‘Masking’ emotions: doctor–patient communication in the era of COVID-19

Samarasekara, Keshinie

doi:10.1136/postgradmedj-2020-138444

Cited by 12 publications

(12 citation statements)

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“…On the other hand, the main strength is the adoption of a prospective enrollment. Indeed, the majority of published studies chose a retrospective design, probably due to the difficulties in collecting data from COVID-19-hospitalized patients, such as protective equipment limitations to effective doctor-patient communication [40], or high level of working stress [41].…”

Section: Discussionmentioning

confidence: 99%

Delirium in hospitalized patients with COVID-19 pneumonia: a prospective, cross-sectional, cohort study

et al. 2022

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Delirium is an acute confusional state characterized by altered level of consciousness and attention. Coronavirus Disease 2019 , caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), can manifest itself with this neuropsychiatric disorder. The endpoints of our study were: the frequency of delirium in subjects with COVID-19 pneumonia; the risk factors that predispose to this condition; and the impact of delirium on mortality. Subjects were consecutively enrolled in a Geriatric Unit from January 5th to March 5th, 2021. Inclusion criteria were: diagnosis of SARS-CoV-2 infection, a radiologically documented pneumonia, and the ability of providing informed consent. Exclusion criteria were: absence of radiological evidence of pneumonia, sepsis, and the need of intensive care unit treatment. All subjects were evaluated by means of Richmond Agitation Sedation Scale (RASS) and Confusion Assessment Method-Intensive Care Unit (CAM-ICU) at least twice per day. In the study cohort (n = 71), twenty patients (28.2%) had delirium. Delirium was present on admission in 11.3%, and occurred during hospitalization in 19.0%. Compared to patients without delirium, patients who developed this neuropsychiatric disorder had a higher mortality rate (35% vs 5.9%) and an increased average hospital length of stay (21 days vs 17 days). In the multivariate analysis delirium was associated with frailty (OR = 2.81; CI = 1.4-5.8) and helmet ventilation (OR = 141.05; CI = 4.3-4663.9). Delirium was an independent predictor of mortality. Nearly a third of subjects (28.2%) had delirium during hospitalization for COVID-19. This finding supports the notion that delirium is a common complication of SARS-CoV2 infection. Since delirium is associated with longer hospital stay, and it is an independent marker of increased mortality, clinicians should assess and prevent it.

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Section: Discussionmentioning

confidence: 99%

Delirium in hospitalized patients with COVID-19 pneumonia: a prospective, cross-sectional, cohort study

et al. 2022

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“…The mask and head gear prevented these patients from reading the lips of their doctors. These greatly impaired the doctor-patient communication [ 15 ]. In this study also patients reported that the mask, PPE and physical distancing impaired effective communication with their doctors.…”

Section: Discussionmentioning

confidence: 99%

Doctor-patient communication and trust in doctors during COVID 19 times—A cross sectional study in Chennai, India

Gopichandran

Sakthivel

2021

PLoS ONE

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Background The COVID 19 pandemic created a global public health crisis. Physical distancing, masks, personal protective equipment worn by the doctors created difficulties in effective doctor-patient communication. Objectives This study was conducted to assess the difficulties faced by patients in communicating with their doctors due to the COVID 19 preventive measures, and its impact on the trust on their doctors. Methods A cross sectional study of 359 persons attending a tertiary care center in Chennai, sampled in a non-probabilistic manner selected from the outpatient department, wards, and isolation facilities, was conducted using a questionnaire containing items covering three dimensions namely difficulties faced in accessing the health facility, difficulties in doctor-patient communication and trust in the doctors. The data were collected using Google Forms and analyzed using GNU PSPP open-source statistical software version 1.4.0. Results More than 60% of the participants complained of difficulty in accessing the health facility. More than 60% had difficulties in communicating with the doctors. There was a high level of trust in doctors among more than 80% of the participants. Comparison of the mean scores revealed that accessibility was a problem across ages, sexes, education and occupation groups. Communication barriers decreased with age and increased with education, but trust increased with age, but reduced with increasing education. Multivariable linear regression analysis revealed that difficulties in communication had a negative impact on trust (β = -0.63, p<0.001) and increasing education had a negative impact on trust (β = -0.42, p = 0.034). Conclusions The COVID 19 pandemic and the preventive strategies such as lock-down, physical distancing, face mask and personal protective equipment created barriers to effective doctor patient communication and led to some compromise in trust in doctors during this time.

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“…The protective equipment used by the HCWs in the pandemic could have imposed a barrier on having effective communication or eye contact with them [112]. Some pediatricians reported a noticeable difficulty in communicating with families and following up with patients especially the newly discharged neonates and infants using the telephone [113].…”

Section: The Responsiveness and Communication Dimension In Covid-19mentioning

confidence: 99%

A Systematic Review: The Dimensions utilized in the Performance Evaluation of Healthcare- An Implication during the COVID-19 Pandemic

Amer

Hammoud

Khatatbeh

et al. 2021

Preprint

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This systematic review aims to identify the Key Performance Indicators (KPIs) which are the most frequently used and important in the Performance Evaluation (PE) of Health Care Organizations (HCOs). Also, it aimed to analyze the resulted Balanced Scorecard (BSC) dimensions during the Coronavirus Disease 2019 (COVID-19) era. This systematic review was prepared according to PRISMA guidelines. PubMed, Embase, Cochrane, and Google Scholar databases, as well as Google search engine, were inspected to find all implementations of BSC at HCOs until 20 September 2020. The Risk of Bias (RoB) was assessed for each included article. The eligible studies were 33, in which 36 BSC implementations were identified. The categorization and re-grouping of the 797 KPIs resulted in 13 major-dimensions: The financial, efficiency and effectiveness, availability and quality of supplies and services, managerial tasks, Health Care Workers (HCWs) scientific development error-free and safety, the time, HCW-centeredness, patient-centeredness, technology and information system, community care and reputation, HCO building, and the communication. Under them, 45 sub-dimension were identified. The high RoB in most implementations was due to the selection bias. None of the 36 BSC implementations was utilized during the COVID-19 pandemic. This review solves the dilemma of categorization differences among BSC implementations, which in turn will improve the data sharing and comparability among studies. A modification for the BSC design to include external and managerial perspectives is required. However, a lack of a comprehensive PE for HCOs during the pandemic was observed, so the resulted dimensions and KPIs are recommended for planning, monitoring, evaluation, and continuous improvement of HCOs. Many dimensions were negatively influenced by the pandemic. However, some dimensions still need further investigation. BSC dimensions have an essential role in tackling the COVID-19 pandemic and will help the health care managers to mitigate its consequences on HCOs.

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‘Masking’ emotions: doctor–patient communication in the era of COVID-19

Cited by 12 publications

References 1 publication

Delirium in hospitalized patients with COVID-19 pneumonia: a prospective, cross-sectional, cohort study

Delirium in hospitalized patients with COVID-19 pneumonia: a prospective, cross-sectional, cohort study

Doctor-patient communication and trust in doctors during COVID 19 times—A cross sectional study in Chennai, India

A Systematic Review: The Dimensions utilized in the Performance Evaluation of Healthcare- An Implication during the COVID-19 Pandemic

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