Assessment of Doctor-Patient Communication Skills Omdurman Friendship Teaching Hospital(OFTH) August-2010

2019 ◽  
Vol 2 (11) ◽  
pp. 810-820
Author(s):  
Sara Elsheikh Ahmedana ◽  
Musa Basheer Mansour
Keyword(s):  
Communication Skills ◽  
Health Care Professionals ◽  
Analytical Study ◽  
Simple Random Sampling ◽  
Patient Communication ◽  
Medical Interview ◽  
Doctor Patient Communication ◽  
Patients Satisfaction ◽  
Short Time ◽  
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Communication is the procedure of generation, transmission, or gathering of messages to oneself or another substance, for the most part by means of a commonly comprehended arrangement of signs. Communication skills are the tools that individuals use to evacuate boundaries and troubles to perform successful correspondence (are learnable, trainable, versatile simply like some other expertise). The objective was to assess the effectiveness of communication skills system among consultants, physicians, registrars and medical officers with their patients in different units of medicine and surgery. Methods: It was a descriptive-analytical study in OFTH August 2010. (241) participants by simple random sampling. All patients attend the OFTH for their appointment and agreed to be included in this study. Whereas the emergent and urgent were excluded.  Data were collected using small groups discussion and pre-tested questionnaires.  Results: Many doctors know some information about Doctor-Patient Communication Skills but, they didn't perform it because of, the high frequency of patients in referral clinics. Doctors spent 6 to 10 minutes with 179 patients (74.3%), 11to 15 minutes with 46 patients (19.1%), 1 to 5 minutes with 12 patients (5%), 16 to 20 minutes with 3 patients (1.2%) and more than 26 minutes with one patient (O.4%). Patients' satisfaction; 205 patients are satisfied represent (85.1%), 36 patients aren't satisfied represent (14.9%). Those who aren't satisfied; 25 patients (69%) because of a short duration of medical interview, 8 patients (22%) because doctors didn't mention the adverse effects of the drugs and 3 patients (9%) because doctors didn't mention the possible complications of operation. Conclusion:  Doctor-patient communication skills were done by medical officers, registrars, physicians and consultants. They took a short time 6-10 minutes for medical interview (74.3%), they didn’t share information with their colleagues in the same unit by (46.5%) in 112 patients and didn’t involve other health care professionals in patients’ care by (62.7%) for 151 patients.  Despite of that the patients’ satisfaction was (85.1%)

scholarly journals Effectiveness of clinical scenario dramas to teach doctor-patient relationship and communication skills

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yinan Jiang ◽  
Lili Shi ◽  
Jinya Cao ◽  
Liming Zhu ◽  
Yue Sha ◽  
...  
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Patient Communication ◽  
Clinical Scenario ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Clinical Communication ◽  
Doctor Patient Communication ◽  
Self Confidence ◽  
Chinese Medical Students

Abstract Background The doctor-patient relationship in China has deteriorated in recent years, and poor doctor-patient communication is one of the main reasons. How to effectively carry out doctor-patient communication training originated from the West among Chinese medical students still to be studied. In the past decade, Peking Union Medical College has adopted clinical scenario drama to teach doctor-patient relationship and clinical communication skills. The aim of this study was to introduce clinical scenario dramas and evaluate its effectiveness in promoting doctor-patient relationships and clinical communication skills through students’ self-perceptions in Chinese medical students. Methods This study was a retrospective, self-controlled study and conducted from March 2009 to October 2018. Doctor-patient relationship and communication skills training were administered to all sixth-year medical students, which involved lectures and various clinical scenario dramas. The program totaled 24 h, of which each class session was 3 h, with 8 sessions in total. All students were requested to complete an anonymous 5 likert self-rating survey including self-confidence in using communication skills and self-perceived learning attitude and ability before and at the end of the course. In addition, they were requested to evaluate the curriculum after completion of the course. Results Clinical scenario dramas helped students improve their self-confidence in clinical communication skills except for psychosomatic history taking (p < 0.05). The interests for participation in clinical scenario dramas were higher compared to attending lectures (4.39 ± 0.610 Vs 4.07 ± 0.831, p<0.01). Study participants were highly satisfied in the course setting, teaching instructors and content (4.61 ± 0.546, 4.65 ± 0.535, 4.63 ± 0.534). The self-evaluation results demonstrated that clinical scenario dramas improved the learning ability of medical students (p < 0.05). Conclusion The use of clinical scenario dramas was helpful in teaching doctor-patient communication skills.

