Disposition as affective to patient fidelity in relationship(s) with practitioner(s): a pilot qualitative study

Transformation from ‘fee for service’ provision by practitioners towards bespoke and holistic wellness management is underway. Precision or personalised medicine is the building block for this framework, and rewarded by performance incentive rebates for better outcomes. Objective. Semi-structured interviews with students and professionals, who are all advantaged by achievement of a healthcare degree, exploring both protocol driven and collaborative experiences with their doctors. Design. This report is derived from four interviews regarding the patient role in a population of high health literacy. Thematic analysis of patient personality aspects may give new insights into the clinical relationship. Results. A high level of disposition self-awareness was shown, and these aligned to their recalled situations of conflict. Each of the participants had experienced conditions demanding of close cooperation from their doctor, which wasn’t always forthcoming. Conclusions. Authoritarian treatment plans seemed barely cognisant of patient persona. Tensions in the practitioner’s clinic are worthy of further inquiry.