Maintaining Trust in the Surgeon-Patient Relationship

Axelrod, David A.; Goold, Susan Dorr

doi:10.1001/archsurg.135.1.55

Cited by 97 publications

(78 citation statements)

References 27 publications

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“…The invasive nature of surgical interventions shapes relationships between patients and general surgeons: Patients must have high levels of trust in their surgeons to be comfortable moving forward with surgery. 45 Therefore, it is reassuring that general surgeons were significantly less likely than physicians in most other specialties to report having told patients an untruth, and surgeons were significantly more likely than other physicians to agree with the need to disclose all medical errors to patients.…”

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confidence: 99%

Survey Shows That At Least Some Physicians Are Not Always Open Or Honest With Patients

et al. 2012

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The Charter on Medical Professionalism, endorsed by more than 100 professional groups worldwide and the US Accreditation Council for Graduate Medical Education, requires openness and honesty in physicians' communication with patients. We present data from a 2009 survey of 1,891 practicing physicians nationwide assessing how widely physicians endorse and follow these principles in communicating with patients. The vast majority of physicians completely agreed that physicians should fully inform patients about the risks and benefits of interventions and should never disclose confidential information to unauthorized persons. Overall, approximately one-third of physicians did not completely agree with disclosing serious medical errors to patients, almost one-fifth did not completely agree that physicians should never tell a patient something untrue, and nearly two-fifths did not completely agree that they should disclose their financial relationships with drug and device companies to patients. Just over one-tenth said they had told patients something untrue in the previous year. Our findings raise concerns that some patients might not receive complete and accurate information from their physicians, and doubts about whether patientcentered care is broadly possible without more widespread physician endorsement of the core communication principles of openness and honesty with patients.

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confidence: 99%

Survey Shows That At Least Some Physicians Are Not Always Open Or Honest With Patients

et al. 2012

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“…The quality of the interaction between a neurosurgeon and his or her patient is thus critically important and is influenced by many factors. For example, a sense of compassion contributes to effective communication whereas detachment can detract from it 27 . The ability of a surgeon to connect with a patient may be a prerequisite for successful interactions with patients.…”

Section: Discussionmentioning

confidence: 99%

“…Almost all patients who used the Internet also searched for information about the surgeon's competence and skill, two factors which have a strong influence on trust in the surgeonpatient relationship 27 . Despite minimal face time, many patients trusted the surgeon to do the best job possible, a sentiment which was intensified by flattering online reviews or encouraging appraisals from other physicians.…”

Section: The Internet Was the Most Widely Used Resource For Seeking Mmentioning

confidence: 99%

“…Notably, the quality, not quantity, of the interaction was important. Compassion, reflected in both verbal and nonverbal gestures and a willingness to answer questions 14 , enhances the quality of the physician patient relationship 27 . A surgeon should also be able to connect emotionally, a goal which a surgeon may strive for, but which may not always be possible in practice 30 .…”

Section: The Surgeon Should Be Forthright About Information Providinmentioning

confidence: 99%

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Improving Information Provision for Neurosurgical Patients: A Qualitative Study

Bramall

Bernstein

2014

Can. J. Neurol. Sci.

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Effective communication of information in physician patient interactions is essential for fostering patient rapport, enabling informed decision-making, and minimizing patient anxiety. Neurosurgical patients, due to the possibility of life-threatening complications, exhibit a high need for information and greater levels of anxiety than other surgical patients 1 . When patients feel more anxious, post-operative pain rises 2 , the recovery period may be lengthened 3 and intraoperative anesthetic requirements increase 4 . When information needs are not met, patients may consult sources such as the Internet. However, information obtained online or through other unaccredited sources may be inaccurate ABSTRACT: Background: Patients confronted with the daunting prospect of a potentially life-altering procedure with uncertain outcome demonstrate high levels of anxiety and need for information. Regardless, many patients are left unsatisfied by the amount of information received from physicians. This study sought to examine the information-seeking patterns of patients and suggest ways to optimize the communication of medical information, specifically within the context of neurosurgery. Methods: Semi-structured interviews were conducted with 31 neurosurgical patients operated on for benign or malignant brain tumors. Interviews were transcribed and subjected to thematic analysis in NVivo10. Results: Three major themes relating to information-seeking by neurosurgical patients were identified: 1) almost all patients searched for information on the Internet; 2) in addition to characterizing the tumor as benign or malignant, patients sought additional information such as the location of the tumor in the brain; and 3) patients with malignant tumors were less likely to seek information online and more likely to consider alternative therapies. To improve the provision of information to neurosurgical patients, physicians can 1) offer to review imaging results with patients; 2) promote an environment open to questions; 3) provide information in a forthright manner, avoiding the use of medical jargon; and 4) consider guiding patients to reliable Internet sites and facilitating written records of consultations. Conclusions: There are many ways that physicians can improve the provision of information to patients, including providing written information and physician recommended online resources, and being mindful of patient perceived time constraints and barriers to effective communication. ORIGINAL ARTICLEand/or misleading 5-7 , leading to unrealistic expectations and further anxiety 8 . To promote greater information exchange during consultations and minimize the need for patients to seek outside sources of information, many suggestions have been https://www.cambridge.org/core/terms. https://doi

