From the Heart to Heart; The Communicative Problems and Resources in the Cardiology Service

Abstract

Background: Cardiovascular diseases (CVDs) are the main cause of death in Iran and the incidence of CVDs ‎is observed during individuals’ active ages. The quality of healthcare includes the doctor-patient relationship and, like other chronic conditions, it plays an important role in the treatment of CVDs. This relationship varies among health providers from different cultures. The purpose of this study was to demonstrate the variables effective on and perceived needs for building doctor-patient relationships from health providers' point of view which can help patients with CVDs in Iran. Methods: The present qualitative study was performed in 2018 in Iran. We conducted a focus group with open-ended questions on the general study subject. Participants were selected using purposive sampling method based on their job experiences related to the subject of the study. We used the descriptive coding method for data analysis. Results: Themes that affected the quality of the doctor-patient relationship include better communication among the health delivery system staff, patients having an active role in treatment decisions, physicians’ interpersonal communicative skills, physicians’ experiences, and the therapy setting in Iran.