Physician-patient communication: a qualitative study of perceptions, barriers, and needs in four European member states

Dalma, Archontoula; Karnaki, Pania; Zota, Dina; Veloudaki, Afroditi; Ellis-Montalban, Paloma; Dotsikas, Kate; Christophi, Costas A.; Ioannidou, Eleni; Patouris, Eliza; Themistokleous, Sotiris; Batury, Victoria-Luise; Linke, Miriam; Berth, Hendrik; Sakowski, Piotr; Darias-Curvo, Sara; Linos, Athena

doi:10.1080/17538068.2020.1790080

Cited by 9 publications

(12 citation statements)

References 30 publications

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“…Structural challenges such as increased patient volume [30,31], low structural resources [22,[30][31][32] or prevailing organizational policies [33], and high workload [22] have a negative impact on the process. In addition personal factors, such as a lack of physician training in patient communication [30,31] are barriers to patient empowerment. The high time pressure or the lack of time resources are an obstacle [22,[30][31][32][33].…”

Section: Barriers To Patient Empowermentmentioning

confidence: 99%

Differences of patient empowerment between elective and contracted physicians in internal medicine in Austria: a quantitative content analysis

Simetsberger,

Pferzinger,

Waiguny

2024

Preprint

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Background Physicians impact and promote patient empowerment at various levels. Specialized ambulatory care is provided by either elective physicians or contracted physicians in Austria, which is unique internationally. The difference between the two groups is due to the contractual relationship with the social health insurance providers. This paper researches whether there are also differences in the promotion of patient empowerment between elective and contracted physicians in internal medicine in Vienna based on four dimensions of patient empowerment. Methods A quantitative content analysis analyzes the comments on DocFinder.at to identify the differences between the two groups. A deductive inductive approach based on the literature as the comments on DocFinder.at, led to a codebook with seven categories and forty-eight variables. In total of 1,153 comments collated, 912 have been relevant for further analysis. Differences between elective and contracted physicians became evident through defined dimensions of patient empowerment. Results Three out of four dimensions show clear differences between elective and contracted physicians. In health literacy, self-management and communication elective physicians exhibit more conducive conditions for patient empowerment compared to contracted physicians. In particular we observe differences in the communication-relevant factors and in the transfer of information. The time spent by physicians is a decisive factor in this context and is one of the key factors in choosing an elective over a contracted physician. Conclusions The findings serve suggest avenues for further research. Our results suggest that elective physicians tend to create more conducive framework conditions for patient empowerment compared to contracted physicians, however our findings are also limited by the method used so future research might address it with different approaches like surveys or experiments.

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Section: Barriers To Patient Empowermentmentioning

confidence: 99%

Differences of patient empowerment between elective and contracted physicians in internal medicine in Austria: a quantitative content analysis

Simetsberger,

Pferzinger,

Waiguny

2024

Preprint

View full text Add to dashboard Cite

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“…Prolonged stress, anxiety, and lack of sleep may have a significant adverse impact on the immune system (Grover et al, 2020;Shneider et al, 2020;Wang et al, 2020). Good doctor-patient communication is an important part of patient-centered treatment, which leads to positive health results (Grover et al, 2020;Dalma et al, 2020). However, poor doctor-patient communication can cause patients to overestimate their prognosis and misinterpret treatment options (Breitbart & Alici, 2014, p.143).…”

Section: Physicians and Imprecise Covid-19 Patients And Their Connect...mentioning

confidence: 99%

Stigmatization and Dishonesty: How Doctors Communicate and Cope with Mental Issues among COVID-19 Patients in Indonesia

Hollingsworth

Assegaff²,

Dhani³

et al. 2022

ESJ

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Background: The coronavirus (COVID-19) outbreak has caused public fear alongside social stigma and discrimination. As a result, people hide the illness to avoid discrimination. This study focuses on investigating doctor-patient communication, their challenges when diagnosing suspected COVID-19 patients, and how the physicians communicated with patients’ mental issues. Methods: A mixed-methods approach examined this phenomenon and an online survey was conducted among 221 Indonesian doctors. The following were quantitatively examined: theme of Covid stigma and patient openness, patient/physician interaction and communication, and information and stigmatization of Covid. Qualitatively, two Focus Group Discussions (FGD) were conducted with five physicians and four COVID-19 survivors or their family members. Thereafter, interviews were set up with the selected four persons. Results: 74.2% of respondents encountered patients with lack of honesty or openness, while 55% of physicians claimed that 1-2 patients out of every 10 patients covered up about their illness. 27% of physicians indicated that 3-5 of 10 patients did not tell the truth. Majority of respondents opined that the media/social media played a large role in the promotion of stigma for those who had COVID-19. Conclusion: Study results affirmed belief in a link between the stigma of COVID-19 and patients’ dishonesty. Results indicated that many individuals are reluctant to disclose their true positions for fear of stigmatization by the people around them. This is linked to the stigma of COVID-19 and patient reluctance to be honest about their health/illness per impact of COVID-19. This research concluded that doctors need to find creative ways to communicate with their patients so as to increase patient honesty about illness.

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“…Various factors can make it difficult to obtain information on cognitions and perceptions from workers. Factors such as a lack of trust in the OHP or a lack of empathy by the OHP may hinder disclosure by workers, which may limit the information that OHPs obtain concerning important cognitions and perceptions (Dalma et al 2020;Kelak et al 2018;De Wit et al 2019a). If OHPs obtain information about the cognitions and perceptions of workers successfully, another challenge for them is to know what to do when these factors limit work participation.…”

Section: Introductionmentioning

confidence: 99%

Effects of a training program for occupational health professionals on the cognitions and perceptions of workers: a randomized controlled trial

Wit

Horreh

Hulshof

et al. 2022

Int Arch Occup Environ Health

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Purpose To evaluate the effects of a training program for occupational health professionals (OHPs) on their ability to identify the cognitions and perceptions of workers with a chronic disease that may hinder work participation, and on their ability to recommend evidence-based interventions aimed at the identified cognitions and perceptions. Methods A randomized controlled trial was conducted in which OHPs were randomly assigned to a training program on the cognitions and perceptions of workers with a chronic disease (n = 29) or to a control group that did not receive training (n = 30). Participants received home assignments in which they had to identify the cognitions and perceptions of workers in video vignettes and had to indicate which interventions they would recommend to foster work participation. A generalized linear model repeated measures ANOVA was conducted to study the effects of the training program. Results The results of the analyses showed an increase in the ability to identify the cognitions and perceptions of workers of OHPs who received the training compared to the control group (p < 0.001). The results also showed an increased ability to recommend evidence-based interventions aimed at these cognitions and perceptions (p < 0.001) as a result of participation in the training. Conclusion The training program helps OHPs to identify cognitions and perceptions and to recommend evidence-based interventions. This can support them in their activities to increase the work participation of workers with a chronic disease.

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Physician-patient communication: a qualitative study of perceptions, barriers, and needs in four European member states

Cited by 9 publications

References 30 publications

Differences of patient empowerment between elective and contracted physicians in internal medicine in Austria: a quantitative content analysis

Differences of patient empowerment between elective and contracted physicians in internal medicine in Austria: a quantitative content analysis

Stigmatization and Dishonesty: How Doctors Communicate and Cope with Mental Issues among COVID-19 Patients in Indonesia

Effects of a training program for occupational health professionals on the cognitions and perceptions of workers: a randomized controlled trial

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