Assessment of a matched-pair instrument to examine doctor?patient communication skills in practising doctors

2007 ◽  
Vol 41 (2) ◽  
pp. 123-129 ◽  
Author(s):  
Craig Campbell ◽  
Jocelyn Lockyer ◽  
Toni Laidlaw ◽  
Heather MacLeod
Keyword(s):  
Communication Skills ◽  
Patient Communication ◽  
Matched Pair ◽  
Doctor Patient Communication

scholarly journals A Comparison Study of Communication Skills between General Surgery and General Practice Residents on First-time Patient Visits

2012 ◽  
Vol 3 (1) ◽  
pp. e42-e51 ◽  
Author(s):  
Ahmed Al Ansari
Keyword(s):  
General Practice ◽  
Communication Skills ◽  
General Surgery ◽  
Internal Consistency Reliability ◽  
Global Scale ◽  
Patient Communication ◽  
General Level ◽  
Doctor Patient Communication ◽  
Information Giving ◽  
Trained Observers

Background: There is little published research about differences in doctor-patient communication of different specialties. Accordingly, we compared doctor-patient communication skills in two different specialties, general surgery (GS) and general practice (GP). Methods: Twenty residents training at the Bahrain Defence Force Hospital (10 men and 10 women; mean age 28 years; 10 GS and 10 GP) participated in 200 patient first visit consultations. The consultations were video-recorded and analysed by four trained observers using the MAAS Global scale. Results: 1) Internal consistency reliability of the MAAS Global (> 0.91) and Ep2 = 0.84 for raters was high, 2) GP residents spent more time (12 minutes) than GS residents (7 minutes), in the visits, 3) There were several differences on the MAAS Global items between GP and GS residents (GS > GP, p < 0.05 on history taking, diagnosis and medical aspects; GP > GS, p < 0.05 on information giving), and 4) The present participants performed well compared to normative samples as well as to criterion-referenced cut-off scores. The general level of communication skills in both specialties, however, was ‘unsatisfactory’ and ‘doubtful’, as it is for normative samples. Conclusion: Excellent doctor-patient communication is essential but does not appear to receive the amount of attention that it deserves in practice settings. There are some differences between specialties as well as unsatisfactory communication skills for both specialties, since residents from both programs spent less time than recommended on each consultation. Our findings emphasize the need to improve the communication skills of physicians in general and for surgeons in particular. 

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction

2021 ◽  
Author(s):  
Caixia Han ◽  
Qing Wu ◽  
Chenchen Liu ◽  
Pei Wang
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Patient Communication ◽  
Mediating Effect ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Doctor Patient Communication ◽  
Medical Environment ◽  
Patient’S Perception

Abstract Objective To explore the relationship among patient perception of doctors' empathy, doctor-patient communication, and doctor-patient relationship.Methods From November 2019 to April 2020, we used the CARE scale, the SEGUE framework and the PDRQ-15 scale to survey 3,039 patients from 14 provinces in China, ranging in age from 18 to 92 years old.Results 1. The age of the patient, the level and type of hospital, the length of consultation, and the presence or absence of verbal and physical conflict have significant differences in the scores of perceived empathy; 2. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and the doctor-patient relationship (r = 0.65 ~ 0.75, p < 0.001). 3. The patient's perception of doctor empathy can not only directly predict doctor-patient relationship (β = 0.75, p < 0.001), but also influence doctor-patient relationship through the mediating effect of doctor-patient communication (β = 0.56, p < 0.001). Besides, the scores of CARE can effectively explain the variation of each stage of doctor-patient communication skills (R2 = 0.28 ~ 0.37) and the satisfaction (52%) and approachability (54%) of the doctor-patient relationship scale.Conclusion The age of the patient, the type and level of the hospital, and the consultation time affected perceived empathy. Doctor-patient communication plays a partial mediating effect in the influence of empathy on the doctor-patient relationship.Practice implications: Medical institutes should improve the medical environment and carry out humanistic education and patient-centered communication skills training for doctors. These approaches will enhance patients' perceived empathy and therefore improve the doctor-patient relationship.

