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"Physician communication"

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https://www.readbyqxmd.com/read/29688028/transition-to-practice-for-graduate-assistant-athletic-trainers-providing-medical-care-in-the-secondary-school-setting
#1
Jessica L Kirby, Stacy E Walker, Stephanie M Mazerolle
CONTEXT:   Transition to clinical practice can be challenging for newly credentialed athletic trainers (ATs), who are expected to immediately step into their roles as autonomous clinicians. For those providing care in the secondary school setting, this transition may be complicated by the fact that many practice in isolation from other health care providers. OBJECTIVE:   To explore the transition to practice of newly credentialed graduate assistant ATs providing medical care in the secondary school setting...
April 24, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29686764/a-comparison-of-assessment-tools-is-direct-observation-an-improvement-over-objective-structured-clinical-examinations-for-communications-skills-evaluation
#2
Abraham M Goch, Raj Karia, David Taormina, Adina Kalet, Joseph Zuckerman, Kenneth A Egol, Donna Phillips
Background : Evaluation of resident physicians' communications skills is a challenging task and is increasingly accomplished with standardized examinations. There exists a need to identify the effective, efficient methods for assessment of communications skills. Objective : We compared objective structured clinical examination (OSCE) and direct observation as approaches for assessing resident communications skills. Methods : We conducted a retrospective cohort analysis of orthopaedic surgery resident physicians at a single tertiary care academic institution, using the Institute for Healthcare Communication "4 Es" model for effective communication...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29683788/communication-about-prognosis-with-adolescent-and-young-adult-patients-with-cancer-information-needs-prognostic-awareness-and-outcomes-of-disclosure
#3
Jennifer W Mack, Karen M Fasciano, Susan D Block
Purpose Communication about prognosis affects decisions patients and family members make about cancer care, and most patients say they want to know about their chances of cure. We sought to evaluate experiences with prognosis communication among adolescents and young adults (AYAs) with cancer. Patients and Methods We surveyed 203 AYAs with cancer age 15 to 29 years (response rate, 74%) treated at Dana-Farber Cancer Institute and their oncologists. Patients were approached within 6 weeks of diagnosis and asked to report on their prognosis communication preferences and experiences, their beliefs about likelihood of cure, and psychosocial outcomes of communication, such as trust (using an item from the Trust in Physician Scale), peace of mind (using select items from the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale), and anxiety and depression (using the Hospital Anxiety and Depression Scale)...
April 23, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29681202/quality-of-life-in-psoriatic-arthritis
#4
Tania Gudu, Laure Gossec
Psoriatic arthritis (PsA) is a multi-organ chronic inflammatory disease which impacts patients both physically and psychologically. The highest priority for patients goes to pain relief, but also to ability to function and participate in social life, fatigue, and psychological distress. Areas covered: In the present article, we will review current knowledge on impairments of health-related quality of life related to PsA, as well as patient priorities and patient-reported outcome measures such as the PsA Impact of Disease or the PsA Quality of Life questionnaires...
April 23, 2018: Expert Review of Clinical Immunology
https://www.readbyqxmd.com/read/29678049/asynchronous-dermatology-teleconsultations-using-a-personal-health-record
#5
Fernando Plazzotta, Janine Arlette Sommer, Santiago Nicolás Marquez Fosser, Daniel Roberto Luna
Health information and communication technologies such as telemedicine provide alternatives for patient and physician communication. An increasing number of patients, providers and institutions are using this technologies to seek or provide health care. Asynchronous consultations requires a service of storing and forwarding health related information by the patient to the specialist physician or other healthcare provider. Dermatology is one of the major medical specialties in which telemedicine as proven benefits...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29669027/clinic-satisfaction-tool-improves-communication-and-provides-real-time-feedback
#6
Rasheedat T Zakare-Fagbamila, Elizabeth Howell, Ashley Y Choi, Tracy Z Cheng, Mary Clement, Megan Neely, Oren N Gottfried
BACKGROUND: Patient-reported assessments of the clinic experience are increasingly important for improving the delivery of care. The Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) survey is the current standard for evaluating patients' clinic experience, but its format gives 2-mo delayed feedback on a small proportion of patients in clinic. Furthermore, it fails to give specific actionable results on individual encounters. OBJECTIVE: To develop and assess the impact of a single-page Clinic Satisfaction Tool (CST) to demonstrate real-time feedback, individualized responses, interpretable and actionable feedback, improved patient satisfaction and communication scores, increased physician buy-in, and overall feasibility...
April 14, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29664890/health-literacy-and-quality-of-physician-trauma-patient-communication-opportunity-for-improvement
#7
Jonathan L Dameworth, Jordan A Weinberg, Pamela W Goslar, Dana J Stout, Sharjeel Israr, Jordan V Jacobs, Thomas L Gillespie, Terrell M Thompson, Scott R Petersen
BACKGROUND: Although physician-patient communication and health literacy (HL) have been studied in diverse patient groups, there has been little focus on trauma patients. A quality improvement project was undertaken at our level 1 trauma center to improve patient perception of physician-patient communication, with consideration of the effect of HL. We report the first phase of this project, namely the reference level of satisfaction with physician-patient communication as measured by levels of interpersonal care among patients at an urban level 1 trauma center...
