The Inferences of the Medical Johari Window and the Information Presentation on the Patient\'s Willingness to Compliance the Doctor\'s Orders

• Main Authors: WU, RUEY-MIN, 吳瑞敏
• Other Authors: Liaw, Shu-Yi
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/6ffcmg

碩士 === 國立屏東科技大學 === 高階經營管理碩士在職專班 === 106 === The purpose of this study is to introduce the “Johari Window” as a basic tool to illustrate how providers and patients differ under pressure nowadays. There’s a critical difference between providers and patients. This study also explains how “Johari Window” is effectively used to understand the difference in perceptions from providers and patients by exploring the Doctor- patient communication and medical compliance. However, most of these kinds of study programs are unproductive in the past years. This study tries to develop the Johari Window theory and shares strategic insight of it. The Physician-patient relationship has been and remains a keystone of healthcare. It’s all enlightened based on the theory of Johari Window. This is important in the delivery of high-quality healthcare. It lies at the heart of healthcare and we may make good use of the message insertion for buliding the better and productive physician-patient relationship in the future. “Medicine is an art whose magic and creative ability have long been recognized as residing in the interpersonal aspects of physician-patient relationship.” Providers should reflect and target interventions to find out the factors affecting non-compliant behavior, deal with the pressure management, and also encourage patients to get involved with their health. This is recognized as a significant public health issue that the non-compliant behavior leads to poor health outcomes. The efficiency of this relationship depends on the satisfaction of the patient and we sincerely hope the physician-patient relationship may be more efficient and reliable and becomes better than ever before. In this study, the inpatients and the main nurses at a teaching hospital were selected as the target research group in southern Taiwan. A total of 200 valid paired samples were obtained. SPSS 23.0 was used for statistical analysis of reliability and validity, correlation coefficient, variance, two-factor variance analysis and also hypothesis verification. The final study result: (I) the four different kinds of Physician-Patient relationships are redefined as types of participatory, guidance, consultative, authoritative. (II) Participatory physician-patient communication is the best approach for medical compliance. (III) Awakening message placement is better at persuading patients to follow medical compliance. (IV)Finance factors truly affect therapeutic compliance. Furthermore, this study shows that there is no interactive effect on the patient compliance by using the message insertion from the Johari Window theory. Providers should use proper communication methods based on every patient’s need. On the other hand, providers not only need to overcome the gender barriers to communication, but also need to find out the main pressure sources in order to improve medication compliance. The result of this study may offer to all professionals and patients to understand the implication application Johari Window theory for building and improving great and successful interpersonal relationship. The Johari Window model may be comprehensively used when exploring the patient’s perspective through reflective listening by providers. Professionals may make good use of the auxiliary tools and the various education cards to be some of the materials to enhance the Physician-patient Relationship. I may suggest that people may further discuss and explore the four different kinds of types about the detailed development of the Physician-Patient Relationship. We may soon develop the effective standard operating procedures and scale in order to reach effective healthcare delivery for all providers and patients. This good relationship fosters better communication, which improves diagnosis. It finally leads to better health outcomes for all patients.