‘She gave it her best shot right away’: Patient experiences of biomedical and patient-centered communication

Swenson, Sara; Zettler, Patti; Lo, Bernard

doi:10.1016/j.pec.2005.02.019

Cited by 55 publications

(60 citation statements)

References 26 publications

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“…However, in 24 of these studies, empathy was studied rather implicitly or as a relatively peripheral topic [66,[68][69][70][71][72][73][74][75][76]79,81,82,[84][85][86][87][88][89]91,[93][94][95][96]. In some of these publications empathy was emphasized as a main topic in the title, abstract, introduction, or in the conclusion, or among the keywords, while the presentation of the methods and results provided very sparse or no explicit information about empathy.…”

Section: What Methods Were Used?mentioning

confidence: 99%

Empirical research on empathy in medicine—A critical review

Pedersen

2009

Patient Education and Counseling

245

202

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Section: What Methods Were Used?mentioning

confidence: 99%

Empirical research on empathy in medicine—A critical review

Pedersen

2009

Patient Education and Counseling

245

202

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“…However, most patients still prefer patient-centered communication. 30 Patientcentered communication may be particularly preferred among adolescent patients because they want to take on a more adult role in their healthcare. 31 Engaging adolescent patients is likely to enhance their autonomy and feelings of patient empowerment, which in turn may improve treatment adherence and disease outcomes.…”

Section: Discussionmentioning

confidence: 99%

Patient–Clinician Mobile Communication: Analyzing Text Messaging Between Adolescents with Asthma and Nurse Case Managers

Yoo

Kim

Hong

et al. 2015

Telemedicine and e-Health

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Background: With the increasing penetration of digital mobile devices among adolescents, mobile texting messaging is emerging as a new channel for patient-clinician communication for this population. In particular, it can promote active communication between healthcare clinicians and adolescents with asthma. However, little is known about the content of the messages exchanged in medical encounters via mobile text messaging. Therefore, this study explored the content of text messaging between clinicians and adolescents with asthma. Materials and Methods: We collected a total of 2,953 text messages exchanged between 5 nurse case managers and 131 adolescents with asthma through a personal digital assistant. The text messages were coded using a scheme developed by adapting categories from the Roter Interaction Analysis System. Results: Nurse case managers sent more text messages (n = 2,639) than adolescents with asthma. Most messages sent by nurse case managers were targeted messages (n = 2,475) directed at all adolescents with asthma, whereas there were relatively few tailored messages (n = 164) that were created personally for an individual adolescent. In addition, both targeted and tailored messages emphasized task-focused behaviors over socioemotional behaviors. Likewise, text messages (n = 314) sent by adolescents also emphasized task-focused over socioemotional behaviors. Conclusions: Mobile texting messaging has the potential to play an important role in patient-clinician communication. It promotes not only active interaction, but also patient-centered communication with clinicians. In order to achieve this potential, healthcare clinicians may need to focus on socioemotional communication as well as task-oriented communication.

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“…Moreover, several studies show that patient preferences vary widely 33 34. Therefore, the high variability between patients calls for a patient-centred and individually tailored approach to doctor–patient communication in general practice.…”

Section: Discussionmentioning

confidence: 99%

Changes in the quality of doctor–patient communication between 1982 and 2001: an observational study on hypertension care as perceived by patients and general practitioners

et al. 2011

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BackgroundThe rise of evidence-based medicine may have implications for the doctor–patient interaction. In recent decades, a shift towards a more task-oriented approach in general practice indicates a development towards more standardised healthcare.ObjectiveTo examine whether this shift is accompanied by changes in perceived quality of doctor–patient communication.DesignGP observers and patient observers performed quality assessments of Dutch General Practice consultations on hypertension videotaped in 1982–1984 and 2000–2001. In the first cohort (1982–1984) 81 patients were recorded by 23 GPs and in the second cohort (2000–2001) 108 patients were recorded by 108 GPs. The GP observers and patient observers rated the consultations on a scale from 1 to 10 on three quality dimensions: medical technical quality, psychosocial quality and quality of interpersonal behaviour. Multilevel regression analyses were used to test whether a change occurred over time.ResultsThe findings showed a significant improvement over time on all three dimensions. There was no difference between the quality assessments of GP observers and patient observers. The three different dimensions were moderately to highly correlated and the assessments of GP observers showed less variability in the second cohort.ConclusionsHypertension consultations in general practice in the Netherlands received higher quality assessments by general practitioners and patients on medical technical quality, psychosocial quality and the quality of interpersonal behaviour in 2000–2001 as compared with the 1980s. The shift towards a more task-oriented approach in hypertension consultations does not seem to detract from individual attention for the patient. In addition, there is less variation between general practitioners in the quality assessments of more recent consultations. The next step in this line of research is to unravel the factors that determine patients' quality assessments of doctor–patient communication.

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‘She gave it her best shot right away’: Patient experiences of biomedical and patient-centered communication

Cited by 55 publications

References 26 publications

Empirical research on empathy in medicine—A critical review

Empirical research on empathy in medicine—A critical review

Patient–Clinician Mobile Communication: Analyzing Text Messaging Between Adolescents with Asthma and Nurse Case Managers

Changes in the quality of doctor–patient communication between 1982 and 2001: an observational study on hypertension care as perceived by patients and general practitioners

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