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Empathy and its impact on promoting physician-patients relationship
Mohammad Reza Khodabakhsh, Parvin Mansoori,
Volume 4, Issue 3 (5-2011)
Abstract
Observing patients’ rights in health care services plays an important role in improving and adjusting the doctor-patient relationship and is therefore of great significance in health systems management. Considering the role it plays as an important philosophical part of modern ethics in ethical and social functions, empathy has received much attention in various areas of research such as psychology, behavioral studies, neurosciences and psychiatry. The present study will first offer an overview of the history of empathy and its positive effects on the interactions between doctors and patients, and then move on to propose strategies to promote empathy in doctor-patient relationships. Empathy plays a significant role in patient empowerment and satisfaction, and therefore studying its effects on teaching medical ethics as a factor that can positively influence the doctor-patient relationship can provide all, including organizations such as the Ministry of Health and psychology and counseling centers, with valuable guidelines to promote mental health, from prevention to treatment.
The Role of Abbasid Caliphs in Transferring Doctors from the Bakhtiasha Family to Baghdad
Masoomeh Gharedaghi, Golamreza Dustzadeh,
Volume 11, Issue 0 (3-2018)
Abstract
Gandhi Shapur was one of the largest medical centers in the late Sassanid and early Islamic schools in Baghdad. The doctors, who often had a field teaching at Gandhi Shapur, moved to the city during their transfer to Baghdad, and accordingly they gave a kind of scientific center to the capital of the new Islamic government. Among the doctors of this scientific center was the Bakhtiyad dynasty, which in this study we explored the role of this family in medicine. The study shows that Jundishapur University hosted a large number of Greek, Indian, Nestorian scholars and scholars working at the center, and the head of the Faculty of Medicine was led by the Bakhtiyad family. The desire of the Abbasid caliphs to boost the city of Baghdad such as the Sassanid Centers of Science and Technology, and their success in that area, were the factors that invited the scientists from Jindi Shapur and the caliphate support from them. The transfer of scientific activities of Ajar George Bin Bakhtih from Jindi Shapur to Baghdad was an introduction to the decline of the scientific star of this center and the influence of Iranian culture on Islam. Several factors such as the scientific need, attention and support of caliphs from scientists and conversion of the city of Baghdad to the center of the sciences were the causes for invitation of the Bakhtiyad family to Baghdad. In this study, we assess the activities of the Bakhtiyad family in  the government of Abbasid caliphs.
 

Sassanids and Their Attitude to Medical Knowledge
Hasan Kohansal Vajargah,
Volume 15, Issue 1 (3-2022)
Abstract
The Sassanid Empire ruled in Iran between 224 AD and 651 AD. The founder of this dynasty, Ardashir I (241-224 AD), a Zoroastrian cleric, took two very important steps in the beginning; One was the creation of a central government and the other was the formalization of the religion of Zoroaster. The homogeneity and alignment of government and religion in the Sassanid administration had very important effects on the growth and development of science and knowledge, especially medical science, which began in the Achaemenid Empire (330 559 AD). The under-consideration question in this research is that despite the class system and the monopoly of learning science and knowledge in the privileged classes of society, what was the status of medical science in the Sassanid period? This study showed that medical science had the highest position in the teachings of Zoroastrian religion; Because with that, they took care of their health and performed their religious duties well, and with it, they overcame the devil. In Zoroastrian religious texts, the duties and characteristics of the physician, the types of diseases and how to treat and the rules related to ‘Tebabat’(medicine) are discussed. In addition to this, the encouragement policy of kings and Sassanid government, including; Expanding cultural and scientific relations with India, Greece and Rome, translating the works of foreign physicians into Pahlavi and archiving them along with the formation of a large library, inviting foreign physicians to work at ‘GondiShapur’ University and sending Iranian physicians abroad in order to acquire more medical knowledge and experience, they were very influential in the growth and development of medical science. The current study has been conducted in a historical method with reference to library sources and archaeological sources as well as new researches have been used to complete the topics. It seems that due to the spread of Iranian civilization in the Sassanid era and paying attention to science and knowledge as well as the creation of a medical city in the Sassanid period, medical knowledge had a great importance in this period and this knowledge was researching professionally.

