scholarly journals Changes in the quality of doctor-patient communication between 1982 and 2001: an observational study on hypertension care as perceived by patients and general practitioners

BMJ Open ◽  
2011 ◽  
Vol 1 (1) ◽  
pp. e000203-e000203 ◽  
Author(s):  
L. Butalid ◽  
P. F. M. Verhaak ◽  
F. Tromp ◽  
J. M. Bensing
2021 ◽  
Vol 13 (2) ◽  
pp. 195-211
Author(s):  
Maja Nordtug ◽  
Jane Ege Møller ◽  
Signe Schlichting Matthiesen ◽  
Matilde Nisbeth Brøgger

It is well-known that non-verbal cues are essential in doctor–patient communication. As doctor–patient communication is turning increasingly digital and written, it becomes relevant to explore the role of non-verbal cues in such communication genres. One more recent genre is the doctor–patient e-mail consultation. Research has found that while patients like e-mail consultations, they also miss facial expressions, eye contact, etc. In this study, we explored the different ways in which Danish GPs use non-verbal cues in e-mail consultations. We analysed 633 e-mail consultations written by 22 GPs. We applied the concept of oralization, which includes the use of emoticons and non-standard use of grammar and spatial arrangement. We found that the dominant types of oralizations were non-corrected spelling errors and lack of attention to capitalization. Overall, GPs used a limited number of other non-verbal cues. We discuss how these findings relate to norms of formality and professional context.


2020 ◽  
Vol 7 (6) ◽  
pp. 1197-1202
Author(s):  
Eliseo Martínez-García ◽  
Andrew Affleck ◽  
Pariyawan Rakvit ◽  
Salvador Arias-Santiago ◽  
Agustín Buendía-Eisman

Background: Effective doctor–patient communication is of great importance in order to optimize medical consultation outcomes. However, it can be difficult to address all patients’ concerns and expectations in clinic. Objective: To identify how much patients know about their medical condition, their fears and concerns, and their expectations, as well as evaluate the benefits of using a preconsultation questionnaire routinely. Methods: This study included consecutive patients attending dermatology outpatients from Dundee (Scotland) and Granada (Spain) who completed a simple preconsultation 3-part questionnaire. Answers to this questionnaire were discussed during clinic visits. Results: Two hundred patients participated in the study. Of all, 111 (55.5%) patients already knew their diagnosis or were able to describe their symptoms and/or feelings quite accurately at their visit to Dermatology. Most patients (85%) had fears regarding their dermatological problem. A majority of patients (97%) came to clinic with specific expectations, and many (41.5%) had multiple expectations. A high proportion of patients (74%) found the questionnaire useful. Conclusion: Patients attend clinic with different levels of knowledge, fears, and expectations. We recommend using a brief and easy to use preconsultation questionnaire as a cost-effective way of enhancing doctor–patient communication.


2000 ◽  
Vol 41 (2) ◽  
pp. 145-156 ◽  
Author(s):  
L.M.L. Ong ◽  
M.R.M. Visser ◽  
F.B. Lammes ◽  
J.C.J.M. de Haes

2014 ◽  
Vol 11 (3) ◽  
Author(s):  
Maria Angela Mazzi ◽  
Michela Rimondini ◽  
Myriam Deveugele ◽  
Christa Zimmermann ◽  
Giuseppe Deledda ◽  
...  

This paper assesses whether gender plays a role when male and female participants discuss the quality of doctor–patient communication in gynaecological consultations. A European multi-centre study was conducted comprising 259 participants in 35 gender- and country-specific focus groups. In all focus groups, a set of four videotaped Objective Structured Clinical Examination (OSCE) consultations was used as a prompt for discussion. The doctors’ ability in communication was assessed by participants’ ratings and by a quantified content analysis of their comments, using a mixed-method approach. Gender analysis was performed applying a set of generalized linear regression models. The findings indicated that gender differences were smaller than expected. The individual ratings of the overall quality of communication were similar for male and female participants, and there were hardly any differences in the content of the discussions. The only two exceptions were that female doctors were criticized more than male doctors when they made impersonal comments and that female participants were more outspoken than men, positively and negatively. The prevalence of gender similarities suggests that doctors’ empathy, support, understanding and pleasantness are highly appreciated by both male and female participants and appear to transcend gender differences.


2021 ◽  
Vol 14 (10) ◽  
pp. 1567-1580
Author(s):  
Oxana S. Issers ◽  

The article studies the causes of conflict situations between a doctor and a patient in the communication, associated with the problems of using the language code and the compliance of communicative and ethical norms. The research focuses on conflict-generating factors caused by the violation of the patient’s right to information about the state of health, which include, in particular, the volume and details of such information, as well as the forms it was provided. Methods of verbalizing the information about the patient’s health are discussed, taking into account the requirements of accessibility and sensitivity. The author examines problematic situations caused by the «non-linguistic» nature of legal regulation in the field of doctor-patient communication. The aim of the study is to identify conflict-generating factors of communication in the medical field, which lead to a violation of not only ethical, but also legal norms of communication between doctors and patients. The empirical base was formed by questioning the patients. The study also used blogosphere, social media materials, and personal interviews with patients. The analysis of sociolinguistic data made it possible to identify 4 conflict-generating factors: 1) the availability of information; 2) volume (details) of information, 3) delicacy / indelicacy; 4) the quality of the doctor’s feedback for the patient. As a result of the study, conclusions were drawn that allow to linguistically interpret the communicative failure that arose in the process of communicating with the doctor. This gives reason to develop criteria for communicative violations that are potentially conflict ones and have legal effect


2015 ◽  
Vol 32 (2) ◽  
pp. 84-88 ◽  
Author(s):  
Tahmina Begum

Communication between patients and health professionals is seen as the core clinical function in building a therapeutic doctor-patient relationship, which is the heart and art of the medicine. Patients’ satisfaction is strongly influenced by the quality of the communication that occurs. Effective communication is the basis of mutual understanding and trust. This paper aims to raise awareness on the important issues involved in doctor-patient and inter-professional communication among the medical professionals.J Bangladesh Coll Phys Surg 2014; 32: 84-88


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