Models of Relationship between Physicians and Patients Referring to the Clinic of Isfahan Shahid Beheshti Hospital, 2007


Zahra Karami 1 , * , Mahmoud Keyvanara 1

1 Iran

How to Cite: Karami Z, Keyvanara M . Models of Relationship between Physicians and Patients Referring to the Clinic of Isfahan Shahid Beheshti Hospital, 2007, Strides Dev Med Educ. 2010 ; 6(2):e60758.


Strides in Development of Medical Education: 6 (2); e60758
Published Online: January 15, 2010
Article Type: Research Article
Received: August 23, 2017
Accepted: October 22, 2009




Background & Objective: An appropriate relationship between a physician and a patient will
lead to earning patients’ trust, prevention of frequent referrals to multiple physicians and patients’
bewilderment, and lastly, it results in saving time and money. Hence, this study was conducted to
determine the dominant model of relationship between physicians and patients according to
patients’ opinion.
Methods: In this cross-sectional study, 305 patients who, for the first time, referred to the
physicians of the clinic of Isfahan Shahid Beheshti Hospital for their recent illness were recruited.
Data was collected using a researcher-made questionnaire including 10 general and 19
attitude-assessing questions. The questionnaire’s reliability and validity were already confirmed.
Results: The dominant models of relationship between patients and physicians were
guidance-cooperation (86.5%), active-passive (11.1%), and mutual participation (2.4%), in order
of frequency. There was no significant difference between the relationship model and the patients’
educational or social class. Guidance-cooperation and active-passive models were significantly
more frequent in older and younger individuals, respectively (P=0.047).
Conclusion: According to mutual participation model (the most effective model of relationship
between physicians and patients) and considering its low frequency in our study, we can conclude
that enhancing patients’ awareness about their health status, and encouraging them to participate
in the treatment process (which results in increasing both sides’ responsibility for a common goal)
would improve the relationship between physicians and patients. Having earned both physicians
and patients’ trust, all mentioned issues would finally facilitate health access.


Relationship between a physician and a patient Active-passive model Guidancecooperation model Mutual participation model

© 2010, Medical Education Development Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.


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