Determinants of physician–patient communication: The role of language, education and ethnicity

Aelbrecht, Karolien; Hanssens, Lise; Detollenaere, Jens; Willems, Sara; Deveugele, Myriam; Pype, Peter

doi:10.1016/j.pec.2018.11.006

Cited by 38 publications

(29 citation statements)

References 34 publications

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“…We did not focus on the role of individual differences (gender, ethnicity, education) on the consultation despite previous research recognising its importance 46–48. This is beyond the scope of the current paper, although we have amassed a hugely valuable dataset that can be used in future work to tackle this and other pertinent questions.…”

Section: Discussionmentioning

confidence: 99%

Influence of doctor-patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study

et al. 2019

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BackgroundMost cancers are diagnosed following contact with primary care. Patients diagnosed with cancer often see their doctor multiple times with potentially relevant symptoms before being referred to see a specialist, suggesting missed opportunities during doctor-patient conversations.ObjectiveTo understand doctor-patient communication around the significance of persistent or new presenting problems and its potential impact on timely cancer diagnosis.Research designQualitative thematic analysis based on video recordings of doctor-patient consultations in primary care and follow-up interviews with patients and doctors. 80 video observations, 20 patient interviews and 7 doctor interviews across 7 general practices in England.ResultsWe found that timeliness of diagnosis may be adversely affected if doctors and patients do not come to an agreement about the presenting problem’s significance. ‘Disagreements’ may involve misaligned cognitive factors such as differences in medical knowledge between doctor and patient or misaligned emotional factors such as patients’ unexpressed fear of diagnostic procedures. Interviews suggested that conversations where the difference in views is either not recognised or stays unresolved may lead to unhelpful patient behaviour after the consultation (eg, non-attendance at specialist appointments), creating potential for diagnostic delay and patient harm.ConclusionsOur findings highlight how doctor-patient consultations can impact timely diagnosis when patients present with persistent or new problems. Misalignments were common and could go unnoticed, leaving gaps for potential to cause patient harm. These findings have implications for timely diagnosis of cancer and other serious disease because they highlight the complexity and fluidity of the consultation and the subsequent impact on the diagnostic process.

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Section: Discussionmentioning

confidence: 99%

Influence of doctor-patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study

et al. 2019

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“…Aelbrecht et al . [ 26 ] supported that patient's education had association with interaction between patient and physician. Another previous cross-sectional study observed association of race, ethnicity, age, frequent visits, and gender with interpersonal communication.…”

Section: Discussionmentioning

confidence: 99%

“Patient centered care in medical disinformation era” among patients attending tertiary care hospital: A cross sectional study

Kant

Yadav

Kishore

et al. 2020

J Family Med Prim Care

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Background and Objectives: Patient-centered care refers to the provision of care for patients' comprehensive needs, perspectives, and preferences. In health security, communication between patient and physician is the main key through which we plan and implement to threats that can affect huge population. Aim: The aim of this study was to assess the patient-centered care in medical disinformation era among patients attending tertiary care teaching hospital, Rishikesh. Materials and Methods: A descriptive cross-sectional study was planned by enrolling 240 patients attending tertiary care teaching hospital. Total consecutive sampling technique was chosen to recruit the patients for the study. Tools: Tools used were case reporting form and components of primary care index (CPCI). Results: The results show statistically significant association between chronic history of illness of patient ( P = 0.02), education of patient ( P = 0.008), and habitat of patient ( P = 0.05) with interpersonal communication between patient and physician, and the results also show statistically significant association between accumulated knowledge ( P = 0.000), coordination of care ( P = 0.001), continuity belief ( P = 0.000), comprehensiveness of care ( P = 0.001), and first contact ( P = 0.001) with interpersonal communication between patient and physician. The lowest mean percentage of patient-centered care score was observed for accumulated knowledge (65.70%) and the highest mean percentage (85.15%) score of patient-centered care was observed for interpersonal communication. Conclusions: This study concluded that patient-centered care improves interpersonal communication between patient and physician. Threats arising due to present medical disinformation era can be combat by patient-centered care.

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“…in patient-physician communication patterns [45][46][47][48][49][50][51][52]. We classified age into three age groups (18-29; 30-49; 50-79 years).…”

Section: Plos Onementioning

confidence: 99%

Patient-physician communication about financial problems: A cross-sectional study among over-indebted individuals

et al. 2020

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Background About every tenth household across Europe is unable to meet payment obligations and living expenses on an ongoing basis and is thus considered over-indebted. Previous research suggests that over-indebtedness reflects a potential cause and consequence of psychosomatic health problems and limited access to care. However, it is unclear whether those affected discuss their financial problems with general practitioners. Therefore, this study examined patient-physician communication about financial problems in general practice among over-indebted individuals. Methods We conducted a cross-sectional survey among clients of 70 debt advice agencies in North Rhine-Westphalia, Germany, in 2017. We assessed the prevalence of patient-physician communication about financial problems and its association with patient characteristics using descriptive statistics and logistic regression analysis. Of 699 individuals who returned the questionnaire (response rate:50.2%), we included 598 respondents enrolled in statutory health insurance with complete outcome data in the analyses. Results Conversations about financial problems with general practitioners were reported by 22.6% (n = 135) of respondents. Individuals with a high educational level were less likely to report such conversations than those with medium educational level (aOR 0.11; 95%CI 0.01-0.83) after adjustment for other sociodemographic characteristics, health status and measures of financial distress. Those without a migrant background(aOR 2.09; 95%CI 1.32-3.32), the chronically ill(aOR 1.90; 95%CI 1.16-3.13) and individuals who reported high financial

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Determinants of physician–patient communication: The role of language, education and ethnicity

Cited by 38 publications

References 34 publications

Influence of doctor-patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study

Influence of doctor-patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study

“Patient centered care in medical disinformation era” among patients attending tertiary care hospital: A cross sectional study

Patient-physician communication about financial problems: A cross-sectional study among over-indebted individuals

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