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Create an account to save your favorite quotes. Full Name. I have an account. Forgot password Email. Resend verification email Email. Doctor Sayings and Quotes Being a doctor is one of the noblest professions. Our profession is the only one which works unceasingly to annihilate itself.
Martin H. Fischer 0 Copy. The best doctor is the one you run to and can't find. Denis Diderot 5 Copy. My doctor is wonderful. Once when I couldn't afford an operation, he touched up the X-rays. Joey Bishop 0 Copy. Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less, in human beings of whom they know nothing.
Francois Marie Arouet Voltaire 1 Copy. My doctor is nice; every time I see him, I'm ashamed of what I think of doctors in general. Mignon McLaughlin 0 Copy. The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet and in the cause and prevention of disease.
Thomas Edison 1 Copy. We are in the age of M. James Lendall Basford 0 Copy. The man who doctors himself with the aid of medical books, runs the risk of dying of a typographical error. Evan Esar 0 Copy. Doctors think a lot of patients are cured who have simply quit in disgust. Don Herold 0 Copy. Disease increases in proportion to the increase in the number of doctors in a place.
Mahatma Gandhi 0 Copy. You may not be able to read a doctor's handwriting and prescription, but you'll notice his bills are neatly typewritten. Earl Wilson 1 Copy. An ignorant doctor is the aide de camp of death. Avicenna 0 Copy.
You need a good bedside manner with doctors or you will get nowhere. William S. Burroughs 0 Copy. Doctors always think anybody doing something they aren't is a quack; also they think all patients are idiots.
Flannery O'Connor 0 Copy. You can't judge the ability of a doctor by the amount of praise the undertakers give him. My doctor told me I shouldn't work out until I'm in better shape. I told him, All right; don't send me a bill until I pay you. Steven Wright 0 Copy. A great doctor kills more people than a great general. Leibniz 0 Copy. Surgeons must be very careful when they take the knife! Underneath their fine incisions. Stirs the Culprit Life! Emily Dickinson 0 Copy.
Though the doctors treated him, let his blood, and gave him medications to drink, he nevertheless recovered. Leo Tolstoy 0 Copy. Doctors don't seem to realize that most of us are perfectly content not having to visualize ourselves as animated bags of skin filled with obscene glop.
Joe Haldeman 0 Copy. A doctor whose breath smells has no right to medical opinion. Though fancy may be the patient's complaint, necessity is often the doctor's. It was too late for treatment; the boy was dying.
During these demonstrations the boy never uttered a groan or a complaint, but I saw from the change in his countenance, that he was dying…The knife and saw were then applied and the limb amputated. A few drops of blood only oozed from the stump; the child was dead—his miseries were over!
The scene of weeping and distress which succeeded this tragedy cannot be described. Explore This Park. NPS Photo Edwin Bryant, traveling overland to California in , had only briefly studied medicine, and he never claimed to be a physician. Detailed psychometric evaluations showed excellent performance of all subscales, including trust.
The most recent addition to the list of validated measures of patient-physician trust is the Patient Trust Scale, developed by Kao and colleagues.
For these studies, Kao and colleagues first developed a item scale unpublished data by modifying the wording of several items in Anderson and Dedrick's Trust in Physician scale and appending new items specifically related to confidentiality, reliability, and patients' trust in their physicians to provide necessary care under various cost constraints and administrative restrictions. Kao's item Patient Trust Scale clearly reflects the concerns of the current era of managed care.
The scale was developed for a study of the impact of different payment systems on trust and is dominated by questions assessing the impact of cost-consciousness on physician agency for their patients see Table 1. Some of the dimensions of trust identified by prior theorists and researchers receive either less emphasis or are disregarded in this survey instrument. Anderson and Dedrick's original Trust in Physician Scale has a question regarding willingness to follow physician advice that is not included in Kao's final scale.
The dimensions of truth telling and willingness to tell the physician anything from Safran's PCAS trust subscale are also not covered in Kao's instrument. Investigators contemplating the use of one of these previously validated measures should be aware of the important distinctions to be made among these tools, primarily based on their varied emphases on the multiple dimensions of trust. Despite a relative avalanche of information about patient satisfaction, the paucity of empirical research on trust has provided little data pointing to clear correlates of patient-physician trust.