Doctor in circulation; A study on the historical background of the establishment and expansion of the Health Corps in Iran
Elham Malekzadeh,
Volume 15, Issue 1 (3-2022)
Abstract
After September 1931 and the end of World War II, the Pahlavi government turned its attention to the villages and the implementation of the second development plan, followed by rural health programs. With the formation of the Health Corps in 1954, as the seventh principle of the Shah and the Nation Revolution, all physicians and pharmacists in the service of the conscription system were asked to take charge of medical-health services in rural areas of the country.
The present article uses archival documents and library resources in a descriptive-analytical manner to answer the question: Was the Health Corps in Iran a result of indigenous action or the result of the second Pahlavi government's development plans with US recommendations in support of Third World countries? The results of the research indicate that the historical nature and examples confirming the patient's defiance and their treatment were rooted in the historical past of Iran. The creation of the Health Corps and its acceptance by the villagers, due to its indigenous and Iranian nature, was acceptable in the historical memory of Iranians. However, the process of international interactions and the development policies of the country and the government's reform, along with taking advantage of US support opportunities, expanded within the framework of the principles of the White Revolution in Iran and led to extensive activity. This, as the present article claims, explains the indigenous practice of this measure.

Survey on Measuring Patients' General Trust in Doctors
Fatemeh Sadat Asgarian, Ali Saber, Sare Bagheri,
Volume 17, Issue 0 (12-2024)
Abstract
Trust is one of the most important aspects of human relationships, providing the foundation for participation and cooperation among individuals. It is also one of the most valuable social assets within the healthcare system. If trust is disrupted, it can impose significant costs on the system. The purpose of this study is to measure the level of patients' trust in doctors and its impact on the treatment process at Shahid Beheshti Hospital, Kashan. In this study, 325 patients referred to the emergency department of Shahid Beheshti Hospital in Kashan were selected. After applying the inclusion and exclusion criteria, 310 participants remained in the study. The General Trust Instrument was used for this research. This questionnaire consists of 33 questions covering six dimensions: patient-centered care (6 questions), macro-level patient care policies (6 questions), provider expertise (4 questions), quality of care (9 questions), communication and information provision (6 questions), and quality of collaboration between providers (2 questions). Scores ranged from 0 to 100, categorized as follows: 0–20 indicates very low trust, 20–40 low trust, 40–60 moderate trust, 60–80 high trust, and 80–100 very high trust in healthcare. Out of the 310 participants, 157 (50.6%) were male, and 153 (49.4%) were female. The mean age of the patients was 56.6 ± 20.6 years. Among the patients, 178 (57.4%) had acute illnesses, while 132 (42.6%) had chronic illnesses. The mean and standard deviation of the total score for the General Trust Questionnaire was 95.59 ± 13.8. This study demonstrated that the general trust score of patients in the doctors at this center is high. In delivering healthcare, interventions alone are insufficient; improving the quality of services is essential to enhance patient trust and satisfaction.

COVID-19: An Opportunity to Restore Lost Trust? A Narrative Review of Trust Trends Before and After the Pandemic
Hanieh Karimi, Ali Farahmand Asil, Saeedeh Saeedi Tehrani,
Volume 17, Issue 0 (12-2024)
Abstract
Trust between doctors and patients is a cornerstone of improved health outcomes and quality medical care. However, this trust has eroded in recent decades due to various factors. The global crisis of the COVID-19 pandemic presents a unique opportunity to examine and analyze changes in public trust towards the healthcare system. This narrative review explores the state of public trust in healthcare before and after the COVID-19 pandemic, analyzing the factors influencing this trust and proposing strategies for its maintenance and rebuilding. A narrative review was conducted, with information gathered from searches in reputable national and international scientific databases like PubMed, ScienceDirect, Springer, and Scopus. Relevant articles from Iranian databases such as Magiran and IranMedex were also included. The review focused on the components of trust, factors affecting it, and challenges faced by the healthcare system during the pandemic. The review revealed significant changes in the components of trust in doctor-patient relationships due to the COVID-19 pandemic. Prior to the pandemic, public trust in physicians had been declining due to factors such as perceived inequities in treatment, medical errors, and unprofessional behavior by some healthcare professionals. For example, surveys indicate a decline in public trust in healthcare professionals in the United States, dropping from 73% in 1966 to 34% in 2012. The COVID-19 pandemic significantly exacerbated this decline, with many people distrusting governmental institutions, pharmaceutical companies, and media outlets perceived to be providing misleading information. A study in Poland found that 31% of respondents viewed the pandemic as an exaggerated threat, while 3% considered it entirely fictional. However, the dedicated service and transparent communication of some institutions and healthcare personnel during the COVID-19 crisis partially restored public trust. This led to the emergence of a concept known as "dual trust," where people not only trust individual physicians but also pay closer attention to the overall performance of the healthcare system and governments. Dual trust has implications not only for the quality of healthcare services but also for the success of prevention and treatment programs. The COVID-19 crisis has had a profound impact on public trust in the healthcare system. To maintain and rebuild this trust, effective measures are essential. These measures should focus on enhancing service quality, fostering scientifically informed citizens, ensuring transparent communication, and promoting positive interactions between doctors and patients.

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