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"Physician communication"

Erica Heiman, S Sam Lim, Gaobin Bao, Cristina Drenkard
OBJECTIVE: African American (AA) people with systemic lupus erythematosus (SLE) are at high morbidity and mortality risk, and they often require multiple medications. Low medication adherence is a highly prevalent, multidimensional problem associated with poor outcomes in people with SLE. Depression, a predictor of low adherence in people with chronic conditions, has been described in over 35% of AAs with SLE. We hypothesized that depressive symptoms would be increasingly associated with low adherence in this population...
June 15, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
Li-Ting Chen, Fei-Hsiu Hsiao
OBJECTIVE: The aims of this systematic review were to examine the effects of the overall and the different types of the interventions on the do-not-resuscitate (DNR) designation and the time between DNR and death among cancer patients. METHOD: Data were searched from the databases of PubMed, CINAHL, EMbase, Medline, and Cochrane Library through 2 November 2017. Studies were eligible for inclusion if they were (1) randomized control trails, quasi-experimental study, and retrospective observational studies and (2) used outcome indicators of DNR designation rates...
June 18, 2018: Palliative & Supportive Care
Marianne Schmid Mast, Keou Kambiwa Kadji
OBJECTIVE: This paper is based on a 2017 Baltimore International Conference on Communication in Healthcare (ICCH) plenary presentation by the first author and addresses how female and male physicians' communication is perceived and evaluated differently. Female physicians use patient-centered communication which is the interaction style clearly preferred by patients. Logically, patients should be much more satisfied with female than male physicians. However, research shows that this is not the case...
June 7, 2018: Patient Education and Counseling
Victoria A Miller, Elizabeth Friedrich, J Felipe García-España, Jessica H Mirman, Carol A Ford
PURPOSE: To increase understanding of parental perspectives on time alone and of factors that influence adolescent communication with physicians in a pediatric clinic. METHODS: The sample consisted of 91 parents of adolescents aged 14-17 years who attended a well child visit at one primary care pediatric practice and completed a 2-week follow-up phone call as part of a larger study on adolescent health and communication. Parents reported whether their child met alone with the pediatrician, rated the importance of him or her having time alone with the physician, and responded to open-ended questions regarding barriers and facilitators of adolescent-physician communication...
June 7, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Mauricio La Rosa, Nicholas Spencer, Mahmoud Abdelwahab, Gabriela Zambrano, Fawzi Saoud, Katherine Jelliffe, Gayle Olson, Mary Munn, George R Saade, Maged Costantine
OBJECTIVE:  Wearing a white coat (WC) has been associated with risk of colonization and transmission of resistant pathogens. Also, studies have shown that physicians' attire in general affects patients' confidence in their physician and the patient-physician relationship. Our objective is to evaluate the hypothesis that not wearing a WC during physician postpartum rounds does not affect patient-physician communication scores. MATERIALS AND METHODS:  This is an unblinded, randomized, parallel arms, controlled trial of postpartum women at a single university hospital...
June 8, 2018: American Journal of Perinatology
Diana Barger, Olivier Leleux, Valérie Conte, Vincent Sapparrart, Marie Gapillout, Isabelle Crespel, Marie Erramouspe, Sandrine Delveaux, Francois Dabis, Fabrice Bonnet
BACKGROUND: Effective antiretroviral therapy has greatly reduced HIV-related morbidity and mortality, dramatically changing the demographics of the population of people living with HIV. The majority of people living with HIV in France are well cared for insofar as their HIV infection is concerned but remain at risk for age-associated comorbidities. Their long-term, potentially complex, and growing care needs make the routine, longitudinal assessment of health-related quality of life and other patient-reported outcomes of relevance in the current treatment era...
June 7, 2018: JMIR Research Protocols
Pilar Ortega
Patient-physician language discordance within the growing Spanish-speaking patient population in the United States presents a significant challenge for health systems. The Civil Rights Act, an Executive Order, and federal standards establish legal requirements regarding patients' legal right to access medical care in their language of origin and to culturally and linguistically appropriate services, and national competency standards for undergraduate and graduate medical education and licensing examinations support the importance of patient-physician communication...
June 5, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Mohammed Senitan, Ali Hassan Alhaiti, James Gillespie
Purpose: This systematic review aims to explore patient satisfaction (PS) among patients who used Ministry of Health (MoH) primary care centres in Saudi Arabia, with a focus on their communication with physicians. Data sources: Medline, CINAHL, Embase, Global Health, the Saudi Medical Journal, Annals of Saudi Medicine, the Journal of Family and Community Medicine and Google Scholar. Study selection/Data extraction: The review focused on studies concerning PS in Saudi MoH primary care centres published between 2005 and 2017...
May 10, 2018: International Journal for Quality in Health Care
Dang Huy Quoc Thinh, Wimonrat Sriraj, Marzida Mansor, Kian Hian Tan, Cosphiadi Irawan, Johan Kurnianda, Yen Phi Nguyen, Annielyn Ong-Cornel, Yacine Hadjiat, Hanlim Moon, Francis O Javier
Aim: The aim of this study was to examine patients' and physicians' satisfaction, and concordance of patient-physician satisfaction with patients' pain control status. Methods: This cross-sectional observational study involved 465 adults prescribed analgesics for cancer-related pain from 22 sites across Indonesia, Malaysia, Philippines, Singapore, Thailand, and Vietnam. Pain intensity, pain control satisfaction, and adequacy of analgesics for pain control were documented using questionnaires...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
Yoko Shibata
No abstract text is available yet for this article.
May 2018: Respiratory Investigation
Chenwen Zhong, Li Kuang, Lina Li, Yuan Liang, Jie Mei, Li Li
BACKGROUND: The equity of rural-to-urban migrants' health care utilization is already on China's agenda. The Chinese government has been embarking on efforts to improve the financial and geographical accessibility of health care for migrants by strengthening primary care services and providing universal coverage. Patient experiences are equally vital to migrants' health care utilization. To our knowledge, no studies have focused on equity in the patient experiences between migrants and locals...
April 27, 2018: International Journal for Equity in Health
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
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
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
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...
May 2018: Expert Review of Clinical Immunology
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
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
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
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
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
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