For you to know a good Doctor, the following points must be put into consideration and through your work we shall know you according to Doctor Esiri as his popular name, the Medical Director of Esiri Specialist Hospital, Ikorodu Lagos.
A caring, sincere, and empathetic attitude
An open and responsive manner
Knowledge – and the ability to share it
A good reputation
Available, easy to reach
Respect for your time
Solid credentials and affiliations
Best Doctors provides access to the best medical minds in the world. You can be sure you’re getting the right diagnosis, the right treatment and the right care.
DR. (CHIEF) ADJEKPEMEVOR, ONOSEWARE DANIEL
MDCN#: F.12,558: A.Q:2,833.MD
Specialty: OBSTETRICS AND GYNAECOLOGY
Special Expertise interest: Infertility, Assisted Rept/Sperm banking
(Adjokparovie of Agbarha-ofor Kingdom)
Current Practice:
Esiri Specialist Hospital
5 Alashe Close Matti Street, Ojogbe, Ikorodu Lagos State,Nigeria.
Tel 08059579205 08084216767
Born November 2, 1946 at hometown Agharha-Otor, Ughaeli North LGA,Delta State, Nigeria.
Married to Anthonia Erthimu, Have 2 sons and 2daughters
Email: babaadjekpe @gmail.com
Education Qualification:
Fellow of Association of General& Private Med. Practitioners, Nigeria, 1998, Attended workshop in Financial Management of Private Hospitals, 1997.Specialis Certificate in Obstetrics and Gynaecology, National University of Greece, Athen 1986, Residency in Obstetrics and Gynaecology Mefterio Alenxendra Hospital, The Natl. univ. of Athens, 1983-86. Has special testimonial and certification of having spent an extra 18 months in Dept of Subfertility Alenxandra Maternity Hospital Athens, Greece to qualify him run a modern assisted reproduction facility.November, 1985 Residency in General Surgery Metaxia cancer Institute, Athens Grece, 1974-80,to acquire the doctor of medicine degree, 1980, Secondry Education at Manuwa Memorial Grammar School, Iju-Odo, Okitipupa, Ondo State, Nigeria, 1965-69.Completed standard six in seventhday Adventist Primary School, Abule-oja Yaba , Lagos 1964.
Career:
Medical Director and Consultant surgeon , Obs and Gyna and Infertility, Esiri Specilist Hospital Ikorodu 1987 till date.
Consultant Obstetrician and Gynaecologist(NYSC), Ikorodu Gen.Hosp.1986-87. Active member Assisted Repr(IVF) programme, Natl Univ. of Athen, 1983-85.
Publication/Lectures and Professional Association:
Delivered the lecture “Care of the pregnant woman during international air travel”during the first Nigeria travel health workshop, Airport Hotel, Lagos , 1999, Ex-chair, AGPMPN, Ikorodu Zone. Lagos State.
Community Service:
Inspects and recommends registration, all new private hospitals /clinics, Lagos and Etiosa LGAs, Lagos State, on gratis,1998 till date. Award Member of Health facility monitoring And Accreditation Agency (HEFAMAA) from 2010 till date.
The relationship between doctors and their patients has received philosophical, sociological, and literary attention since Hippocrates, and is the subject of some 8,000 articles, monographs, chapters, and books in the modern medical literature. A robust science of the doctor–patient encounter and relationship can guide decision making in health care plans. We know much about the average doctor's skills and knowledge in this area, and how to teach doctors to relate more effectively and efficiently.We will first review data about the importance of the doctor–patient relationship and the medical encounter, then discuss moral features. We describe problems that exist and are said to exist, we promulgate principles for safeguarding what is good and improving that which requires remediation, and we finish with a brief discussion of practical ways that the doctor–patient relationship can be enhanced in managed care.
The medical interview is the major medium of health care. Most of the medical encounter is spent in discussion between practitioner and patient. The interview has three functions and 14 structural elements .The three functions are gathering information, developing and maintaining a therapeutic relationship, and communicating information. These three functions inextricably interact. For example, a patient who does not trust or like the practitioner will not disclose complete information efficiently.
A patient who is anxious will not comprehend information clearly. The relationship therefore directly determines the quality and completeness of information elicited and understood. It is the major influence on practitioner and patient satisfaction and thereby contributes to practice maintenance and prevention of practitioner burnout and turnover, and is the major determinant of compliance. Increasing data suggest that patients activated in the medical encounter to ask questions and to participate in their care do better biologically, in quality of life, and have higher satisfaction
Communication Skills
Communication skills involve both style and content. Attentive listening skills, empathy, and use of open-ended questions are some examples of skillful communication. Doctor-patient communication tends to increase patient involvement and adherence to recommended therapy; influence patient satisfaction, adherence, and health care utilization; and improve quality of care and health outcomes.
“Medicine is an art whose magic and creative ability have long been recognized as residing in the interpersonal aspects of patient-physician relationship.”
A doctor's communication and interpersonal skills encompass the ability to gather information in order to facilitate accurate diagnosis, counsel appropriately, give therapeutic instructions, and establish caring relationships with patients.These are the core clinical skills in the practice of medicine, with the ultimate goal of achieving the best outcome and patient satisfaction, which are essential for the effective delivery of health care.
