Setting the Stage: Surgery Patients' Expectations for Greetings during Routine Office Visits

Wallace, Lorraine S.; Cassada, David C.; Ergen, William F.; Goldman, Mitchell H.

doi:10.1016/j.jss.2009.03.065

Cited by 34 publications

(18 citation statements)

References 17 publications

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“…In another survey of 415 primary care patients, Makoul et al 6 reported that most patients wanted physicians to introduce themselves using their first and last names. 8 The current data best resonate with those reported by Wallace et al, 7 who queried 152 consecutive general surgery office patients and found that patients preferred physicians to invoke the professional title of "Doctor. "…”

Section: Discussionsupporting

confidence: 76%

Patient Preferences of Physician Introductions In Hand and Upper-Extremity Surgery

Walley

Lechtig

Parker

et al. 2019

Journal of Hand Surgery Global Online

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Purpose: Communication between patients and physicians is critical in reaching a diagnosis, improving compliance, and optimizing outcomes and patient satisfaction. The doctorepatient relationship begins when a physician introduces himself or herself to a patient; however, no optimal method has been reported on how best to perform an introduction in hand surgery. Methods: We enrolled 254 consecutive patients presenting for initial outpatient consultation with a board-certified hand and upper-extremity surgeon at a level 1 urban academic medical center. A brief questionnaire was administered assessing patients' preference toward how the hand surgeon should introduce himself or herself in the initial patient encounter. Preferences were quantified in the context of demographic characteristics such as age, sex, race, ethnicity, education level, and type of presenting injury (eg, urgent or nonurgent). Results: Among all respondents, patients meeting the hand surgeon for the first time in an outpatient clinic setting most preferred the construct "Hello, my name is Dr Appleseed," in which "Appleseed" is the physician's last name (n ¼ 156, 61%), followed by firstelast (n ¼ 54; 21%), no preference (n ¼ 28; 11%), and first only (n ¼ 16; 6%). These preferences persisted across groups irrespective of race, ethnicity, type of injury, education level, and sex, and when assessing shared demographic variables with the treating physician. Among generational cohorts stratified by age, only patients born before 1943 differed in the preferred greeting construct; they selected first and last name as the desired option (33%). Conclusions: Results revealed that patients preferred hand surgeons to introduce themselves as "Hello, my name is Dr Appleseed," in which "Appleseed" corresponds to the treating physician's last name. Age, sex, race, ethnicity, and education level did not influence the choice of preferred greeting. Physicians should consider introducing themselves in this fashion to optimize the initial stages of the doctorepatient relationship. Type of study/level of evidence: Economic/Decision Analysis IV.

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Section: Discussionsupporting

confidence: 76%

Patient Preferences of Physician Introductions In Hand and Upper-Extremity Surgery

Walley

Lechtig

Parker

et al. 2019

Journal of Hand Surgery Global Online

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“…[5][6][7] Indeed, health professionals have been specifically encouraged to offer handshakes to meet patients' expectations and to develop a rapport with them. 8,9 Ritualistic touching on meeting is important in diverse cultures across the world and a great variety of such greetings exist, for instance the traditional hongi greeting of the New Zealand Mãori involves pressing noses and foreheads together. Although the handshake still dominates in Western culture many popular alternatives known colloquially as dap greetings, such as the high five and the fist bump, are now commonplace, particularly among younger members of society.…”

mentioning

confidence: 99%

The fist bump: A more hygienic alternative to the handshake

Mela

Whitworth

2014

American Journal of Infection Control

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The handshake is a commonplace greeting in many cultures, but it has the potential to transmit infectious organisms directly between individuals. We developed an experimental model to assay transfer of bacteria during greeting exchange, and show that transfer is dramatically reduced when engaging in alternative so-called dap greetings known as the high five and fist bump compared with a traditional handshake. Adoption of the fist bump as a greeting could substantially reduce the transmission of infectious disease between individuals.

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“…This is an important education problem that effects the health system. Previous studies have cases with higher education levels [10][11][12]. Total interview time did not show significant difference between the education levels.…”

Section: Discussionmentioning

confidence: 54%

Problems in Communications with Patients in General Surgery Outpatient Practice

2015

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Objective: Communication between the patient and physician is central to medical care. However communication skills in Turkey haven't been gained so much concern. This situation effect the national quality of health care. Here, we tried to perform some basic communication skills and to find the problems with the possible solution suggestions. Materials and Methods:The study was conducted for a month in general surgery outpatient department located in the slum part of Ankara with low socio-economic population. Basic communication skills were performed. The age, sex, education levels of the patients were obtained. Total symptom expression and interview time were recorded. Previous medical histories were asked. Interruptions including telephone, door knocking were noted. The questions of the patients at the end of the interview classified as hospital setting, nutrition and treatment.Results: Total 410 interviews were analysed. Mean symptom expression and interview times were 22.9 sec and 7.05 min, respectively. Educated patients, males and young patients expressed symptoms longer than the others (p<0.05). There were 174 interruptions in which total interview time signifantly increased than the non interrupted ones (p<0.05). Final questions about hospital setting were signifantly higher in illiterate patients than the educated ones (p<0.05). Awareness of medical history is higher in educated and young patients. Conclusion:Basic communications skills can be performed whether in rural regions. Much more concern should be given to the education of communication skills. The obstacles in communication in medicine are low education levels, and unorganised health system. Keywords: Communication skills, surgery, education ÖzetAmaç: İletişim, tıbbi bakımda hasta doktor arasında temel teşkil eder. Fakat Türkiye'de iletişim becerilerine fazla ilgi gösterilmemiştir. Bu konu ülkede sağlık kalitesini de etkilemektedir. Bu çalışmada bazı temel iletişim becerilerini uyguladık ve karşılaştığımız problemleri olası çözüm önerileri ile birlikte sunmak istedik. Gereç ve Yöntem:Çalışma Ankara'nın varoş semtinde bulunan Genel Cerrahi polikinliniğinde 1 aylık süre içinde gerçekleşirildi. Hasta muayenesinde temel iletişim becerileri kullanıldı. Hastaların yaşı, cinsiyet ve eğitim düzeyleri belirlendi. Toplam semptomları anlatma ve muayene süreleri belirlendi. Geçmiş tıbbi hikayeleri alındı. Telefon çalması, kapı açılması gibi muayeneyi engelleyen faktörler belirlendi. Muayene sonunda hastaların soruları hastane işleyişi, tedavi ve beslenme ile ilgili olarak gruplandırıldı. Bulgular:Toplam 410 görüşme yapıldı. Ortalama semptom belirtme 22,9 saniye, ortalama muayene 7,05 dakika sürdü. Eğitimli, erkek ve genç olma semptom anlatım süresini uzatmıştır (p<0,05). Toplam 174 kez muayene kesilmiştir ki bunlar muayene süresini anlamlı artır-mıştır (p<0,05). Hastane işleyişi ile ilgili sorular en çok okuma yazma bilmeyen hastalar tarafından sorulmuştur (p<0,05). Tıbbi öykü farkın-dalığı, eğitimli ve genç hastalarda daha fazla bulundu. Sonuç:Te...

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Setting the Stage: Surgery Patients' Expectations for Greetings during Routine Office Visits

Cited by 34 publications

References 17 publications

Patient Preferences of Physician Introductions In Hand and Upper-Extremity Surgery

Patient Preferences of Physician Introductions In Hand and Upper-Extremity Surgery

The fist bump: A more hygienic alternative to the handshake

Problems in Communications with Patients in General Surgery Outpatient Practice

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