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"Physician communication"

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https://www.readbyqxmd.com/read/28636108/understanding-the-influences-and-impact-of-patient-clinician-communication-in-cancer-care
#1
Jennifer Elston Lafata, Laura A Shay, Jodi M Winship
BACKGROUND: Patient-clinician communication is thought to be central to care outcomes, but when and how communication affects patient outcomes is not well understood. OBJECTIVE: We propose a conceptual model and classification framework upon which the empirical evidence base for the impact of patient-clinician communication can be summarized and further built. DESIGN: We use the proposed model and framework to summarize findings from two recent systematic reviews, one evaluating the use of shared decision making (SDM) on cancer care outcomes and the other evaluating the role of physician recommendation in cancer screening use...
June 21, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28600789/improving-the-management-of-psoriatic-arthritis-and-axial-spondyloarthritis-roundtable-discussions-with-healthcare-professionals-and-patients
#2
REVIEW
Marco Garrido-Cumbrera, Ottfrid Hillmann, Raj Mahapatra, David Trigos, Petra Zajc, Luisa Weiss, Galya Bostynets, Laure Gossec, Laura C Coates
Psoriatic arthritis (PsA) and axial spondyloarthritis (AxSpA) are both chronic, inflammatory conditions that result in a substantial burden of disease and reduced quality of life for patients. Patient involvement in developing optimal disease management strategies, including defining appropriate goals, therapies, and treatment options, as well as in setting policy priorities and agendas, is key. A working group of patient organization representatives and rheumatologists explored what patients consider to be unmet needs, important treatment gaps, and future priorities in PsA and AxSpA management...
June 9, 2017: Rheumatology and Therapy
https://www.readbyqxmd.com/read/28574531/do-hcahps-doctor-communication-scores-reflect-the-communication-skills-of-the-attending-on-record-a-cautionary-tale-from-a-tertiary-care-medical-service
#3
Vicente J Velez, Roop Kaw, Bo Hu, Richard M Frankel, Amy K Windover, Dan Bokar, Julie M Rish, Michael B Rothberg
BACKGROUND: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores measure patient satisfaction with hospital care. It is not known if these reflect the communication skills of the attending physician on record. The Four Habits Coding Scheme (4HCS) is a validated instrument that measures bedside physician communication skills according to 4 habits, namely: investing in the beginning, eliciting the patient's perspective, demonstrating empathy, and investing in the end...
June 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28570382/critical-care-nurses-suggestions-to-improve-end-of-life-care-obstacles-minimal-change-over-17-years
#4
Renea L Beckstrand, Kacie Hart Hadley, Karlen E Luthy, Janelle L B Macintosh
BACKGROUND: Critical-care nurses (CCNs) provide end-of-life (EOL) care on a daily basis as 1 in 5 patients dies while in intensive care units. Critical-care nurses overcome many obstacles to perform quality EOL care for dying patients. OBJECTIVES: The purposes of this study were to collect CCNs' current suggestions for improving EOL care and determine if EOL care obstacles have changed by comparing results to data gathered in 1998. METHODS: A 72-item questionnaire regarding EOL care perceptions was mailed to a national, geographically dispersed, random sample of 2000 members of the American Association of Critical-Care Nurses...
July 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28564674/association-of-a-policy-mandating-physician-patient-communication-with-racial-ethnic-disparities-in-postmastectomy-breast-reconstruction
#5
Elham Mahmoudi, Yiwen Lu, Allan K Metz, Adeyiza O Momoh, Kevin C Chung
Importance: With the stabilization of breast cancer incidence and substantial improvement in survival, more attention has focused on postmastectomy breast reconstruction (PBR). Despite its demonstrated benefits, wide disparities in the use of PBR remain. Physician-patient communication has an important role in disparities in health care, especially for elective surgical procedures. Recognizing this, the State of New York enacted Public Health Law (NY PBH Law) 2803-o in 2011 mandating that physicians communicate about reconstructive surgery with patients undergoing mastectomy...
May 31, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28557520/periodic-health-examinations-and-missed-opportunities-among-patients-likely-needing-mental-health-care
#6
Ming Tai-Seale, Laura A Hatfield, Caroline J Wilson, Cheryl D Stults, Thomas G McGuire, Lisa C Diamond, Richard M Frankel, Lisa MacLean, Ashley Stone, Jennifer Elston Lafata
OBJECTIVES: Periodic health examinations (PHEs) are the most common reason adults see primary care providers. It is unknown if PHEs serve as a "safe portal" for patients with mental health needs to initiate care. We examined how physician communication styles impact mental health service delivery in PHEs. STUDY DESIGN: Retrospective observational study using audio-recordings of 255 PHEs with patients likely to need mental health care. METHODS: Mixed-methods examined the timing of a mental health discussion (MHD), its quality, and the relationship between MHD quality and physician practice styles...