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“…Estas circunstancias son fuentes potenciales de desacuerdos y conflictos entre médicos y pacientes y traducen evidentemente desconfianza que se grafica en problemas de la libre elección relacionados con alocación, solicitud o no de exámenes y accesibilidad al médico tratante en su debida oportunidad (11,12) .…”

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Comunicacion en El Departamento De Radiologia: Radiologos Y Pacientes

M¹,

2003

Rev. chil. radiol.

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Good and effective medical-practice requires the best bonds between patients/relatives and doctors. Communication process is a bidirectional one. It implies responsibility, honesty and confidence for both doctor and patient. A successful doctor-patient relationship mostly depends on communicational skills and medical sensibility to patient needs. Radiologist-patient encounters are not common or frequent but occasionally we have them, and they are an important opportunity to communicate radiologist and patients as well. Radiology Departments' work is organised in such manner that personnel have important interactions with our patients, so it is of primary importance to give communication skills and abilities to all of them. Key words: Communication, Physicians, Patients, Radiology and radiologists.Resumen: El buen y efectivo ejercicio de la medicina requiere interacciones positivas y efectivas entre médicos y pacientes o parientes. El proceso de comunicación con ellos, que es una vía que corre en ambos sentidos, implica responsabilidades y deberes por ambas partes. Una relación médico paciente exitosa depende en una gran medida de las capacidades comunicacionales y de la sensibilidad del médico a las necesidades de los pacientes.Los radiólogos, con excepciones, no interactúan en forma directa con la mayoría de sus pacientes, pero en ocasiones se producen impor tantes contactos. A mayor abundamiento, es imperativo entregar destrezas comunicacionales efectivas a todo el personal que tiene contacto con los pacientes radiológicos, para su adecuada aplicación. Palabras claves: Comunicación, Médicos, Pacientes, Radiología y radiólogos. IntroducciónEn los últimos años se está produciendo en las escuelas de medicina una tendencia creciente a la incorporación en los programas de formación los aspectos humanísticos del ejercicio de la práctica médica. Así, a modo de ejemplo, el «American Board of Medical Specialties» adoptó seis competencias para todos los programas de formación médica; a saber, conocimientos médicos, atención al paciente, habilidades para la comunicación y habilidades interpersonales, profesionalismo, aprendizaje basado en la práctica y perfeccionamiento continuo, aprendizaje por sistemas (1) .En el ámbito nacional la Facultad de Medicina de la Universidad de Chile ha ido introduciendo desde hace un tiempo, algunas materias relacionadas con los aspectos humanísticos del ejercicio de la medicina en la enseñanza de pregrado, a lo que se suma la creación del Departamento de Bioética y Humanidades Médicas con el objetivo de desarrollar ar ticuladamente estas disciplinas de manera transversal y vertical en los programas docentes del plantel. Esta unidad académica deriva del núcleo formado por el doctor Armando Roa en 1992 para reflexionar sobre estos temas, el que a su vez recogió elementos del centro de Antropología Médica.Frente a esta tendencia, los grupos formadores de radiólogos y sus responsables, junto a los encargados de la formación continua, deben examinar con cuidado estos requerimientos p...

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Maintaining Trust in the Surgeon-Patient Relationship

Cited by 97 publications

References 27 publications

Survey Shows That At Least Some Physicians Are Not Always Open Or Honest With Patients

Survey Shows That At Least Some Physicians Are Not Always Open Or Honest With Patients

Improving Information Provision for Neurosurgical Patients: A Qualitative Study

Comunicacion en El Departamento De Radiologia: Radiologos Y Pacientes

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