Challenges on staff-patients relationship
Nephrologists frankly described that relationships were challenged by distrust and withhold information. One nephrologist described patients approaching dialysis occasionally would disclose the real past medical history for avoiding expensive detections and delaying dialysis, which probably led to not timely diagnosis and treatment. If staff-patients can’t coordinate with conflict about treatment protocols, the built relationship would be drained.
“We gave suggestions for preforming peritoneal dialysis catheterization, However, some patients felt us made a mountain out of molehill. Besides, some referral patients had the thought that after finishing their disease detections, they turned to social acquaintance for help.” (N11)
To a certain extent, staff-patient relationship was challenged by rumor or striking news.
“I have heard negative comments from neighbors. Out of protecting our own interest, I performed as a difficult patient.” (P6)