Determinants of physicians’ patient-centred behaviour in the medical specialist encounter

Zandbelt, Linda C.; Smets, Ellen M. A.; Oort, Frans J.; Godfried, Mieke H.; Haes, Hanneke C. J. M. de

doi:10.1016/j.socscimed.2006.01.024

Cited by 72 publications

(57 citation statements)

References 36 publications

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“…Medical practitioners differ from one another in their communicative behaviour; some have a more patient-centred style and others less so (Zandbelt, Smets, Oort, Godfried, & de Haes, 2006). Such inter-individual variability suggests that while some medical practitioners may be bastions of doping prevention, others may be prepared to consider providing illegal performance enhancing substances as part of their patient care regime.…”

Section: Discussionmentioning

confidence: 99%

Doping in sport: A review of medical practitioners’ knowledge, attitudes and beliefs

Backhouse

McKenna

2011

International Journal of Drug Policy

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Telephone number:+44 (0) AbstractBackground: Central to the work of many medical practitioners is the provision of pharmaceutical support for patients. Patients can include athletes who are subject to antidoping rules and regulations which prohibit the use of certain substances in and out of competition. This paper examines the evidence on medical practitioners' knowledge, attitudes and beliefs towards doping in sport. Methods: A systematic search strategy was followed.Research questions and relevance criteria were developed a priori. Potentially relevant studies were located through electronic and hand searches limited to English language articles published between 1990 and 2010. Articles were assessed for relevance by two independent assessors and the results of selected studies were abstracted and synthesised. Outcomes of interest were knowledge, attitudes and beliefs in relation to doping in sport. Results: Six studies met the inclusion criteria and were examined in detail. Samples reflected a range of medical practitioners drawn from the UK, France (2), Greece, Italy and Ireland. The investigations varied with respect to outcome focus and quality of evidence presented. Conclusion:While the extant empirical research posits a negative attitude towards illegal performance enhancement combined with a positive inclination towards doping prevention, it also exposes a limited knowledge of anti-doping rules and regulations. Insufficient education, leading to a lack of awareness and understanding, could render this professional group at risk of doping offences considering Article 2.8 of the World Anti-Doping Agency Code (WADC). Moreover, in light of the incongruence between professional medical codes and WADC Article 2.8, medical professionals may face doping dilemmas and therefore further discourse is required. At present, the current evidence-base makes it difficult to plan developmentally appropriate education to span the exposure spectrum. Addressing this situation appears warranted.

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Section: Discussionmentioning

confidence: 99%

Doping in sport: A review of medical practitioners’ knowledge, attitudes and beliefs

Backhouse

McKenna

2011

International Journal of Drug Policy

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“…First, how a physician communicates with and views a patient may simply depend on the doctor's style. Some physicians as a matter of routine provide more information, use more partnership-building, are more supportive, and are more willing to talk about psychosocial topics than are other doctors (Roter, Stewart, Putnam, Lipkin, Stiles & Inui, 1997;Street, 1991a;Street, 1992b;Zandbelt, Smets, Oort, Godfried & de Haes, 2006). A physician's style of communicating with patients may have evolved from repeated experiences with certain kinds of patients, his or her philosophy of care (Krupat, Rosenkranz, Yeager, Barnard, Putnam & Inui, 2000;Levinson & Roter, 1995), or socialization related to gender (Bertakis, Helms, Callahan, Azari & Robbins, 1995;Hall & Roter, 1998), culture (Waitzkin, 1985), and medical training (Bertakis, Callahan, Helms, Azari, Robbins & Miller, 1998;Bertakis, Helms, Azari, Callahan, Robbins & Miller, 1999;Paasche-Orlow & Roter, 2003).…”

Section: Conceptual Framework: An Ecological Approachmentioning

confidence: 99%

Physicians’ communication and perceptions of patients: Is it how they look, how they talk, or is it just the doctor?