Basic communication skills in isolation are insufficient to create and sustain a successful therapeutic doctor-patient relationship, which consists of shared perceptions and feelings regarding the nature of the problem, goals of treatment, and psycho social support.2 Interpersonal skills build on this basic communication skill. Appropriate communication integrates both patient- and doctor-centered approaches.
The ultimate objective of any doctor-patient communication is to improve the patient's health and medical care. Studies on doctor-patient communication have demonstrated patient discontent even when many doctors considered the communication adequate or even excellent.Doctors tend to overestimate their abilities in communication. Tongue et al reported that 75% of the orthopedic surgeons surveyed believed that they communicated satisfactorily with their patients, but only 21% of the patients reported satisfactory communication with their doctors. Patient surveys have consistently shown that they want better communication with their doctors.
The principles of patient-centered medicine date back to the ancient Greek school of Cos. However, patient-centered medicine has not always been common practice. For example, in the 1950s to 1970s, most doctors considered it inhumane and detrimental to patients to disclose bad news because of the bleak treatment prospect for cancers. The medical model has more recently evolved from paternalism to individualism. Information exchange is the dominant communication model, and the health consumer movement has led to the current model of shared decision making and patient-centered communication.
BENEFITS OF EFFECTIVE COMMUNICATION
Effective doctor-patient communication is a central clinical function, and the resultant communication is the heart and art of medicine and a central component in the delivery of health care. The 3 main goals of current doctor-patient communication are creating a good interpersonal relationship, facilitating exchange of information, and including patients in decision making. Effective doctor-patient communication is determined by the doctors' “bedside manner,” which patients judge as a major indicator of their doctors' general competence.
Studies have shown correlations between a sense of control and the ability to tolerate pain, recovery from illness, decreased tumor growth, and daily functioning.Enhanced psychological adjustments and better mental health have also been reported. Some studies have observed a decrease in length of hospital stay and therefore the cost of individual medical visits and fewer referrals.
A more patient-centered encounter results in better patient as well as doctor satisfaction.Satisfied patients are less likely to lodge formal complaints or initiate malpractice complaints. Satisfied patients are advantageous for doctors in terms of greater job satisfaction, less work-related stress, and reduced burnout.
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THE PROBLEMS
There are many barriers to good communication in the doctor-patient relationship, including patients' anxiety and fear, doctors' burden of work, fear of litigation, fear of physical or verbal abuse, and unrealistic patient expectations.
Deterioration of Doctors' Communication Skills
It has been observed that communication skills tend to decline as medical students progress through their medical education, and over time doctors in training tend to lose their focus on holistic patient care. Furthermore, the emotional and physical brutality of medical training, particularly during internship and residency, suppresses empathy, substitutes techniques and procedures for talk, and may even result in derision of patients.
Nondisclosure of Information
The doctor-patient interaction is a complex process, and serious miscommunication is a potential pitfall, especially in terms of patients' understanding of their prognosis, purpose of care, expectations, and involvement in treatment. These important factors may affect the choices patients make regarding their treatment and end-of-life care, which can have a significant influence on the disease. Good communication skills practiced by doctors allowed patients to perceive themselves as a full participant during discussions relating to their health. This subjective experience that influences patient biology is the “biology of self-confidence” described by Sobel, which emphasized the critical role of patients' perception in their healing process.
Doctors' Avoidance Behavior
There are reported observations of doctors avoiding discussion of the emotional and social impact of patients' problems because it distressed them when they could not handle these issues or they did not have the time to do so adequately. This situation negatively affected doctors emotionally and tended to increase patients' distress.This avoidance behavior may result in patients being unwilling to disclose problems, which could delay and adversely impact their recovery.
Discouragement of Collaboration
Physicians have been found to discourage patients from voicing their concerns and expectations as well as requests for more information. This negative influence of the doctors' behavior and the resultant nature of the doctor-patient communication deterred patients from asserting their need for information and explanations.Patients can feel disempowered and may be unable to achieve their health goals. Lack of sufficient explanation results in poor patient understanding, and a lack of consensus between doctor and patient may lead to therapeutic failure.
Today, patients have recognized that they are not passive recipients and are able to resist the power and expert authority that society grants doctors. They can implicitly and explicitly resist the monologue of information transfer from doctors by actively reconstructing expert information to assert their own perspectives, integrate with their knowledge of their own bodies and experiences, as well as the social realities of their lives. Being attentive to social relationships and contexts will ensure that this information is received, and most importantly, acted on.Lee and Garvin asserted that inequality, social relations, and structural constraints may be the most influential factors in health care.
This was illustrated in their study when female patients from a lower socioeconomic demographic in the Appalachian region of the United States modified advice to avoid sun exposure and, by taking into account societal pressures that equated tanned skin with beauty, continued tanning despite knowledge of the risks associated with sun exposure and skin cancer The study by Lee and Garvin demonstrates the need to take into account social factors in the production, dissemination, and use of knowledge.
