Consultation audio-tapes: an information aid, and a quality assurance and research tool

Tattersall, Martin H. N.

doi:10.1007/s005200100282

Cited by 17 publications

(9 citation statements)

References 20 publications

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“…Exploring GP-patient consultations provides an essential portal to developing the quality of service delivery, patient satisfaction [see for example 29,49,121,122], and identifying outcomes of care [14,123]. A considerable effort has so far been invested in explaining various aspects of doctor-patient interactions [124].…”

Section: Discussionmentioning

confidence: 99%

Audio-visual recording of patient–GP consultations for research purposes: A literature review on recruiting rates and strategies

Themessl‐Huber

Humphris

Dowell

et al. 2008

Patient Education and Counseling

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Section: Discussionmentioning

confidence: 99%

Audio-visual recording of patient–GP consultations for research purposes: A literature review on recruiting rates and strategies

Themessl‐Huber

Humphris

Dowell

et al. 2008

Patient Education and Counseling

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“…In fact, the tapes often reveal that much more information was shared than either party realized, suggesting that the tapes may even be protective. 136 …”

Section: Audiotapes As Communication Aidsmentioning

confidence: 99%

Communicating With Children and Families: From Everyday Interactions to Skill in Conveying Distressing Information

Levetown¹

2008

Pediatrics

409

296

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Health care communication is a skill that is critical to safe and effective medical practice; it can and must be taught. Communication skill influences patient disclosure, treatment adherence and outcome, adaptation to illness, and bereavement. This article provides a review of the evidence regarding clinical communication in the pediatric setting, covering the spectrum from outpatient primary care consultation to death notification, and provides practical suggestions to improve communication with patients and families, enabling more effective, efficient, and empathic pediatric health care. INTRODUCTION/OVERVIEWHealth care communication is a critical, but generally neglected, component of pediatric and pediatric subspecialty practice and training and is a skill that can and must be taught. [1][2][3][4][5][6][7][8][9][10][11][12][13] The practicing clinician's ability to communicate openly and with compassion is essential for effective and efficient routine health care; this ability becomes a vital lifeline for parents and children confronted with lifealtering and sometimes life-ending conditions. [13][14][15][16] The purpose of this report is to provide research-based and practical guidance to enable effective communication with pediatric patients and their families in a number of common settings and situations. Although child abuse, sexuality, divorce, and many other situations are not individually addressed, the principles and approaches discussed apply equally to these situations.Communication is the most common "procedure" in medicine. Health care communication is different from normal social discourse, because intimate and very private issues are often discussed. These include hopes and fears, developmental concerns, sexuality, and mental health disorders. Painful issues, such as abuse, school failure, drug use, and terminal illness, are also discussed. Communication is the foundation of the therapeutic relationship; it is the basis of fiduciary and ethical obligations of physicians to patients and their families. Effective health care communication is an essential tool for accurate diagnosis [17][18][19] and for the development of a successful treatment plan, 20-23 correlating with improved patient knowledge, 15,24 functional status, 25,26 adherence to the agreed-on treatment regimen, 20,21,27-32 improved psychological and behavioral outcomes, 15,33-36 and even reduced surgical morbidity. 3,4,37 In the case of distressing news, skillful communication can enable a family to adapt better to a challenging situation, 12,38,39 including a child's unanticipated impairments. [40][41][42][43] Poor communication, on the other hand, can prompt lifelong anger 31,42,44-48 and regret, 14,40 can result in compromised outcomes for the patient and family, and can have medicolegal consequences for the practitioner. 49

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“…Despite evidence that these tools are effective for enhancing decision quality for preference sensitive conditions and are associated with appropriate, patient-centered care [3, 5, 12, 13], their adoption in the field of orthopaedic surgery has been limited [1, 14, 15], with a few notable exceptions. A group of investigators from the Group Health Cooperative reported high satisfaction among all stakeholders and reduced utilization of surgery and overall costs after implementation of decision aids for patients with hip and knee arthritis [16, 17].…”

Section: Introductionmentioning

confidence: 99%

Patient, surgeon, and healthcare purchaser views on the use of decision and communication aids in orthopaedic surgery: a mixed methods study

Bozic

Chenok

Schindel³

et al. 2014

BMC Health Serv Res

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BackgroundDespite evidence that decision and communication aids are effective for enhancing the quality of preference-sensitive decisions, their adoption in the field of orthopaedic surgery has been limited. The purpose of this mixed-methods study was to evaluate the perceived value of decision and communication aids among different healthcare stakeholders.MethodsPatients with hip or knee arthritis, orthopaedic surgeons who perform hip and knee replacement procedures, and a group of large, self-insured employers (healthcare purchasers) were surveyed regarding their views on the value of decision and communication aids in orthopaedics. Patients with hip or knee arthritis who participated in a randomized controlled trial involving decision and communication aids were asked to complete an online survey about what was most and least beneficial about each of the tools they used, the ideal mode of administration of these tools and services, and their interest in receiving comparable materials and services in the future. A subset of these patients were invited to participate in a telephone interview, where there were asked to rank and attribute a monetary value to the interventions. These interviews were analyzed using a qualitative and mixed methods analysis software. Members of the American Hip and Knee Surgeons (AAHKS) were surveyed on their perceptions and usage of decision and communication aids in orthopaedic practice. Healthcare purchasers were interviewed about their perspectives on patient-oriented decision support.ResultsAll stakeholders saw value in decision and communication aids, with the major barrier to implementation being cost. Both patients and surgeons would be willing to bear at least part of the cost of implementing these tools, while employers felt health plans should be responsible for shouldering the costs.ConclusionsDecision and communication aids can be effective tools for incorporating patients preferences and values into preference-sensitive decisions in orthopaedics. Future efforts should be aimed at assessing strategies for efficient implementation of these tools into widespread orthopaedic practice.Electronic supplementary materialThe online version of this article (doi:10.1186/1472-6963-14-366) contains supplementary material, which is available to authorized users.

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Consultation audio-tapes: an information aid, and a quality assurance and research tool

Cited by 17 publications

References 20 publications

Audio-visual recording of patient–GP consultations for research purposes: A literature review on recruiting rates and strategies

Audio-visual recording of patient–GP consultations for research purposes: A literature review on recruiting rates and strategies

Communicating With Children and Families: From Everyday Interactions to Skill in Conveying Distressing Information

Patient, surgeon, and healthcare purchaser views on the use of decision and communication aids in orthopaedic surgery: a mixed methods study

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