
        Law #3: the patient satisfaction level is directly  Factors (such as physical working conditions,
        proportional to the seniority of the physician  etc.) leads to higher job dissatisfaction levels.


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