Physicians’ Code of Conduct and Further Requirements for a Productive Patient Physician Relationship Exemplified in the Area of Orthognathic Surgery

  • Luisa VervierEmail author
  • Martina Ziefle
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9745)


Ever since healthcare has been of enormous importance for individuals and societies. However, healthcare represents still a fragile system which needs to be strengthened and improved especially regarding communication and psychological support. The better the healthcare process is balanced with the information and communication needs, the more patients feel understood. As an exemplary field, orthognathic surgery was selected as one kind of a very intensive treatment. The overall purpose of the current study is to understand the patients’ emotional experience during treatment, their way of information seeking and their advice to physicians. The aim is the development of an information and communication concept. In the current longitudinal study approach, 22 patients were accompanied over 6 months during treatment, starting from surgery to half a year follow-up. Results portray a code of conduct for physicians as well as a first approach of possible app content guideline as an electronic support service.


Orthognathic surgery Medical treatment Information and communication concept Physician-patient-relationship Electronic support service in medicine 



Authors would like to thank Dr. Ali Modabber, Dr. Evgeny Goloborodko, Florian Peters and Sarah Völkel for their research support. A special thank goes to all the participants who took part. The Excellence Initiative of the German Research Foundation DFG funded this work.


  1. 1.
    Stewart, Moira A.: Effective physician-patient communication and health outcomes: a review. CMAJ: Can. Med. Assoc. J. 152(9), 1423 (1995)Google Scholar
  2. 2.
    Philipps, C., Asuman Kiyak, H., Bloomquist, D., Turvey, T.: Perceptions of recorvery and satisfaction in the short term after orthognathic surgery. J. Oral Maxillofac. Surg. 62(5), 535–534 (2004)CrossRefGoogle Scholar
  3. 3.
    Modig, M., Andersson, L., Wårdh, I.: Patients’ perception of improvement after orthognathic surgery: pilot study. Br. J. Oral Maxillofac. Surg. 44(1), 24–27 (2006)CrossRefGoogle Scholar
  4. 4.
    Cunningham, S.J., Crean, S.J., Hunt, N.P., Harris, M.: Preparation, perceptions, and problems: a long-term follow-up study of orthognathic surgery. Int. J. Adult Orthod. Orthognathic Surg. 11(1), 41–47 (1996)Google Scholar
  5. 5.
    Rateitschak, K.H., Rateitschak, E.M., Wolf, H.F.: Parodontologie. Farbatlanten der Zahnmedizin, Bd 1. Thieme. (1984)Google Scholar
  6. 6.
    Frost, V., Peterson, G.: Psychological aspects of orthognathic surgery: how people respond to facial change. Oral. Surg. Oral. Med. Oral. Pathol. 71(5), 538–42 (1991)CrossRefGoogle Scholar
  7. 7.
    Sykes, J.M.: Managing the psychological aspects of plastic surgery patients. Curr. Opin. Otolaryngol. Head. Neck. Surg. 17(4), 321–5 (2009)CrossRefGoogle Scholar
  8. 8.
    Vuyk, H.D., Zijlker, T.D.: Psychosocial aspects of patient counseling and selection: a surgeon’s perspective. Facial Plast. Surg. 11(2), 55–60 (1995)CrossRefGoogle Scholar
  9. 9.
    Ong, L.M., De Haes, J.C., Hoos, A.M., Lammes, F.B.: Doctor-patient communication: a review of the literature. Soc. Sci. Med. 40(7), 903–918 (1995)CrossRefGoogle Scholar
  10. 10.
    Wilkins, S.: Physician-Patient Communication. Mind the Gap Academy Publishing (2014) Google Scholar
  11. 11.
    Kaba, R., Sooriakumaran, P.: The evolution of the doctor-patient relationship. Int. J. Surg. 5(1), 57–65 (2007)CrossRefGoogle Scholar
  12. 12.
    Ekman, P., Friesen, W.V.: Constants across cultures in the face and emotion. J. Pers. Soc. Psychol. 17(2), 124 (1971)CrossRefGoogle Scholar
  13. 13.
    Boulos, M.N.K, et al.: Mobile medical and health apps: state of the art, concerns, regulatory control and certification. Online J. Public Health Inform. 5(3) (2014)Google Scholar
  14. 14.
    Mosa, A.S.M., Yoo, I., Sheets, L.: A systematic review of healthcare applications for smartphones. BMC Med. Inform. Decis. Mak. 12(1), 67 (2012)CrossRefGoogle Scholar
  15. 15.
    Ozdalga, E., Ozdalga, A., Ahuja, N.: The smartphone in medicine: a review of current and potential use among physicians and students. J. Med. Internet Res. 14(5), e128 (2012)CrossRefGoogle Scholar
  16. 16.
    FLZ: Fragebogen zur Lebenszufriedenheit. Hogrefe Verlag für Psychologie (2000)Google Scholar
  17. 17.
    Zerssen, D., Petermann, F.: Bf-SR - Die Befindlichkeits-Skala - Revidierte Fassung. Hogrefe, Göttingen (2011)Google Scholar
  18. 18.
    Mayring, P.: Qualitative inhaltsanalyse. VS Verlag für Sozialwissenschaften (2010)Google Scholar
  19. 19.
    De Sousa, Avinash.: Psychological issues in oral and maxillofacial reconstructive surgery. Br. J. Oral Maxillofac. Surg. 46(8), 661–664 (2008)CrossRefGoogle Scholar
  20. 20.
    Meade, E.A., Inglehart, M.R.: Young patients’ treatment motivation and satisfaction with orthognathic surgery outcomes: the role of “possible selves”. Am. J. Orthod. Dentofacial Orthop. 137(1), 26–34 (2010)CrossRefGoogle Scholar
  21. 21.
    Davis, F.D.: Perceived usefulness, perceived ease of use and user acceptance of information technology. MIS Q. 13(3), 319–339 (1989)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Human-Computer Interaction CenterRWTH Aachen UniversityAachenGermany

Personalised recommendations