title: Barriers to Effective Doctor-Patient Relationship Based on PRECEDE PROCEED Model.
abstract: OBJECTIVE
  This study intends to investigate interns and faculty members' insights into constructing relationship between physicians and patients at 3 more accredited Iranian universities of medical sciences.
  
  
  METHODS
  Applying PRECEDE PROCEED model, semi-structured interviews were completed with 7 interns and 14 faculty members and two themes were emerged from directed content analysis. The meaning units of the first theme, barriers to effective doctor-patient relationship, are discussed in this paper.
  
  
  RESULTS
  According to the participants, building doctor-patient relationship is influenced by many contextual and regulatory factors as well as content, process and perceptual skills of physicians.
  
  
  CONCLUSIONS
  Faculty and curriculum development, as well as foundation of the department of communication skills at medical schools are recommended to eliminate the impact of poor communication on patients' satisfaction and physicians' self-efficacy specific to their communication skills.
  
  
  CONCLUSIONS
  Applying theories and models of health education and health promotion, researchers and educators can use the most predictive constructs of theories to design and implement effective interventions.
authors.affiliation: Tarbiat Modares University. sa.ghafarifar@yahoo.com.
authors.forename: Saeideh
authors.initials: S
authors.lastname: Ghaffarifar
authors.forename: Fazlollah
authors.initials: F
authors.lastname: Ghofranipour
authors.forename: Fazlollah
authors.initials: F
authors.lastname: Ahmadi
authors.forename: Manouchehr
authors.initials: M
authors.lastname: Khoshbaten
mesh_terms: D003142:Communication; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007492:Iran; D008297:Male; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D036301:Qualitative Research; D020377:Self Efficacy