Communication patterns in the doctor–patient relationship: evaluating determinants associated with low paternalism in Mexico (original) (raw)

Background Paternalism/overprotection limits communication between the healthcare professionals and patients and does not promote shared therapeutic decisions. In developed countries, communication patterns have been regulated to promote autonomy, whereas in developing countries, they reflect the physician’s personal choice. The goal of this work was contribute to knowledge of communication patterns used in the clinical practice in Mexico, and identify the determinants that favor a low paternalist/autonomist doctor-patient relationship. Methods A self-report study of communication patterns within a sample of 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were performed to analyze paternalism and associated factors. Results A high prevalence (68.7% [95% CI 60.0-70.5) of paternalism was observed among mental healthcare professionals in Mexico. The main determinants of low paternalism/autonomism were the medi...

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