AI Article Synopsis
- The study highlights that paternalism affects communication in healthcare, with a significant 68.7% prevalence of paternalistic attitudes among mental health professionals in Mexico.
- Female physicians and specific medical specialties are more likely to engage in low paternalism, promoting shared decision-making with patients.
- Enhancing communication skills among healthcare providers could encourage more autonomous interactions in clinical practice, requiring ethical considerations to be addressed in the future.
Article Abstract
Background: Paternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician's personal choices. The goal of this study was to contribute to knowledge on the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor-patient relationship characterized by low paternalism/autonomy.
Methods: A self-report study on communication patterns in a sample of 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were used to analyse paternalism and associated factors.
Results: A high prevalence (68.7% [95% CI 60.0-70.5]) of paternalism was observed among mental health professionals in Mexico. The main determinants of low paternalism/autonomy were medical specialty (OR 1.67 [95% CI 1.16-2.40]) and gender, with female physicians being more likely to explicitly share diagnoses and therapeutic strategies with patients and their families (OR 1.57 [95% CI 1.11-2.22]). A pattern of highly explicit communication was strongly associated with low paternalism/autonomy (OR 12.13 [95% CI 7.71-19.05]). Finally, a modifying effect of age strata on the association between communication pattern or specialty and low paternalism/autonomy was observed.
Conclusions: Among mental health professionals in Mexico, high paternalism prevailed. Gender, specialty, and a pattern of open communication were closely associated with low paternalism/autonomy. Strengthening health professionals' competencies and promoting explicit communication could contribute to the transition towards more autonomist communication in clinical practice in Mexico. The ethical implications will need to be resolved in the near future.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731770 | PMC |
| http://dx.doi.org/10.1186/s12910-020-00566-3 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The misalignment of incentives in academic publishing and implications for journal reform.
Proc Natl Acad Sci U S A
February 2025
Department of Data and Decision Science, Technion-Israel Institute of Technology, Haifa 3200003, Israel.
For most researchers, academic publishing serves two goals that are often misaligned-knowledge dissemination and establishing scientific credentials. While both goals can encourage research with significant depth and scope, the latter can also pressure scholars to maximize publication metrics. Commercial publishing companies have capitalized on the centrality of publishing to the scientific enterprises of knowledge dissemination and academic recognition to extract large profits from academia by leveraging unpaid services from reviewers, creating financial barriers to research dissemination, and imposing substantial fees for open access.
View Article and Find Full Text PDFHow should the advancement of large language models affect the practice of science?
Proc Natl Acad Sci U S A
February 2025
Max Planck Institute for Biological Cybernetics, Tübingen, Baden-Württemberg 72076, Germany.
Large language models (LLMs) are being increasingly incorporated into scientific workflows. However, we have yet to fully grasp the implications of this integration. How should the advancement of large language models affect the practice of science? For this opinion piece, we have invited four diverse groups of scientists to reflect on this query, sharing their perspectives and engaging in debate.
View Article and Find Full Text PDFNursing team proxemic mapping in the hemotherapy space.
Rev Esc Enferm USP
January 2025
Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Departamento de Enfermagem Médico-Cirúrgica, Rio de Janeiro, RJ, Brazil.
Objective: To analyze the influence of proxemic factors on communication and care provided by nursing professionals during transfusion in hemotherapy.
Method: A descriptive, exploratory and qualitative study with 25 nursing professionals from a hospital specializing in onco-hematological diseases in Rio de Janeiro, based on a systematized script, individual records of proxemic factors described by Edward Hall and recorded situational interviews. The analysis considered data thematic content and used the SketchUp 3D Modeling Software Review program to visually demonstrate the behavioral mapping of the interaction of nursing professionals with patients during care.
Profound individual differences in contextualized emotion perception.
J Exp Psychol Gen
January 2025
Department of Psychology, Hebrew University of Jerusalem.
Emotion perception is a fundamental aspect of our lives because others' emotions may provide important information about their reactions, attitudes, intentions, and behavior. Following the seminal work of Ekman, much of the research on emotion perception has focused on facial expressions. Recent evidence suggests, however, that facial expressions may be more ambiguous than previously assumed and that context also plays an important role in deciphering the emotional states of others.
View Article and Find Full Text PDFExamining Mammalian facial behavior using Facial Action Coding Systems (FACS) and combinatorics.
PLoS One
January 2025
Department of Psychology, Lyon College, Batesville, Arkansas, United States of America.
There has been an increased interest in standardized approaches to coding facial movement in mammals. Such approaches include Facial Action Coding Systems (FACS), where individuals are trained to identify discrete facial muscle movements that combine to create a facial configuration. Some studies have utilized FACS to analyze facial signaling, recording the quantity of morphologically distinct facial signals a species can generate.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!