A qualitative study among doctors exploring the factors influencing the doctor-patient relationship in a Government Medical College, Nadia district, West Bengal

Background: An efficient healthcare delivery system needs a healthy doctor-patient relationship. One of the important factors in the desired treatment outcome is the soundness of this healing relationship, which depends on the perception and attitude of both doctors and patients. This study aimed at assessing the status of this relationship as viewed by the doctors and exploring different factors influencing their perceptions regarding the same. Methods: In this qualitative study, the data were collected through 17 open-ended, in-depth interviews with doctors attending a Government Medical College in Nadia district, West Bengal. The participants’ experiences and their perceptions regarding the relationship were subjected to grounded theory content analysis after transcription and coding. Results: The findings revealed that the components of the doctor-patient relationship could be categorized into four key processes; ie; commitment; valuing the patient; doctor’s character and competencies; and the balance of power. This further led to the formation of three necessary relational elements, namely, trust; peace and hope; and being acknowledged. Respect in both ways was the established theme from this analysis. Conclusion: The physician-patient relationship plays a central role in patient outcomes. The factors affecting the same are quite comprehensible and these factors are to be taken care of, giving the highest priority, for the flawless running of health system.