scholarly journals Doctor-Patient Communication: Principles and Practices

2002 ◽  
Vol 29 (S2) ◽  
pp. S23-S29 ◽  
Author(s):  
Suzanne M. Kurtz
Keyword(s):  
Communication Skills ◽  
Historical Context ◽  
Patient Communication ◽  
Good Communication ◽  
Doctor Patient Communication ◽  
Perceptual Skills ◽  
Physician Patient Communication ◽  
Education Workshop ◽  
Physician Patient ◽  
Improve Patient

Background:In a formal needs assessment, conducted prior to the Canadian Headache Society's recent national continuing education workshop, participants expressed particular enthusiasm for enhancing their own communication skills or their teaching of those skills.Objectives:Responding to both interests, this paper offers a practical conceptual framework for thinking systematically about how to improve physician-patient communication to a professional level of competence.Methods:The three-part, evidence-based framework first defines communication in medicine in terms of five underlying assumptions about communication and the learning of communication skills. It then discusses three categories of communication skills (content, process, and perceptual skills) and six goals that physicians and patients work to achieve through their communication with each other. The second part of the framework explores “first principles” of effective communication and includes a brief look at the historical context that has significantly influenced our thinking about, and practice of communication in health care. Part three of the framework describes one approach for delineating and organizing the specific skills that research supports for communicating effectively with patients - the Calgary Cambridge Guide.Results:It is clear from the literature that better physician communication skills improve patient satisfaction and clinical outcomes and that good communication skills can be taught and learned.Conclusions:It is important that physicians learn the principles of good physician-patient communication and apply them in clinical practice. Medical education programs at all levels should include teaching of physician-patient communication.

Do You Know These Patients? High-Risk Pediatric Encounters

1988 ◽  
Vol 10 (4) ◽  
pp. 101-105
Author(s):  
Barbara M. Korsch
Keyword(s):  
High Risk ◽  
Communication Skills ◽  
Patient Communication ◽  
Difficult Patient ◽  
Doctor Patient Communication ◽  
Individual Physician

Who are the patients we come to identify as so troublesome that when we see their name on the day's schedule we hope they might cancel, or we feel tired before we get half way through the day at the thought that we have to face them? What is it about them that makes caring for them less gratifying and more difficult? There has been a regrettable tendency to blame the patient for breakdowns in doctor-patient communication and to shift the burden of responsibility from the physician to the patients. We are all familiar with pejorative descriptions such as "the patient is a poor historian," "the patient is uncooperative," "this is a difficult patient," "this is a demanding patient," or "this is the patient I would most like to refer to my least favorite colleague." There are patients who are unpopular with all physicians, and then there are special sensitivities that make an individual physician react negatively to a particular group of patients. Physicians may be insightful and perceptive of their own responses to other individuals and may have excellent communication skills, yet they are still only human. They are not perfect and not infrequently find themselves confronted by individual patients or families who annoy them, frustrate them, or disappoint them.

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction in China

2021 ◽  
Author(s):  
Caixia HAN ◽  
Qing WU ◽  
CHENCHEN LIU ◽  
Pei WANG
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Patient Communication ◽  
Mediating Effect ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Doctor Patient Communication ◽  
Medical Environment ◽  
Patient’S Perception

Abstract ObjectiveTo explore the relationship among patient perception of doctors' empathy, doctor-patient communication, and doctor-patient relationship.MethodsFrom November 2019 to April 2020, we used the CARE scale, the SEGUE framework and the PDRQ-15 scale to survey 3,039 patients from 14 provinces in China, ranging in age from 18 to 92 years old.Results1. The age of the patient, the level and type of hospital, the length of consultation, and the presence or absence of verbal and physical conflict have significant differences in the scores of perceived empathy; 2. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and the doctor-patient relationship (r = 0.65 ~ 0.75, p < 0.001). 3. The patient's perception of doctor empathy can not only directly predict doctor-patient relationship (β = 0.75, p < 0.001), but also influence doctor-patient relationship through the mediating effect of doctor-patient communication (β = 0.56, p < 0.001). Besides, the scores of CARE can effectively explain the variation of each stage of doctor-patient communication skills (R2 = 0.28 ~ 0.37) and the satisfaction (52%) and approachability (54%) of the doctor-patient relationship scale.ConclusionThe age of the patient, the type and level of the hospital, and the consultation time affected perceived empathy. Doctor-patient communication plays a partial mediating effect in the influence of empathy on the doctor-patient relationship.Practice implicationsMedical institutes should improve the medical environment and carry out humanistic education and patient-centered communication skills training for doctors. These approaches will enhance patients' perceived empathy and therefore improve the doctor-patient relationship.

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