Clinical communication – a comparison of patients’ and doctors’ opinions

Krzysztof Sobczak, Katarzyna Leoniuk, Leszek Pawłowski, Natalia Spolak

Abstract


Introduction: The main aim of the research was to assess medical communication from the point of view of clinicians and their patients.

Materials and methods:100 doctors and 378 patients were included in the study. Original tools prepared by the interdisciplinary team were used during the research. The research tools consisted of closed questions concerning the quality assessment of medical communication, and they were the same for both groups. Discontinuous variables as well as the statistical heterogeneity of groups were analysed with Pearson’s χ² test, assessing the value p <0.05as significant.

Results: The mean score for satisfaction with doctor–patient communication given by patients in a 1–11 point scale was 6.69 (median 8,0 points). Objections were raised mostly by women with higher education, aged 30–40 years. Only one out of two patients declared that he/she was continuously updated with medical information by the attending physician. Although all the surveyed doctors considered that the clinical information given by them was clear and accurate, 38,8% of patients said that they were left with doubts after conversations with their doctors. As many as 77.4% of patients said that they were not sufficiently informed about possible complications and therapeutic risks, while 96.9% of doctors claimed that they provided this kind of information. Conclusions: Analyses show that patients were satisfied with the quality of medical communication. On the other hand, the study revealed a deficit in the relationship between patients and doctors, which was caused by the fact that patients were not informed about the diagnostic and therapeutic process.


Keywords


clinician–patient communication; doctor–patient relationship

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References


Impact of Communication in Healthcare. Institute for Healthcare Communication. http://healthcarecomm.org/about-us/impact-of-communication-in-healthcare/ (4.05.2016).

Marcinowicz L, Chlabicz S, Bielska DE, Czachowski S, Domalewska A, Ołtarzewska AM, et al. Jak skutecznie rozmawiać z pacjentem i jego rodziną? Praktyka lekarza rodzinnego. Warszawa: Wydawnictwo Lekarskie PZWL; 2014. p. 7-30.

Burge S, White D, Bajorek E, Bazaldua O, Trevino J, Albright T, et al. Correlates of medication knowledge and adherence: findings from the residency research network of South Texas. Fam Med 2005;37(10):712-8.

Golin C, DiMatteo MR, Duan N, Leake B, Gelberg L. Impoverished diabetic patients whose doctors facilitate their participation in medical decision making are more satisfied with their care. J Gen Intern Med 2002;17(11):857-66.

Zolnierek KB, Dimatteo MR. Physician communication and patient adherence to treatment: a meta-analysis. Med Care 2009;47(8):826-34.

Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract 2002;15(1):25-38.

Clark PA. Medical practices’ sensitivity to patients’ needs. Opportunities and practices for improvement. J Ambul Care Manage 2003;26(2):110-23.

Suchman AL, Roter D, Green M, Lipkin M. Physician satisfaction with primary care office visits. Collaborative Study Group of the American Academy on Physician and Patient. Med Care 1993;31(12):1083-92.

Ammentorp J, Sabroe S, Kofoed PE, Mainz J. The effect of training in communication skills on medical doctors’ and nurses’ self-efficacy. A randomized controlled trial. Patient Educ Couns 2007;66(3):270-7.

Makoul G, Arntson P, Schofield T. Health promotion in primary care: physician-patient communication and decision making about prescription medications. Soc Sci Med 1995;41(9):1241-54.

Clack GB, Allen J, Cooper D, Head JO. Personality differences between doctors and their patients: implications for the teaching of communication skills. Med Educ 2004;38(2):177-86.

Kazimierczak A. Wpływ komunikacji z personelem medycznym na doświadczanie choroby przez pacjentów. Homo Communicativus 2011;1(6):21-37.

Maciąg A, Sakowska I. Rola i prawa pacjenta w obszarze jakości usług zdrowotnych. Studia i Materiały – Wydział Zarządzania Uniwersytetu Warszawskiego 2006;1(1):50-62.

Czerw A, Religioni U, Matuszna A, Lesiak K, Olejnik A, Śniadała D. Zasady skutecznej komunikacji w placówkach medycznych. Hygeia Public Health 2012;47(3):247-53.

Deręgowska J. Profesjonalna komunikacja w opiece zdrowotnej jako element wsparcia pracowników zawodów medycznych i pacjentów – oczekiwania i potrzeby. Studia Eduk 2015;35:349-66.

Wroński K, Bocian R, Depta A, Cywiński J, Dziki A. Opinie pacjentów na temat modelu paternalistycznego w relacji lekarz–pacjent: prawne aspekty autonomii pacjenta w opiece zdrowotnej. Nowotwory 2009;59(4):266-73.

Wiklińska M, Kuźmińska A. Czynniki wpływające na satysfakcję pacjenta. Studia i Materiały Polskiego Stowarzyszenia Zarządzania Wiedzą 2011;55:265-77.

Edwards A, Elwyn G. Inside the black box of shared decision making: distinguishing between the process of involvement and who makes the decision. Health Expect 2006;9(4):307-20.

Wanzer MB, Booth-Butterfield M, Gruber K. Perceptions of health care providers’ communication: relationships between patient-centered communication and satisfaction. Health Commun 2004;16(3):363-83.

Britten N, Stevenson FA, Barry CA, Barber N, Bradley CP. Misunderstandings in prescribing decisions in general practice: qualitative study. BMJ 2000;320(7233):484-8.

Warmuz-Stangierska I, Horst-Sikorska W. Ogólne zasady komunikacji między pacjentem i lekarzem. Forum Med Rodz 2007;1(1):58-68.




DOI: https://doi.org/10.21164/pomjlifesci.186

Copyright (c) 2016 Krzysztof Sobczak, Katarzyna Leoniuk, Leszek Pawłowski, Natalia Spolak

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/