Street

Gordon

Haidet

2007

Social Science & Medicine

442

359

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Although physicians' communication style and perceptions affect outcomes, few studies have examined how these perceptions relate to the way physicians communicate with patients. Moreover, while any number of factors may affect the communication process, few studies have analyzed these effects collectively in order to identify the most powerful influences on physician communication and perceptions. Adopting an ecological approach, this investigation examined: (a) the relationships of physicians' patient-centered communication (informative, supportive, partnership-building) and affect (positive, contentious) on their perceptions of the patient, and (b) the degree to which communication and perceptions were affected by the physicians' characteristics, patients' demographic characteristics, physician-patient concordance, and the patient's communication. Physicians (N = 29) and patients (N = 207) from 10 outpatient settings in the United States participated in the study. From audio-recordings of these visits, coders rated the physicians' communication and affect as well as the patients' participation and affect. Doctors were more patientcentered with patients they perceived as better communicators, more satisfied, and more likely to adhere. Physicians displayed more patient-centered communication and more favorably perceived patients who expressed positive affect, were more involved, and who were less contentious. Physicians were more contentious with black patients, whom they also perceived as less effective communicators and less satisfied. Finally, physicians who reported a patient-centered orientation to the doctor-patient relationship also were more patient-centered in their communication. The results suggest that reciprocity and mutual influence have a strong effect on these interactions in that more positive (or negative) communication from one participant leads to similar responses from the other. Physicians' encounters with black patients revealed communicative difficulties that may lower quality of care for these patients.

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“…However, doubts about the functionality of a medical communication only concerned with physical symptoms have been raised, as a number of studies suggests that the treatment of emotions is important for the successful outcome of medical treatment and care (Charles et al, 1999;Mead and Bower, 2000;Barry et al, 2001;Epstein et al, 2005;Zandbelt et al, 2006), and the doctors' affective involvement in the interaction is of primary importance in helping patients comply with treatment (Stivers, 2002;Kiesler and Auerbach, 2003;Mangione-Smith et al, 2003;Heritage and Maynard, 2005;Robinson and Heritage, 2005). We can imagine the attitude of the patient towards medical prescriptions if she believes that the doctor is not interested in her health.…”

Section: Interactions That Exclude or Inhibit Patients: Non-renditionmentioning

confidence: 99%

“…Research on different medical settings across the last fifteen years show that the treatment of emotions is now widely considered important for the successful outcome of medical treatment and care (Charles et al, 1999;Epstein et al, 2005;Mead and Bower, 2000;Zandbelt et al, 2006). Patients' emotions and the doctors' affective involvement in the interaction are now considered of primary importance in helping patients comply with treatment (Barry et al, 2001;Kiesler and Auerbach, 2003;Mangione-Smith et al, 2003;Heritage and Maynard, 2005;Robinson and Heritage, 2005).…”

Section: Introductionmentioning

confidence: 99%

The Pragmatics of Emotions in Interlinguistic Healthcare Settings

Farini

2013

RiL

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Data-based studies on interlinguistic medical interaction show that frequently migrant patients encounter difficulties in expressing their emotions and concerns. Such difficulties are not always overcome through the intervention of an interpreter, as emotional expressions tend to “get missed” in translations which focus on problems and treatments in medical terms. The main question addressed here is: what types of interpreters’ actions cut out, or make relevant, migrant patients’ emotions? Our data is based on a corpus of 300 interlinguistic medical interactions in Arabic, Mandarin Chinese and Italian in two public hospitals in Italy. The conversations involve one Italian healthcare provider, an interpreter and a migrant patient. The corpus is analyzed drawing upon Conversation Analysis, studies on Dialogue Interpreting and Intercultural Pragmatics.

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Determinants of physicians’ patient-centred behaviour in the medical specialist encounter

Cited by 72 publications

References 36 publications

Doping in sport: A review of medical practitioners’ knowledge, attitudes and beliefs

Doping in sport: A review of medical practitioners’ knowledge, attitudes and beliefs

Physicians’ communication and perceptions of patients: Is it how they look, how they talk, or is it just the doctor?

The Pragmatics of Emotions in Interlinguistic Healthcare Settings

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