Enhancing parent–provider communication in ambulatory pediatric practice

Parent–provider communication and parental satisfaction with care of children with psychosocial problems

“…This underscores the importance of an empathic approach to care when working with families with a child who has a psychosocial concern. In fact, both research [25][26] and theory [29][30][31] support the association between empathy and positive treatment outcomes. For example, adult patients' perceptions of physician empathy are associated with greater patient satisfaction, increased self-efficacy, and reduced emotional distress [44] as well as with patient enablement and positive changes in health outcomes (i.e., increased symptom resolution).…”

“…[12] This may be due, at least in part, to pediatrician discomfort with discussing such topics. [12] However, as in general pediatric practice, [25][26] if pediatricians collaborate with families with children with psychosocial concerns, communicate in such a way so that parents can understand them, and convey to families that they understand their concerns, satisfaction with care will be high. Thus training pediatricians in the use of interpersonal communication skills may help to decrease the number of discouraging responses and create an atmosphere where families feel more comfortable disclosing psychosocial concerns.…”

“…[18][19][20] Although research with adults has supported a patient-centered approach to care as being associated with a number of positive treatment outcomes [17,[21][22][23][24], fewer studies have assessed the use of these skills with pediatric populations. Recent work with children suggests that a patient-centered approach [25], and more specifically, use of interpersonal communication skills such as empathy, praise and collaboration [26][27][28] are associated with positive outcomes as well. It may be particularly important to assess this communication style with families with psychosocial concerns given that these families represent a growing segment of the patients seen by pediatricians [1], these encounters may be at increased risk for ineffective parent-provider communication [5,9,[12][13][14], and there are new recommendations that pediatricians employ collaboration, empathy, and praise with families when addressing psychosocial concerns.…”

Development of a Comprehensive Communication Skills Curriculum for Pediatrics Residents

“…Yet educational initiatives that help trainees achieve competency are challenging, and they remain the responsibility of local institutions without a standardized implementation model. 7 Existing models of communication curricula at the residency level are varied in philosophy, but generally are categorized by pedagogical approach (skills based 4,8 or humanistic 9,10 ); content (fundamental tasks such as basic patient interviewing 11,12 or advanced encounters such as delivering bad news 10,13 ); and interaction focus (clinician-patient/family most often 8,12,13 or less commonly intraprofessional 14,15 ). Additionally, curricula are distinguished by learning technique (role play, 8,16 standardized patients, [17][18][19] or real-life experiences 12,15 ).…”

Avaliação da evolução da empatia em alunos do quarto ano da graduação em medicina da Unifesp em 2012

“…No entanto, o dinamismo dos serviços de saúde e os avanços dos meios complementares de diagnósti-co tendem a distanciar o médico da interação com o paciente, sem enxergá-lo como pessoa 11 . A função da empatia médica seria identificar e compreender os sentimentos do doente e tomar a sua perspectiva 9 , promovendo assim um aumento na confiança, na lealdade e no respeito entre médico e paciente.Sendo assim, a empatia promove a satisfação tanto do paciente quanto do médico, contribuindo significantemente para a adesão, tratamento e evolução do paciente 12,13,14 . Além disso, a empatia melhora a qualidade dos dados obtidos na anamnese e, consequentemente, esse dado positivo se reflete na melhor capacidade de diagnóstico pelo médico, além de contribuir para a diminuição na falha de comunicação e possí-veis ações jurídicas 15,16 .…”