Terri A.Lewis
National Changhua University of Education, Taiwan
Title: The state of the physician-patient working alliance: Chronic pain patients speak
Biography
Biography: Terri A.Lewis
Abstract
The presenter will offer the results of a national survey conducted across groups of consumers who have chronic and intractable pain syndromes. Researchers are now investigating the direct role that the physician-patient and pharmacist-patient relationship plays in the treatment and outcome of chronic and serious medical issues on chronic pain derived from a variety of medical conditions. Despite efforts to examine the relationship via factors, a conceptualization of the current working alliance between patients and treating providers has not been clearly articulated. This is particularly important in light of the influence exerted by the US Drug Enforcement Administration on physician autonomy, opioid access limitations imposed upon and by dispensing pharmacies, changes in state regulations, and the interplay with alternative forms of treatment. Understanding the impact of these issues on patients, their families and resources, and the interplay between patient factors and provider-patient trust and treatment is important. Additionally, faulty assumptions, cognitive biases, and gaps in services imposed by the medical model, distribution of treating providers, influence of payor source, and the failure to incorporate effective additional supports will be offered for feedback and discussion. Measures derived from the following measurements will be compared: Physician-Patient Working Alliance Scale, Perceived Utility Scale, Treatment Adherence Self-Efficacy Scale, Medical Outcome Study Adherence Scale, Physician Empathy Questionnaire, Physician Multicultural Competence Questionnaire, Medical Patient Satisfaction Questionnaire, and related collection instruments.