April 16, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29625955/patient-physician-communication-in-the-era-of-mobile-phones-and-social-media-apps-cross-sectional-observational-study-on-lebanese-physicians-perceptions-and-attitudes
#8
Fady Daniel, Suha Jabak, Roula Sasso, Yara Chamoun, Hani Tamim
BACKGROUND: The increased prevalence of virtual communication technology, particularly social media, has shifted the physician-patient relationship away from the well-established face-to-face interaction. The views and habits of physicians in Lebanon toward the use of online apps and social media as forms of patient communication have not been previously described. OBJECTIVE: The aim of this study is to describe the views of Lebanese physicians toward the use of social media and other online apps as means of patient communication...
April 6, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29608676/is-health-literacy-associated-with-greater-medical-care-trust
#9
Tzu-I Tsai, Wen-Ry Yu, Shoou-Yih D Lee
Objective: To examine the relationship between health literacy and trust in physicians and in the healthcare system. Design: A cross-sectional survey of a nationally representative sample of adults. Setting: Taiwan. Participants: Non-institutionalized adults (N = 2199). Main measures: Trust in physicians was a composite measure assessing respondents' general trust in physicians and their perceptions of their physician's communication, medical skills, beneficence, honesty, confidentiality, respect and fairness...
March 28, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29603914/a-new-wave-of-urologists-graduating-urology-residents-practices-of-and-attitudes-toward-social-media
#10
Kunal Jain, Gagan Fervaha, Michael B Fuoco, Michael J Leveridge
INTRODUCTION: Social media (SoMe) have revolutionized healthcare, but physicians remain hesitant to adopt SoMe in their practices. We sought to assess graduating urology residents' practices of and attitudes toward SoMe. METHODS: A close-ended questionnaire, employing five-point Likert scales, was distributed to all final-year residents (n=100) in Canadian urology training programs in 2012, 2014, and 2016 to assess SoMe usage and perceived usefulness. RESULTS: All (100%) questionnaires were completed...
March 19, 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29577624/attitudes-toward-early-palliative-care-in-cancer-patients-and-caregivers-a-korean-nationwide-survey
#11
Shin Hye Yoo, Miso Kim, Young Ho Yun, Bhumsuk Keam, Young Ae Kim, Yu Jung Kim, Hyun-Jeong Shim, Eun-Kee Song, Jung Hun Kang, Jung Hye Kwon, Jung Lim Lee, Soon Nam Lee, Si-Young Kim, Eun Joo Kang, Young Rok Do, Yoon Seok Choi, Kyung Hae Jung
Integrated early palliative care (EPC) improves quality of life and reduces psychological distress in adult patients with cancer and caregivers, but attitudes toward EPC have been poorly studied. We aimed to investigate attitudes toward EPC in a nationwide survey of patients with cancer and caregivers. From July to October 2016, we administered nationwide questionnaires examining attitudes toward EPC in patients with cancer (n = 1001) and their families (n = 1006) from 12 Korean hospitals. When an individual considered EPC unnecessary, the reasons were collected and analyzed...
March 25, 2018: Cancer Medicine
https://www.readbyqxmd.com/read/29575633/patients-express-satisfaction-understanding-of-whole-genome-sequencing-in-primary-care-and-cardiology-patients-were-generally-satisfied-with-their-physicians-communication-of-wgs-results-but-expectations-about-its-clinical-benefits-were-not-met
#12
https://www.readbyqxmd.com/read/29502156/disruption-or-innovation-a-qualitative-descriptive-study-on-the-use-of-electronic-patient-physician-communication-in-patients-with-advanced-cancer
#13
Teja Voruganti, Amna Husain, Eva Grunfeld, Fiona Webster
PURPOSE: In the advanced cancer context, care coordination is often inadequate, leading to suboptimal continuity of care. We evaluated an electronic web-based tool which assembles the patient, their caregivers, and their healthcare providers in a virtual space for team-based communication. We sought to understand participant perceptions on electronic communication in general and the added value of the new tool in particular. METHODS: We conducted a qualitative descriptive study with participants (patients, caregivers, cancer physicians) who participated in a 3-month pilot trial evaluating the tool...
March 4, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29458916/use-of-complementary-and-alternative-medicine-in-patients-with-multiple-sclerosis-in-germany
#14
Mario Gotta, Christoph A Mayer, Jutta Huebner
BACKGROUND: The use of complementary and alternative medicine (CAM) for chronic diseases such as multiple sclerosis (MS) is becoming an increasingly important issue for those affected. Especially in Germany there are only a few studies dealing with CAM, as yet. The aim of this study was to assess the prevalence, the methods used, the subjective benefits as well as physician/patient communication. METHODS: A structured questionnaire including demographic and disease-specific data, CAM use, perceived benefits as well as physician/patient communication was sent to real and web-based self-help groups for MS in Germany...
