Primary Care Physicians' Discussion of Emotional Distress and Patient Satisfaction

Gross, Revital; Brammli‐Greenberg, Shuli; Tabenkin, Hava; Benbassat, Jochanan

doi:10.2190/pm.37.3.i

Cited by 11 publications

(11 citation statements)

References 31 publications

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“…This confirms our hypothesis that if radiotherapists have positive attitudes towards discussing psychosocial problems patients' perspectives of the usefulness of the tool will be more positive. Moreover, it also indicates the importance of patient-physician communication for high-quality care, as it may influence patients' satisfaction with care [13,20,42]. …”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, an important issue is to change and improve the physicians' attitudes regarding psychosocial care. This is relevant since physicians' attitudes toward discussing emotional problems may influence detection of psychosocial problems [21] and are linked with patients' satisfaction [13]. Additional skills training among physicians may be needed to improve recognition and management of psychosocial problems in cancer patients [43].…”

Section: Discussionmentioning

confidence: 99%

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The usefulness and feasibility of a screening instrument to identify psychosocial problems in patients receiving curative radiotherapy: a process evaluation

et al. 2011

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BackgroundPsychosocial problems in cancer patients are often unrecognized and untreated due to the low awareness of the existence of these problems or pressures of time. The awareness of the need to identify psychosocial problems in cancer patients is growing and has affected the development of screening instruments. This study explored the usefulness and feasibility of using a screening instrument (SIPP: Screening Inventory of Psychosocial Problems) to identify psychosocial problems in cancer patients receiving curative radiotherapy treatment (RT).MethodsThe study was conducted in a radiation oncology department in the Netherlands. Several methods were used to document the usefulness and feasibility of the SIPP. Data were collected using self-report questionnaires completed by seven radiotherapists and 268 cancer patients.ResultsRegarding the screening procedure 33 patients were offered to consult a psychosocial care provider (e.g. social worker, psychologist) during the first consultation with their radiotherapist. Of these patients, 31 patients suffered from at least sub-clinical symptoms and two patients hardly suffered from any symptoms. Patients' acceptance rate 63.6% (21/33) was high. Patients were positive about the content of the SIPP (mean scores vary from 8.00 to 8.88, out of a range between 0 and 10) and about the importance of discussing items of the SIPP with their radiotherapist (mean score = 7.42). Radiotherapists' perspectives about the contribution of the SIPP to discuss the different psychosocial problems were mixed (mean scores varied from 3.17 to 4.67). Patients were more positive about discussing items of the SIPP if the radiotherapists had positive attitudes towards screening and discussing psychosocial problems.ConclusionsThe screening procedure appeared to be feasible in a radiotherapy department. In general, patients' perspectives were at least moderate. Radiotherapists considered the usefulness and feasibility of the SIPP generally to be lower, but their evaluations were mixed. A positive attitude to using screening instruments like the SIPP needs to be encouraged among radiotherapists, as this may not only improve the usefulness of a screening instrument, but also patients' satisfaction with care.Trial RegistrationClinicalTrials.gov: NCT00859768

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The usefulness and feasibility of a screening instrument to identify psychosocial problems in patients receiving curative radiotherapy: a process evaluation

et al. 2011

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“…Many definitions and elements of patient satisfaction exist in the patient satisfaction literature, including patients' expectations as customers, 33,34 patients' comfort with their physical surroundings, 35,36 and patients' perceptions of their providers' competence and caring. 37,38 The disparity of measures that the researchers of our 7 articles used reflect only some of the wide array of patient satisfaction measures available. 39 In addition, patients tend to rate their physicians favorably, 39 which can make identifying any change in satisfaction challenging, regardless of metric.…”

Section: Discussionmentioning

confidence: 99%

The Use of Electronic Health Records in the Exam Room and Patient Satisfaction: A Systematic Review

Irani¹,

Middleton²,

Marfatia³

et al. 2009

The Journal of the American Board of Family Medicine

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Background: Physicians may hesitate to implement electronic health record (EHR) systems because they fear a decrease in patient satisfaction. We conducted a systematic review to determine whether physician EHR use in the patient room affects patient satisfaction.Methods: We searched the literature using MEDLINE (Ovid), EMBASE, CINAHL, Cochrane Library, PsycINFO, Proceedings First, and ProQuest Digital Dissertations. Our inclusion criteria were a description of physician EHR use in the examination room, EHR use in an outpatient setting, setting in the United States, publication year no earlier than 2000, and measurement of patient satisfaction. We included both qualitative and quantitative research. We included 7 articles in the final analysis: 3 crosssectional, and 4 pre-design and post-design.Results: Several studies had methodological concerns. Six studies found that physician EHR use had either a positive or neutral effect on patient satisfaction. One study found a negative effect on the physicians' perception of patient satisfaction. The reported statistical results from these studies were not homogenous enough for meta-analysis. Conclusion

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“…The impact of affective predisposition and emotional sophistication on medical practice is an intriguing area of study that will likely yield improvements in clinical practice (1). More attention is needed to understanding the emotional needs of medical students (19) as well as the impact of skillful emotional response handling in various medical contexts (25).…”

Section: New Blueprint For Clinical Skillfulness Includes Emotional Dmentioning

confidence: 99%

Integrating Cognitive and Affective Dimensions of Pain Experience into Health Professions Education

Murinson¹,

Mezei²,

Nenortas³

2011

Pain Research and Management

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Pain is prevalent in clinical settings, and yet it is relatively under-represented in the education of most students in the health professions. Because pain includes both sensory-discriminative and affective features, teaching students about pain presents unique challenges and opportunities. The present article describes the evolution of a new blueprint for clinical excellence that, among other competencies, incorporates a need for the emotional development of clinical trainees. The framework has been applied to the development and implementation of two new courses in pain. The first course is designed to provide a comprehensive foundation of medical knowledge regarding pain, while integratively introducing students to the affective dimensions of pain. The second course is designed to enhance students' appreciation for the protean effects of pain through use of the humanities to represent medical experience. It is concluded that, to be most effective, fostering the emotional development of trainees in the health professions necessitates the incorporation of affect-focused learning objectives, educational tasks, and assessment methods.

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Primary Care Physicians' Discussion of Emotional Distress and Patient Satisfaction

Abstract: Encouraging physicians to detect and discuss emotional distress with their patients may increase patient satisfaction with care, and possibly also improve patients' well-being and reduce health care costs.

Cited by 11 publications

References 31 publications

The usefulness and feasibility of a screening instrument to identify psychosocial problems in patients receiving curative radiotherapy: a process evaluation

The usefulness and feasibility of a screening instrument to identify psychosocial problems in patients receiving curative radiotherapy: a process evaluation

The Use of Electronic Health Records in the Exam Room and Patient Satisfaction: A Systematic Review

Integrating Cognitive and Affective Dimensions of Pain Experience into Health Professions Education

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