title: [Changes in physician-patient relationship and medical satisfaction].
abstract: BACKGROUND
  Physician-patient relationship is the basis of clinical practice. In the last decades, the changes in this relationship have influenced the degree of satisfaction of physicians with their practice.
  
  
  OBJECTIVE
  To explore the perception of physicians about changes in physician-patient relationship and its impact in their personal and professional satisfaction.
  
  
  METHODS
  Qualitative study involving 44 physicians from the Metropolitan Region of Chile. Focus groups and semi-structured interviews were used.
  
  
  RESULTS
  All physicians mentioned changes on physician-patient relationship as one of the most important factors that has impact on their satisfaction. The main cause for the deterioration of this relationship is a generalized climate of distrust that leads to frustration and disenchantment with the profession.
  
  
  CONCLUSIONS
  This feeling is in accordance with other reports showing that patients are progressively acquiring more protagonism in health care decisions. The reconstruction of the bond between patients physicians within these new scenarios is indispensable to improve the degree of satisfaction of both patients and professionals.
authors.affiliation: Departamento de Psiquiatría y Salud Mental, Sede Oriente, Facultad de Medicina, Universidad de Chile. mbascunan@med.uchile.cl
authors.forename: M Luz
authors.initials: ML
authors.lastname: Bascuñán R
mesh_terms: D000328:Adult; D002677:Chile; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D011364:Professional Practice