February 2018: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/29401130/the-impact-of-residents-on-patient-satisfaction
#15
Sean S Li, Nicole L Herrick, Rima R Deshpande, Brendan J Cronin, Chris M Reid, Michael G Brandel, Marek K Dobke, Courtney A Johnson, Amanda A Gosman
BACKGROUND: High-quality physician communication is the foundation for achieving high patient satisfaction. Increasing importance is placed on eliciting feedback from patients. However, there have been few studies looking at the impact of resident involvement on patient satisfaction. Our hospital system values the patient's likelihood to recommend the practice as the top marker for patient satisfaction. METHODS: Between May 2016 and December 2016 at University of California, San Diego, all outpatient appointments were randomly mailed Press-Ganey surveys or an eSurvey regarding their experience...
February 2, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29351736/studying-medical-communication-with-video-vignettes-a-randomized-study-on-how-variations-in-video-vignette-introduction-format-and-camera-focus-influence-analogue-patients-engagement
#16
Leonie N C Visser, Nadine Bol, Marij A Hillen, Mathilde G E Verdam, Hanneke C J M de Haes, Julia C M van Weert, Ellen M A Smets
BACKGROUND: Video vignettes are used to test the effects of physicians' communication on patient outcomes. Methodological choices in video-vignette development may have far-stretching consequences for participants' engagement with the video, and thus the ecological validity of this design. To supplement the scant evidence in this field, this study tested how variations in video-vignette introduction format and camera focus influence participants' engagement with a video vignette showing a bad news consultation...
January 19, 2018: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/29340148/reducing-unnecessary-culturing-a-systems-approach-to-evaluating-urine-culture-ordering-and-collection-practices-among-nurses-in-two-acute-care-settings
#17
Robert Redwood, Mary Jo Knobloch, Daniela C Pellegrini, Matthew J Ziegler, Michael Pulia, Nasia Safdar
Background: Inappropriate ordering and acquisition of urine cultures leads to unnecessary treatment of asymptomatic bacteriuria (ASB). Treatment of ASB contributes to antimicrobial resistance particularly among hospital-acquired organisms. Our objective was to investigate urine culture ordering and collection practices among nurses to identify key system-level and human factor barriers and facilitators that affect optimal ordering and collection practices. Methods: We conducted two focus groups, one with ED nurses and the other with ICU nurses...
2018: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/29329438/patient-perspectives-on-how-physicians-communicate-diagnostic-uncertainty-an-experimental-vignette-study
#18
Viraj Bhise, Ashley N D Meyer, Shailaja Menon, Geeta Singhal, Richard L Street, Traber D Giardina, Hardeep Singh
Objective: We evaluated the effects of three different strategies for communicating diagnostic uncertainty on patient perceptions of physician competence and visit satisfaction. Design/Setting: Experimental vignette-based study design involving pediatric cases presented to a convenience sample of parents living in a large US city. Participants/Intervention(s): Three vignettes were developed, each describing one of three different ways physicians communicated diagnostic uncertainty to parents-(i) explicit expression of uncertainty ('not sure' about diagnosis), (ii) implicit expression of uncertainty using broad differential diagnoses and (iii) implicit expression of uncertainty using 'most likely' diagnoses...
February 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29320335/physician-intervention-and-chinese-americans-colorectal-cancer-screening
#19
Judy Huei-Yu Wang, Grace X Ma, Wenchi Liang, Yin Tan, Kepher H Makambi, Roucheng Dong, Sally W Vernon, Shin-Ping Tu, Jeanne S Mandelblatt
OBJECTIVE: We conducted a cluster-randomized trial evaluating an intervention that trained Chinese-American primary care physicians to increase their Chinese patients' colorectal cancer (CRC) screening. METHODS: Twenty-five physicians (13 randomized to the intervention arm and 12 to the control arm) and 479 of their patients (aged 50-75 and nonadherent to CRC screening guidelines) were enrolled. The intervention, guided by Social Cognitive Theory, included a communication guide and 2 in-office training sessions to enhance physicians' efficacy in com- municating CRC screening with patients...
January 1, 2018: American Journal of Health Behavior
https://www.readbyqxmd.com/read/29300387/patient-understanding-of-satisfaction-with-and-perceived-utility-of-whole-genome-sequencing-findings-from-the-medseq-project
#20
J Scott Roberts, Jill O Robinson, Pamela M Diamond, Archana Bharadwaj, Kurt D Christensen, Kaitlyn B Lee, Robert C Green, Amy L McGuire
PurposeTo examine patients' experiences with clinical use of whole-genome sequencing (WGS).MethodsA randomized trial compared primary care and cardiology patients receiving WGS and family health history (FH) information or FH information alone. 202 patients were surveyed before (BL) and up to 6 months after disclosure of results (6M).ResultsPatients (mean age = 55 years; 50% female; 81% college graduates) reported low levels of decisional regret (mean: 7.1/100) and high satisfaction with physicians' disclosure of results (median: 29/30)...
January 4, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
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