Consensus communication strategies to improve doctor-patient relationship in paediatric severe asthma

Abstract

Background Asthma is a chronic inflammatory disease that is very common among youth worldwide. The burden of this illness is very high not only considering financial costs but also on emotional and social functioning. Guidelines and many researches recommend to develop a good communication between physicians and children/caregiver and their parents. Nevertheless, a previous Italian project showed some criticalities in paediatric severe asthma management. The consensus gathered together experts in paediatric asthma management, experts in narrative medicine and patient associations with the aim of identify simple recommendation to improve communication strategies. Methods Participants to the consensus received the results of the project and a selection of narratives two weeks before the meeting. The meeting was structured in plenary session and in three working groups discussing respectively about communication strategies with children, adolescents and parents. The task of each working group was to identify the most effective (DO) and least effective practices (DON’ T) for 5 phases of the visit: welcome, comprehension of the context, emotions management, duration and end of the visit and endurance of the relationship. Results Participants agreed that good relationships translate into positive outcomes and reached consensus on communication strategies to implement in the different phase of relationships. Conclusions The future challenges identified by the participants are the dissemination of this Consensus document and the implementation of effective communication strategies to improve the management of pediatric asthma.

Anxiety and Depression in Adolescents with Severe Asthma and in Their Parents: Preliminary Results after 1 Year of Treatment

“…The possible future perspective could be the inclusion of psychological intervention in an algorithmic approach for the treatment of severe asthma, as recently provided [31]. In addition, psychological support may be fruitful in communication strategies to improve the doctor–patient relationship, as recently suggested by a consensus in pediatric severe asthma [32].…”

Information-seeking behavior of female doctor shoppers: results from an interview study

“…A suitable diagnosis, high satisfaction with consultation and a strong patient-doctor relationship may reduce the doctor-shopping rate (Biernikiewicz et al, 2019;Ohira et al, 2012;Siu, 2014). Insufficient doctor-patient interactions should be improved and both doctors and patients should be educated to improve their communication skills (Andylim et al, 2018;Cappuccio et al, 2019;G asp arik et al, 2014). Although several studies have analyzed doctor-patient communication, few have focused on information sharing between doctors and patients.…”

Introductions and Greeting Attitudes Amongst Future Physicians in the United States

“…GREETING ATTITUDES AMONST FUTURE PHYSICIANS outcomes with chronic disease management, [10][11][12][13] and even medical malpractice litigation. 14 In fact, some researchers have suggested that effective doctor-patient communication skills be a main objective in primary medical training, 15 and should receive paramount emphasis to other core competencies throughout medical school.…”

“…While nuanced, environmental and clinical context may play a pivotal role in patient greeting preference. Furthermore, as patient satisfaction and patient-physician communication are largely believed to influence eventual patient outcomes, 1,2,[11][12][13][14][3][4][5][6][7][8][9][10] these nuances of effective communication strategies must be elucidated.…”