The effects of communication skills training on patients’ participation during medical interviews

Cegala, Donald J.; McClure, Leola; Marinelli, Terese M.; Post, Douglas M.

doi:10.1016/s0738-3991(00)00093-8

Cited by 174 publications

(138 citation statements)

References 43 publications

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“…8 The few studies that focused on patient participation or the patientsÕ side of SDM primarily deal with the notion of communicative competencies that can facilitate patient participation like asking questions, providing information and verifying it. [9][10][11] It has been argued that patients need to be more assertive in order to motivate their physicians for a more patient-centred style. 12 While there is good reason to consider these behaviours as generally helpful for SDM, in daily practice many physicians might have a different view and prefer a more paternalistic doi: 10.1111/j.1369-7625.2011.00682.x style particularly under time constraints or when in doubt about their patientsÕ decisional capacity.…”

Section: Introductionmentioning

confidence: 99%

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How should patients behave to facilitate shared decision making – the doctors’ view

Hamann

Mendel

Bühner

et al. 2011

Health Expectations

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Objective To study how physicians feel about patientsÕ efforts to be engaged in shared decision making (SDM).Study setting and design Survey of physicians from distinctly different medical disciplines (238 psychiatrists and 169 vascular surgeons). Participants were requested to judge which patient behaviours they find helpful and which behaviours detrimental for SDM.Results Psychiatrists and surgeons had rather positive attitudes about active patient behaviours. However, there were quite a few patient behaviours (e.g. searching the Internet, being assertive towards the doctor) which provoked ambivalent or negative attitudes.Discussion and conclusions Physicians are generally quite open towards active patient behaviour in the consultation. They, however, do consider it as less helpful and become more annoyed if patients insist on their preferences and doubt their doctorsÕ recommendations. Physicians must realize that SDM implies giving up decisional power and try to be more flexible in their interactions with patients.

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Section: Introductionmentioning

confidence: 99%

“…5,8 ) and on related fields (e.g. 9,10 surgeons with regard to wording and clinical relevance and was subsequently refined.…”

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confidence: 99%

How should patients behave to facilitate shared decision making – the doctors’ view

Hamann

Mendel

Bühner

et al. 2011

Health Expectations

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“…Vamos a dividir la EC en cuatro etapas, en las que logramos los fines de toda entrevista 1, 2,4,16,18,19 : -Antes de empezar la entrevista. -Parte exploratoria, en la que intentamos averiguar el motivo o motivos de consulta.…”

Section: Entrevista Semiestructuradaunclassified

“…"Consulte de nuevo si no cede la fiebre en tres días"... sentirse poco preparado en comunicación se relaciona con una mayor prevalencia de síndrome de burnout 6,7,13,15,20 . -Las relaciones profesionales con los pacientes y las familias basadas en una participación activa en la toma de decisiones generan una mayor satisfacción y mejores resultados clínicos 4,5,20 . -Una relación clínica de calidad aumenta la eficacia en la detección y resolución de problemas clínicos, la satisfacción con la atención recibida, y la adherencia al tratamiento 4,8,14,19 .…”

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Entrevista clínica en Pediatría: teoría y práctica

Basanta

Dago²,

Manzarbeitia

2010

Rev Pediatr Aten Primaria

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Interventions for improving older patients' involvement in primary care episodes

Wetzels

Harmsen

Weel

et al. 2007

Cochrane Database of Systematic Reviews

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Overall this review shows some positive effects of specific methods to improve the involvement of older people in primary care episodes. Because the evidence is limited, however, we can not recommend the use of the reviewed interventions in daily practice. There should be a balance between respecting patients' autonomy and stimulating their active participation in health care. Face-to-face coaching sessions, whether or not complemented with written materials, may be the way forward. As this is impractical for the whole population, it could be worthwhile to identify a subgroup of older patients who might benefit the most from enhanced involvement, ie. those who want to be involved, but lack the necessary skills. This group could be coached either individually or, more practically, in group sessions.

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The effects of communication skills training on patients’ participation during medical interviews

Cited by 174 publications

References 43 publications

How should patients behave to facilitate shared decision making – the doctors’ view

How should patients behave to facilitate shared decision making – the doctors’ view

Entrevista clínica en Pediatría: teoría y práctica

Interventions for improving older patients' involvement in primary care episodes

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