The doctor will see you now: eye gaze, conversation and patient engagement in the surgical outpatient clinic. An Australian observational cross‐sectional study

Ting, Ying Yang; Reid, Jessica; Treloar, Ellie; Lee, Wei Shan Bobby; Tee, Jeeng Yeeng; Cong, Wen Jing Phoebe; Peng, Dangyi; Edwards, Suzanne; Ey, Jesse; Edwardes, Nicholas; Granchi, Nelson; Maddern, Guy

doi:10.1111/ans.17163

Cited by 3 publications

(3 citation statements)

References 34 publications

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“…Remaining characteristics of the study have been previously reported. 12 A total of 3472 questions were asked. In consultations without companions (134/182), 1968/2407 questions were asked by the consultants (81.8%) compared to 439/2407 questions asked by patients (18.2%).…”

Section: Resultsmentioning

confidence: 99%

“…The mean consultation time was 12 min and 17 s (±8 min 12 s). Remaining characteristics of the study have been previously reported 12 . A total of 3472 questions were asked.…”

Section: Resultsmentioning

confidence: 99%

“…This was a single‐centre observational cross‐sectional study, where audio‐visual recordings of surgical outpatient consultations to improve surgeons' non‐technical skill were recorded between October 2018 and February 2019 at The Queen Elizabeth Hospital (TQEH), South Australia 12 . Data were reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines and with approval by the Central Adelaide Local Health Network (CAHLN) Ethics Committee (HREC/17/TQEH/284).…”

Section: Methodsmentioning

confidence: 99%

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Do you have any questions? An analysis of question asking patterns in surgical outpatient consultations

Ting

Reid

Treloar

et al. 2022

ANZ Journal of Surgery

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Background: Patient centred communication ensures patients are well informed and educated, which is vital to providing the best care possible. By asking questions, patients can better understand their disease and make informed decisions regarding their health journey. We aimed to investigate factors that affect question asking behaviours in surgical outpatient consultations and to determine the typical question-asking by doctors, patients, and their companions. Methods: This is an observational cross-sectional study, where 182 video recordings of surgical consultations in the surgical outpatient setting at The Queen Elizabeth Hospital, Adelaide, South Australia were reviewed. Results: A total of 3472 questions were asked. Most questions were asked by the surgeon, followed by the patient, and if present, their companion. Pre-surgical consultations resulted in the most questions asked by the patients, compared to post-surgical or follow-up consultations. When companions were present, patients asked more questions in consultants regarding malignant conditions. Interruptions increased the number of questions asked by the patient and their companion. Questions were commonly asked to clarify information given by the surgeon and often regarded the cause of the illness and the timing of the next step in disease management. Conclusion: Patients are generally interested in their health and ask questions during consultations. Companions have a positive effect on patient question asking behaviour and their presence in surgical consultations should be encouraged. Surgeons should develop strategies to encourage question asking and could review their own behaviours via surgical coaching and video review.

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Section: Resultsmentioning

confidence: 99%

“…The mean consultation time was 12 min and 17 s (±8 min 12 s). Remaining characteristics of the study have been previously reported 12 . A total of 3472 questions were asked.…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Do you have any questions? An analysis of question asking patterns in surgical outpatient consultations

Ting

Reid

Treloar

et al. 2022

ANZ Journal of Surgery

Self Cite

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Improving communication and patient information recall via a question prompt list: randomized clinical trial

Ey,

Herath,

Reid

et al. 2023

British Journal of Surgery

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Background Patient–surgeon communication is an important component of the success of a consultation and is known to impact patient outcomes. The aim of this study was to investigate whether a document called a question prompt list, containing suggested questions that a patient may like to ask their doctor, improved communication. Methods A prospective RCT was conducted from October 2021 to October 2022 at The Queen Elizabeth Hospital, Adelaide, Australia. Patients 16 years or older, seeing a general surgeon for a pre-surgical consultation, not requiring a translator, were randomized to receive a question prompt list (intervention) or standard care without a question prompt list (control). The primary outcomes were number of questions asked, talk time, and mutual eye gaze. Secondary outcomes were patient recall of information, anxiety, and consultation duration. Randomization was achieved using a computer program, with allocation concealment by opaque sequentially numbered envelopes. Patients were blinded to study group; surgeons were aware of study group, but blinded to outcomes. Results Patients (59) were randomly allocated to receive the question prompt list (31) or to the control group (28). A patient from the intervention group withdrew before consultation, resulting in 58 patients being included in the analysis. In the question prompt list consultations, 24 per cent more questions were asked (incidence rate ratio = 1.25, 95 per cent c.i. 1.10 to 1.42; P = 0.001). The intervention group recalled 9 per cent more items than the control group (incidence rate ratio = 1.09, 95 per cent c.i. 1.02 to 1.17; P = 0.012). The control group were 26 per cent less likely to correctly recall information about surgical treatment (OR = 0.26, 95 per cent c.i. 0.10 to 0.68; P = 0.006). No statistically significant differences between study arms for talk time, mutual eye gaze, anxiety, or consultation duration were demonstrated. Conclusion The question prompt list was associated with increased question asking and greater patient recall of medical information. It did not increase patient anxiety or consultation duration. Registration number ACTRN12623000089639 (http://www.ANZCTR.org.au).

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How to Create an Exceptional Hand Surgery Patient Experience with WALANT

Brutus

Lalonde

2022

Plastic and Reconstructive Surgery - Global Open

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Summary: This article provides practical tips that surgeons can use to improve their patient experience with wide awake local anesthesia no tourniquet hand surgery. The difference between patient satisfaction and patient experience is explained. Delivering a superior patient experience leads to better outcomes for patients, less postoperative complications, and a better quality of life and practice for the surgeon. Practical tips are presented, broken down into the preoperative, operative, and postoperative phases. Surgeons who commit to improving their patient experience will enjoy superior outcomes, patient loyalty, more fulfillment, and a rejuvenated sense of purpose.

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The doctor will see you now: eye gaze, conversation and patient engagement in the surgical outpatient clinic. An Australian observational cross‐sectional study

Cited by 3 publications

References 34 publications

Do you have any questions? An analysis of question asking patterns in surgical outpatient consultations

Do you have any questions? An analysis of question asking patterns in surgical outpatient consultations

Improving communication and patient information recall via a question prompt list: randomized clinical trial

How to Create an Exceptional Hand Surgery Patient Experience with WALANT

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