Chapter 11. The role and the impact of interdisciplinarity on the relational models of intervention in the doctor-patient communication

2020 ◽  
pp. 217-233
Author(s):  
Roberto Greco
Keyword(s):  
Patient Communication ◽  
Relational Models ◽  
Doctor Patient Communication ◽  
The Impact

Doctor–patient communication, patient knowledge and health literacy: how difficult can it all be?

2014 ◽  
Vol 96 (6) ◽  
pp. e9-e13 ◽  
Author(s):  
S Kyle ◽  
D Shaw
Keyword(s):  
Health Literacy ◽  
Orthopaedic Surgery ◽  
Patient Communication ◽  
Patient Knowledge ◽  
Doctor Patient Communication ◽  
The Impact

Patients who understand their injuries, the aims and potential of their treatment are likely to experience superior outcomes. We review the literature on positive, encouraging doctor–patient communication, and the impact of health literacy and education on patient knowledge in medicine and surgery, with a particular emphasis on orthopaedic surgery. We also highlight methods of improving doctor–patient communication and patient knowledge.

scholarly journals Benefits of Understanding Systemic Racism in Forming Clinician-Patient Relationships to Reduce Black Infant Mortality

2020 ◽  
Vol 3 (3) ◽  
pp. 11-15
Author(s):  
Michelle A. Gotto ◽  
Laura Morello ◽  
Marsha Michie
Keyword(s):  
Black Women ◽  
Infant Mortality ◽  
Ecological Model ◽  
The United States ◽  
Patient Communication ◽  
Infant Mortality Rate ◽  
Systemic Racism ◽  
Doctor Patient Communication ◽  
Public Health Researcher ◽  
The Impact

Background: The United States lags far behind other developed nations in our overall infant mortality rate. Public health researcher Arline Geronimus has described a "weathering" effect of chronic racial stress among Black women that contributes to high rates of preterm birth, the leading cause of infant death. Trusting relationships between clinicians and patients may play a role in reducing infant mortality for Black mothers. Based on a social-ecological model of health care communication around infant mortality, we focus here on doctor-patient communication and correlations between clinicians' understandings of systemic racism and their communication with Black pregnant patients.Methods: This paper reports the findings from interviews with 5 maternal health clinicians (prior to recruitment being temporarily paused due to COVID-19) practicing at Cuyahoga County hospitals that serve large populations of Black women. Qualitative coding methods based in grounded theory were used to draw out themes from interview transcripts.Results: Doctor-patient communication was an emergent theme in these interviews. Results suggest an association between clinicians' understanding of the impact of systemic racism and their ability to communicate successfully and form positive bonds with pregnant mothers who are at higher risk of infant mortality.Conclusion: Acknowledging systemic racism as the cause of poor social determinants of health, which in turn contribute to higher rates of infant mortality, may provide clinicians a pathway to more positive communication and higher levels of trust with their patients, which in turn may play a role in reducing infant mortality in the Black community. Further research should investigate these associations.

scholarly journals Impact of patient information leaflets on doctor–patient communication in the context of acute conditions: a prospective, controlled, before–after study in two French emergency departments

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024184 ◽  
Author(s):  
Mélanie Sustersic ◽  
Marisa Tissot ◽  
Julie Tyrant ◽  
Aurelie Gauchet ◽  
Alison Foote ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Information ◽  
Emergency Departments ◽  
Healthcare Professionals ◽  
Patient Communication ◽  
Doctor Patient Communication ◽  
Patient Information Leaflets ◽  
Information Leaflets ◽  
Acute Conditions ◽  
The Impact

ObjectiveIn the context of acute conditions seen in an emergency department, where communication may be difficult, patient information leaflets (PILs) could improve doctor–patient communication (DPC) and may have an impact on other outcomes of the consultation. Our objective was to assess the impact of PILs on DPC, patient satisfaction and adherence, and on patient and doctor behaviours.DesignProspective, controlled, before–after trial between November 2013 and June 2015.SettingTwo French emergency departments.ParticipantsAdults and adolescents >15 years diagnosed with ankle sprain or an infection (diverticulitis, infectious colitis, pyelonephritis, pneumonia or prostatitis).InterventionPhysicians in the intervention group gave patients a PIL about their condition along with an oral explanation.Main outcome measures7–10 days later, patients were contacted by phone to answer questionnaires. Results were derived from questions scored using a 4-point Likert scale.Main findingsAnalysis of the 324 patients showed that PILs improved the mean DPC score (range: 13–52), with 46 (42–49) for 168 patients with PILs vs 44 (38-48) for 156 patients without PILs (p<0.01). The adjusted OR for good communication (having a score >35/52) was 2.54 (1.27 to 5.06). The overall satisfaction and adherence scores did not show significant differences. In contrast, satisfaction with healthcare professionals and timing of medication intake were improved with PILs. The overall satisfaction score improved significantly on per-protocol analysis. When using PILs, doctors prescribed fewer drugs and more examinations (radiology, biology, appointment with a specialist); the need for a new medical consultation for the same pathology was reduced from 32.1% to 17.9% (OR 0.46 [0.27 to 0.77]), particularly revisiting the emergency department.ConclusionIn emergency departments, PILs given by doctors improve DPC, increase patients’ satisfaction with healthcare professionals, reduce the number of emergency reconsultations for the same pathology and modify the doctor’s behaviour.Trial registration numberNCT02246361.

