Barriers to Effective Doctor-Patient Relationship Based on PRECEDE PROCEED Model

This study intends to investigate interns and faculty members' insights into constructing relationship between physicians and patients at 3 more accredited Iranian universities of medical sciences. Applying PRECEDE PROCEED model, semi-structured interviews were completed with 7 interns and 14 faculty members and two themes were emerged from directed content analysis. The meaning units of the first theme, barriers to effective doctor-patient relationship, are discussed in this paper. According to the participants, building doctor-patient relationship is influenced by many contextual and regulatory factors as well as content, process and perceptual skills of physicians. Faculty and curriculum development, as well as foundation of the department of communication skills at medical schools are recommended to eliminate the impact of poor communication on patients' satisfaction and physicians' self-efficacy specific to their communication skills. Applying theories and models of health education and health promotion, researchers and educators can use the most predictive constructs of theories to design and implement effective interventions.