Percepção de pacientes sobre a comunicação de médicos clínicos e cirurgiões em hospital universitário

Abstract

Introduction: The way information is transmitted is of crucial importance in the doctor-patient relationship, as good communication reduces complaints about inadequate practices and patient concerns and improves treatment adherence and health recovery. However, patient dissatisfaction on this subject is not unusual. Objectives: The objective of this work was to evaluate the perception of patients admitted to a Hospital Complex about the communication of clinical doctors and surgeons during the hospitalization period. Method: Cross-sectional, descriptive, analytical inquiry study, with the application of a questionnaire with questions about physicians’ general communication. The instrument was built by the researchers and was answered by 120 adult patients. The sample was defined by convenience and stratified by medical and surgical clinic. Frequency and statistical analyses were performed on the obtained results. Results: Of 120 patients, 53.33%(n=64) were admitted to the Surgical Clinic and 46.67%(n=56) to the Medical Clinic. Of this total, 57.5%(n=69) had high school to college/university education. Patients reported more negative than positive responses to the following questions: information about the side effects of medications (66%), advice on post-surgical procedures (68.75%) and information on health promotion and prevention in the hospital environment (63.33%). The surgical clinic had significantly lower proportions of positive responses for: The doctor said their name (p <0.01; crude OR: 0.33; 95% CI 0.15-0.76); The patient was informed about how their treatment would be conducted (p=0.02; crude OR: 0.38; 95% CI 0.17-0.87); and the patient was informed about the need to undergo tests (p=0.02; crude OR 0.40; 95% CI 0.18-0.90), which remained significant after adjustment for certain confounding factors. There were no significant differences regarding the other questions. When analyzing the question: “What grade would you give to the doctor’s general communication?” a significantly higher value (p=0.007) was given to the Medical Clinic (average 4.46±0.76) when compared to the Surgical Clinic (average 4±1.19). Conclusion: The doctor-patient communication showed significant deficits. Therefore, it is necessary for medical schools to offer students the development of this competence. Additionally, for an adequate generalization of the obtained results, new studies need to be carried out at different levels of medical care.

Comunicação profissional da saúde-paciente: instrumento mantenedor de iniquidades em saúde ou meio de inclusão?

“…Furthermore, 83.9% of those interviewed consider it completely necessary for communication to be adequate in health care for populations in specific scenarios, such as: LGBTQIAP+, PLHIV/AIDS, homeless people, black population and elderly population . However, for this objective to be achieved, it is necessary to increase knowledge on the part of professionals about the disparities of patients from social minorities, and it is necessary to adhere to the use of inclusive language, without making assumptions about gender, sex, age, possible comorbidities and place of residence by health providers, in order to avoid uncomfortable situations in building a good relationship 12,13 .…”

“…With regard to the broad area of biomedicine, communica- The importance of effective communication between the healthcare professional and the patient is guided by some aspects such as: communication is established, from the beginning, between the professional and the patient; adherence to treatment largely depends on the bond established; the patient must be elevated to the position of communicator, not remaining a mere spectator. Therefore, transmitting information is essential in this relationship with the patient, as good communication reduces complaints due to inappropriate practices and concerns, improving adherence to treatments and health recovery both 12 .…”