Doctor-Patient relationship in healthcare institutions of Medellín, Colombia ; Relaciones médico-paciente en instituciones prestadoras de servicios de salud en Medellín, Colombia

Objective To understand the perceptions that doctors and patients have about their relationships and how the current conditions of the General System of Social Security in Health (GSSSH) influence their relationship.Materials and Methods The collection and analysis of information was based on the saturation principle proposed by qualitative research, through direct observation and semi-structured interviews applied to 17 patients and 15 physicians during the exercise of their roles, in the waiting and consultation environment within the selected healthcare institutions. The interviews recorded, transcribed and analyzed under five precepts of the Grounded Theory of Corbin and Strauss. The sample design was theoretical for convenience.Results Health system conditions on the doctor's doing, abuse of the right by some patients, the perception of uneven quality between health care promotion entities, communication failures in the Doctor-Patient Relationships, loss of prestige of the general doctors, perception of disbelief towards young doctors, among other identified perceptions, hint that changes in the GSSSH contribute to the construction of current Doctor-Patient Relationships.Conclusions It is essential that the actors of the GSSSH propose interventions that reinforce the communicative andpsychosocial capacities in the doctors from their formative processes, as well as the provision of the GSSSH to provideconditions that allow the doctor to develop a health care focused on the patient. ; Objetivo Comprender las percepciones que tienen médicos y pacientes sobre sus relaciones y cómo las condiciones actuales del Sistema General de Seguridad Social en Salud (SGSSS) influyen en su relacionamiento.Materiales y Métodos La recolección y análisis de información se basó en el principio de saturación que propone la investigación cualitativa, mediante entrevistas semiestructuradas aplicadas a 17 pacientes y 15 médicos durante el ejercicio de sus roles, en el ambiente de la espera y la consulta en cinco IPS seleccionadas. ...