Moreover, there is not a single published study to date of a successful intervention that has measurably improved patients' trust in their physician. Some of the best data on correlates of patient trust that relate to physician behavior are found in the published evaluation of the PCAS instrument.
The correlations of trust with longitudinal continuity of the patient-physician relationship 0. Recently, interest in health system correlates of patient trust has grown as investigators focus on system changes brought about by managed care. Grumbach et al. Among the factors that were not significantly correlated with patient trust in this study were patient age, gender, race, education, income, self-perceived health status, belief in the benevolence of people, length of health plan enrollment, and number of primary care office visits.
Kao's second study was larger 2, patients and used the abbreviated item measure. These relationships remained significant through multivariate analyses, but the differences were substantially reduced when the multivariate model included a measure of physician behavior derived from the Picker survey on patient-centered care.
In this latter study, as in their first, Kao et al. In contrast to the first study, trust was also found to be significantly correlated with being white greater trust , and with self-reported health status better health correlated with more trust.
Although physician behavior and interpersonal skills are universally believed to be important in determining patient trust, there is only one published article examining a trial to improve physician trust-building skills, and the results were not encouraging. Half of the physicians were randomly selected to receive a 1-day continuing medical education workshop designed to improve skills of establishing and maintaining patient trust. Primary outcomes included physician behavior, patient satisfaction, and trust which was measured using the Trust in Physician Scale.
None of the primary outcome measures, including trust, changed significantly from before to after the intervention, or differed significantly by control or intervention group. Trust is considered to be an important outcome in its own right, but some researchers have gone further and tried to demonstrate the beneficial effects of trust on specific health behaviors and outcomes.
Theoretically, patient trust should serve to reinforce the functioning of the clinical relationship as a health partnership, thereby increasing the probability of patient satisfaction, treatment adherence, and improved health status, while decreasing the likelihood of leaving the physician's practice or withdrawing from a health plan.
To date, however, there has been only a single published report in which patient-physician trust has been assessed as a predictor of other health outcomes. Safran et al. The investigators showed that adherence was rated at For satisfaction, patient trust was the single most strongly associated correlate. Patients with 95th percentile trust scores were about 5 times more likely than those with median levels of trust to express complete satisfaction with their physicians As Safran et al.
Nonetheless, their results do suggest that trust is a key part of patient-physician relationships in which excellent health care can be delivered. The importance of trust in patient-physician relationships is not questioned, but our understanding of it has depended largely on the passionate thoughts and anecdotes of physicians who cherish the special bond they feel with their patients.
For practicing clinicians and for those who teach medical students and residents, the elements of physician behavior that foster trust can continue to reflect the instincts of physician-theorists: competence, compassion, reliability, integrity, and open communication. A widely accepted empirical conceptualization and understanding of trust is yet to come. Although attempts to operationalize patient-physician trust are in their infancy, with models emerging recently through the effort of investigators such as Kao and Safran, a refinement and convergence of techniques may soon allow trust to be measured and discussed as routinely and rigorously as many other elements of health care.
For patient-physician trust to be strengthened, our ability to measure the mediators and outcomes of trust must mature. However, a single measure of patient trust is unlikely to achieve long-lasting predominance, nor should it. The evolving nature of the health care system will continue to cast new light on patient-physician relationships.
There will be new threats to trust that appear on the horizon, while other threats will be perceived to fade in importance. Much as the threat of overly paternalistic physicians provided the chief concern in the s, researchers are now more interested in measuring patients' concerns about physicians' conflict of interest in the setting of strong financial incentives.
As the focus of measures of trust have evolved, from the earliest measure of Dedrick and Anderson to the latest measure of Kao et al. National Center for Biotechnology Information , U. J Gen Intern Med. Author information Copyright and License information Disclaimer.
Address correspondence and reprint requests to Dr. Copyright by the Society of General Internal Medicine. This article has been cited by other articles in PMC. Abstract Trust is one of the central features of patient-physician relationships. I doubt that my doctor really caresabout me as a person. I can tell my doctor anything. To put your health and well-beingabove keeping down the healthplan's costs?
My doctor is usually considerate ofmy needs and puts them first. To keep personally sensitivemedical information private? I completely trust my doctor'sjudgment about my medical care. To provide you with informationon all potential medical options andnot just options covered by thehealth plan?
If my doctor tells me something isso, then it must be true. My doctor cares more about holdingcosts down than about doing what is needed for my health. To refer you to a specialist whenneeded?
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