Doctor-patient communication: a review and a rationale for using an assessment framework

Belasen, Ariel R.; Belasen, Alan T.

doi:10.1108/jhom-10-2017-0262

Cited by 41 publications

(47 citation statements)

References 64 publications

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“…This variable is especially important to consider as an influential factor for healing time and its potential association with patient satisfaction from chest masculinization surgery. Another explanation for this finding may be the possibility of increased doctor-patient communication, which has been linked with improved patient-reported outcomes (39). The process of learning from the patient, eliciting their concerns, and implementing and refining the surgical technique may have resulted in increased communication between the senior author and patients during that time period (39).…”

Section: Discussionmentioning

confidence: 99%

Hockey stick incision: a modified technique for chest wall masculinization

Junn¹,

Khetpal²,

Smetona³

et al. 2021

Ann Transl Med

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Background: Chest wall masculinization is often performed for transgender men in order to address gender dysphoria. Peri-areolar and double-incision mastectomy with free nipple grafts, are the most common techniques employed in chest masculinization surgery, but are limited by their relative inconsistency and inefficiency in reconstructing a natural anterior contour that comprehensively resembles that of a cismasculine chest. The purpose of this study is two-fold. The first is to describe the "hockey stick" approach, which expands on the widely performed double-incision mastectomy to the axilla, with an additional step of revising lateral chest wall folds of tissue excess. This technique is scalable to the degree of pre-operative excess tissue on the anterior and lateral chest wall. The second is to compare the "hockey stick" incision to existing reconstructive options, with respect to clinical outcomes and patient satisfaction.Methods: Patients who received chest masculinization surgery at Yale-New Haven Hospital were included.A retrospective chart review, comprising demographic variables, procedural details, and post-operative events, was conducted. Selected modules from a validated survey instrument, the BODY-Q, were measured.Patients were classified by body mass index and incision, which included peri-areolar, inframammary fold, and "hockey stick" incision by date.Results: Twenty-seven of 73 (37.0%) participants completed the full survey and were included in the analysis. The "hockey stick" incision had comparable patient satisfaction and post-operative outcomes, compared to peri-areolar and double-incision mastectomy with free nipple graft techniques. Greater BMI patients had a higher incidence of wound dehiscence, compared to other weight classifications. Conclusions:The "hockey stick" incision is a readily performed, effective surgical technique for building a cis-masculine appearing chest in transgender men with efficient and predictable outcomes. While performed in patients with higher BMI, the "hockey stick" confers equivalent patient satisfaction and clinical outcomes to peri-areolar and double-incision mastectomy.

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Section: Discussionmentioning

confidence: 99%

Hockey stick incision: a modified technique for chest wall masculinization

Junn¹,

Khetpal²,

Smetona³

et al. 2021

Ann Transl Med

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“…study method: The data collection for the study was done using: (i) a predesigned self-administered questionnaire which included two parts: Likert scale from strongly agree to strongly disagree. Strongly agree and agree were considered 'high perception" for positive statements [1,3,6,7,8,9,10], while disagree and strongly disagree represented high perception for negative statements [2,4,5]. A total perception score was calculated; high perception was considered when the total score was greater than the mean.…”

Section: Aim Of Workmentioning

confidence: 99%

“…Surprisingly, most of the participants who were classified as having poor communication reported that they have enough information regarding doctorpatient communication (Table 1). This may be attributed to that physicians may frequently overestimate their ability to communicate in interpersonal interactions (Belasen and Belasen, 2018).…”

Section: Aim Of Workmentioning

confidence: 99%

Physician-Patient Communication: Perception and Practice among Doctors Working in Tanta University Outpatient Clinics, Egypt

2019

Egypt. J. Occup. Med.