The impact of gender dyads on doctor–patient communication: A systematic review

2009 ◽  
Vol 76 (3) ◽  
pp. 348-355 ◽  
Author(s):  
Harbinder Sandhu ◽  
Ann Adams ◽  
Laura Singleton ◽  
David Clark-Carter ◽  
Jane Kidd
Keyword(s):  
Systematic Review ◽  
Patient Communication ◽  
Doctor Patient Communication ◽  
Gender Dyads ◽  
The Impact

scholarly journals The impact of doctor–patient communication on patients’ perceptions of their risk of breast cancer recurrence

2016 ◽  
Vol 161 (3) ◽  
pp. 525-535 ◽  
Author(s):  
Nancy K. Janz ◽  
Yun Li ◽  
Brian J. Zikmund-Fisher ◽  
Reshma Jagsi ◽  
Allison W. Kurian ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Recurrence ◽  
Patient Communication ◽  
Breast Cancer Recurrence ◽  
Doctor Patient Communication ◽  
The Impact

Doctor-patient communication: a review and a rationale for using an assessment framework

2018 ◽  
Vol 32 (7) ◽  
pp. 891-907 ◽  
Author(s):  
Ariel Belasen ◽  
Alan T. Belasen
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Critical Factor ◽  
Patient Communication ◽  
Assessment Framework ◽  
Content Type ◽  
Doctor Patient Communication ◽  
Communication Assessment ◽  
Operational Issues ◽  
The Impact

Purpose The purpose of this paper is to explore the extent to which improving doctor–patient communication (DPC) can address and alleviate many healthcare delivery inefficiencies. Design/methodology/approach The authors survey causes and costs of miscommunication including perceptual gaps between how physicians believe they perform their communicative duties vs how patients feel and highlight thresholds such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) used by hospitals to identify health outcomes and improve DPC. Findings The authors find that DPC correlates with better and more accurate care as well as with more satisfied patients. The authors utilize an assessment framework, doctor–patient communication assessment (DPCA), empirically measuring the effectiveness of DPC. While patient care is sometimes viewed as purely technical, there is evidence that DPC strongly predicts clinical outcomes as well as patients’ overall ratings of hospitals. Research limitations/implications More research is needed to extend our understanding of the impact of the DPC on the overall HCAHPS ratings of hospitals. The authors think that researchers should adopt a qualitative method (e.g. content analysis) for analyzing DPC discourse. Practical implications When a sufficient amount of DPCA training is initiated, a norming procedure could be developed and a database may be employed to demonstrate training program’s efficacy, a critical factor in establishing the credibility of the measurement program and nurturing support for its use. Originality/value The authors highlight clinical and operational issues as well as costs associated with miscommunication and the need to use metrics such as HCAHPS that allow consumers to see how hospitals differ on specific characteristics.

scholarly journals Designing Patient-facing Health Information Technologies for the Outpatient Settings: A Literature Review

2016 ◽  
Vol 23 (1) ◽  
pp. 441 ◽  
Author(s):  
Yushi Yang ◽  
Onur Asan
Keyword(s):  
Health Information ◽  
Information Technologies ◽  
Patient Communication ◽  
Easy Access ◽  
Patient Centred Care ◽  
Health Information Technologies ◽  
Doctor Patient Communication ◽  
Study Results ◽  
Outpatient Settings ◽  
The Impact

 Introduction: The implementation of health information technologies (HITs) has changed the dynamics of doctor–patient communication in outpatient settings. Designing patient-facing HITs provides patients with easy access to healthcare information during the visit and has the potential to enhance the patient-centred care. Objectives: The objectives of this study are to systematically review how the designs of patient-facing HITs have been suggested and evaluated, and how they may potentially affect the doctor–patient communication and patient-centred care. Method: We conducted an online database search to identify articles published before December 2014 relevant to the objectives of this study. A total of nine papers have been identified and reviewed in this study. Results: Designing patient-facing HITs is at an early stage. The current literature has been exploring the impact of HITs on doctor–patient communication dynamics. Based on the findings of these studies, there is an emergent need to design more patient-centred HITs. There are also some papers that focus on the usability evaluation of some preliminary prototypes of the patient-facing HITs. The design styles of patient-facing HITs included sharing the health information with the patients on: (1) a separate patient display, (2) a projector, (3) a portable tablet, (4) a touch-based screen and (5) a shared computer display that can be viewed by both doctors and patients. Each of them had the strengths and limitations to facilitate the patient-centred care, and it is worthwhile to make a comparison of them in order to identify future research directions. Conclusion: The designs of patient-facing HITs in outpatient settings are promising in facilitating the doctor-patient communication and patient engagement. However, their effectiveness and usefulness need to be further evaluated and improved from a systems perspective. 

Doctor-patient communication: Guidelines for improvements

2006 ◽  
Author(s):  
Jamye M. Hickman ◽  
Kelly E. Caine ◽  
Aideen J. Stronge ◽  
Richard Pak ◽  
Wendy A. Rogers ◽  
...  
Keyword(s):  
Patient Communication ◽  
Doctor Patient Communication
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