Physicians' Challenges When Discussing the Type 2 Diabetes (T2D) Diagnosis with Patients: Insights from a Cross-National Study (IntroDia™)

Belton, Anne; Polonsky, William H.; Down, Su; Capehorn, Matthew; Gamerman, Victoria; Nagel, Friederike; Lee, Sang Hoon; Clark, Douglas; Edelman, Steven V.

doi:10.1016/j.jcjd.2014.07.081

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“…In the same study, Polonsky et al . found the impact of the diagnosis conversation was linked with ongoing clinical outcomes.…”

Section: The Challenge Of Diagnosis: the Physician Experiencementioning

confidence: 87%

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Dealing with diagnosis of diabetes

Nash

2015

Practical Diabetes

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The diagnosis of diabetes is both a life‐changing day for the person who receives it, and a challenging interaction for the time‐pressured health professional who delivers it. This article reviews the evidence of factors that facilitate a more helpful diagnosis conversation, describes the importance of this initial conversation on long‐term clinical outcomes, and offers suggestions drawn from psychological models on how to more effectively manage the diagnosis conversation. ‘Empathic willingness’ has been found to both assist the professional to feel less frustrated, and improve the patient's experience and clinical outcomes in the long‐term. ‘Empathic willingness’ can be taught and fostered by clinical psychologists (or their equivalents) yet are absent in the majority of settings in which people with diabetes are cared for. While many health conditions allow us to treat the ‘body’, diabetes and other conditions that require self‐management demand that we treat the ‘person’ – including their emotions. The link between the lack of structured time in the care of our patients to attend to their psychology/emotions and the poor clinical outcomes/high ‘did not attend’ rates that we see in our NHS diabetes services is discussed. Copyright © 2015 John Wiley & Sons, Ltd.

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“…In the same study, Polonsky et al . found the impact of the diagnosis conversation was linked with ongoing clinical outcomes.…”

Section: The Challenge Of Diagnosis: the Physician Experiencementioning

confidence: 87%

“…Polonsky et al . conducted an international study of the diagnosis of type 2 diabetes across 26 countries and reported that 60% of physicians described at least one significant challenge or frustration with most or all diagnosis conversations.…”

Section: The Challenge Of Diagnosis: the Physician Experiencementioning

confidence: 99%

Dealing with diagnosis of diabetes

Nash

2015

Practical Diabetes

View full text Add to dashboard Cite

show abstract

Physicians' Challenges When Discussing the Type 2 Diabetes (T2D) Diagnosis with Patients: Insights from a Cross-National Study (IntroDia™)

Cited by 1 publication

References 0 publications

Dealing with diagnosis of diabetes

Dealing with diagnosis of diabetes

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