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Effective as well as competent communication of doctors with their patients is fundamental for conveying high-quality patient care along with building a harmonious physicianpatient relationship which constitutes a core dimension of patient-centeredness (Shikawa et al., 2013 and Da Liu et al., 2016). Effective physicianpatient communication can be defined as the method in which a physician transfers information to a patient in a way that he understands the doctors` instructions efficiently, supporting patients' self-management, managing of ambiguity and feelings, and helping decision making (Travaline et al., 2005; and Zolnierek and DiMatteo, 2009). Ineffective doctor-patient communication is challenging since it can result in non-adherence plus other health-related issues as the stress of paying for medical expenses (Meluch and Oglesby, 2015). Throughout the precedent years, patient-centeredness has been internationally discussed in all health care related fields (Baker, 2001). Patient-centered care is defined as clinical management given by medical experts that focuses on respecting and attending to patient's requirements, preferences, needs, and standards, instead of the physician's own plan (Breen et al., 2009). Physicians' communication skills affect a diversity of factors in clinical practice, and many studies revealed that effective doctorpatient communication increases patient satisfaction, patient understanding, recall, and compliance with treatment and health outcomes. Additionally, effective communication can also increase the physician's job-satisfaction, health, and well-being (Hu et al., 2016). Good communication is essential for both patients' and physicians' satisfaction, satisfied patients are less liable to malpractice complaints, and have better job satisfaction, a lesser amount of work-related stress, and diminished burnout (Harmon et al., 2006). Studies have shown that excellent physician-patient communication [PPC] skills are related to patient health outcomes. Zolnierek and DiMatteo, 2009 in a meta-analysis study; stated that effective physician-patient communication has a positive significant correlation with patient adherence to treatment; they also found a considerable increase in the patients' adherence after doctors received communication skills training. Other studies established a

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“…Doctor-patient communication is one of the most essential dynamics in health care, affecting the course of patient care and patient satisfaction [1][2][3][4][5]. Although technical skills may receive more attention in physician training, communication plays an essential role in practice.…”

Section: Introductionmentioning

confidence: 99%

Nationwide survey of patients’ and doctors’ perceptions of what is needed in doctor - patient communication in a Southeast Asian context

Tran

Scherpbier

Dalen

et al. 2020

BMC Health Serv Res

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Background Asian countries are making efforts to apply the partnership model in doctor-patient communication that has been used effectively in Western countries. However, notable differences between Western and Asian cultures, especially the acceptance of a hierarchical order and little attention to individuality in Asian cultures, could mean that the application of the partnership model in Vietnam requires adaptation. The study aimed to investigate whether communication models used in the Western world are appropriate in Southeast Asia, and to identify key items in doctor-patient communication that should be included in a doctor-patient communication model for training in Vietnam. Methods In six provinces, collaborating medical schools collected data from 480 patients using face-to-face surveys with a structured guideline following a consultation session, and from 473 doctors using a cross-sectional survey on how they usually conduct consultation sessions with patients. Data collection tools covered a list of communication skills based on Western models, adapted to fit with local legislation. Using logistic regression, we examined whether doctor patient communication items and other factors were predictors of patient satisfaction. Results Both patients and doctors considered most elements in the list necessary for good doctor-patient communication. Both also felt that while actual communication was generally good, there was also room for improvement. Furthermore, the doctors had higher expectations than did the patients. Four items in the Western model for doctor-patient communication, all promoting the partnership relation between them, appeared to have lower priority for both patients and doctors in Vietnam. Conclusion The communication model used in the Western world could be applied in Vietnam with minor adaptations. Increasing patients’ understanding of their partner role needs to be considered. The implications for medical training in universities are to focus first on the key skills perceived as needing to be strengthened by both doctors and patients. In the longer term, all of these items should be included in the training to prepare for the future.

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Doctor-patient communication: a review and a rationale for using an assessment framework

Cited by 41 publications

References 64 publications

Hockey stick incision: a modified technique for chest wall masculinization

Hockey stick incision: a modified technique for chest wall masculinization

Physician-Patient Communication: Perception and Practice among Doctors Working in Tanta University Outpatient Clinics, Egypt

Nationwide survey of patients’ and doctors’ perceptions of what is needed in doctor - patient communication in a Southeast Asian context

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