October 1, 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/28553086/adherence-to-systemic-therapies-for-immune-mediated-inflammatory-diseases-in-lebanon-a-physicians-survey-from-three-medical-specialties
#7
Alfred Ammoury, Jad Okais, Mireille Hobeika, Raymond B Sayegh, Rani H Shayto, Ala I Sharara
BACKGROUND: Immune-mediated inflammatory diseases (IMIDs) are chronic conditions that may cause tissue damage and disability, reduced quality of life and increased mortality. Various treatments have been developed for IMIDs, including immune modulators and targeted biologic agents. However, adherence remains suboptimal. METHODS: An adherence survey was used to evaluate physicians' beliefs about adherence to medication in IMID and to evaluate if and how they manage adherence...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28552701/formulation-of-a-three-tier-cisternal-grade-as-a-predictor-of-in-hospital-outcome-from-a-prospective-study-of-patients-with-traumatic-intracranial-hematoma
#8
Avanali Raghunath, Biju Bhadran, Sunil Panchal, P Krishna Kumar, V Abhishek, Aneeze M Musthafa, G Harison
OBJECTIVE: Outcome prediction is of paramount importance in traumatic brain injury. Our objective of conducting this prospective study was to identify the predictors needed to formulate a prognostic score. METHODS: Clinical and radiological characteristics of hundred patients with traumatic intra cranial hematoma were analyzed. Key measurements were taken in midbrain and pontine regions and status of each of the nine basal cisterns were noted, by giving a score of 1 if they were visible and 0 if not...
May 24, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28543173/a-clinical-review-of-communication-training-for-haematologists-and-haemato-oncologists-a-case-of-art-versus-science
#9
REVIEW
Deborah Christie, Sarah Glew
The art of communication at times seems at odds with the science of medicine. Poor communication is associated with risks for patient and physician. Communication skills are highly relevant for haematologists and are associated with increased physician and patient satisfaction, positive psychosocial outcomes and possible health outcomes. Medical communication training has recently become widespread but is largely restricted to junior medical professionals. In haematology, the proliferation of high quality communication skills is low and there are few interventions catering for the required skillset...
May 22, 2017: British Journal of Haematology
https://www.readbyqxmd.com/read/28532861/an-evaluation-of-two-interventions-to-enhance-patient-physician-communication-using-the-observer-option-5-measure-of-shared-decision-making
#10
Ellis C Dillon, Cheryl D Stults, Caroline Wilson, Judith Chuang, Amy Meehan, Martina Li, Glyn Elwyn, Dominick L Frosch, Edward Yu, Ming Tai-Seale
OBJECTIVE: Evaluate interventions to enhance patient-physician communication and shared decision making (SDM). METHODS: We used Observer OPTION(5) to evaluate primary care visits within a cluster randomized controlled trial in a California delivery organization. Trial interventions included Open Communication (OpenComm), combining patient activation and physician coaching, and AskShareKnow, a patient activation tool, and were compared to a usual care arm. Scores were analyzed with descriptive statistics and generalized estimating equation analysis for 40 visits containing 200 decision topics...
May 1, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28523477/the-impact-of-e-visits-on-patient-access-to-primary-care
#11
Xiang Zhong, Peter Hoonakker, Philip A Bain, Albert J Musa, Jingshan Li
To improve patient access to primary care, many healthcare organizations have introduced electronic visits (e-visits) to provide patient-physician communication through secure messages. However, it remains unclear how e-visit affects physicians' operations on a daily basis and whether it would increase physicians' panel size. In this study, we consider a primary care physician who has a steady patient panel and manages patients' office and e-visits, as well as other indirect care tasks. We use queueing-based performance outcomes to evaluate the performance of care delivery...
May 18, 2017: Health Care Management Science
https://www.readbyqxmd.com/read/28498034/assessment-of-resident-physicians-communicator-and-collaborator-competencies-by-interprofessional-clinicians-a-mixed-methods-study
#12
Lyn K Sonnenberg, Lesley Pritchard-Wiart, Carol S Hodgson, YongQiang Yu, Sharla King
Phenomenon: As we move toward competency-based medical education, greater emphasis is being placed on assessing a more comprehensive skill set, including the ability to communicate and collaborate effectively in the workplace. Nonphysician members on interprofessional (IP) teams have valuable perspectives on actual resident performance and are often not adequately engaged in the provision of feedback to residents. Based on the educational theories of collaborative evaluation and social constructivism, this research examined the ability of IP clinicians to provide feedback to residents...
May 12, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28474263/quality-of-life-measurements-any-value-for-clinical-practice
#13
REVIEW
Matthias Büttner, Veit Zebralla, Andreas Dietz, Susanne Singer
Quality of life measurements are well established in cancer clinical trials. In daily clinical practice, where cancer patients often suffer from disease-specific symptoms and report unmet needs regarding their treatment, these measurements are not systematically implemented. The systematic (often computer-based) assessment of quality of life in daily cancer care has shown to be beneficial for patient-physician communication, symptom management, shared decision-making, and in creating a learning health system...
May 2017: Current Treatment Options in Oncology
https://www.readbyqxmd.com/read/28471581/training-physicians-toward-a-dignifying-approach-in-adolescents-health-care-a-promising-simulation-based-medical-education-program
#14
Daniel Hardoff, Assaf Gefen, Doron Sagi, Amitai Ziv
BACKGROUND: Human dignity has a pivotal role within the health care system. There is little experience using simulation-based medical education (SBME) programs that focus on human dignity issues in doctor-patient relationships. OBJECTIVES: To describe and assess a SBME program aimed at improving physicians' competence in a dignifying approach when encountering adolescents and their parents. METHODS: A total of 97 physicians participated in 8 one-day SMBE workshops that included 7 scenarios of typical adolescent health care dilemmas...
August 2016: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28456947/physician-communication-practices-as-a-barrier-to-risk-based-hpv-vaccine-uptake-among-men-who-have-sex-with-men
#15
Christopher W Wheldon, Steven K Sutton, Holly B Fontenot, Gwendolyn P Quinn, Anna R Giuliano, Susan T Vadaparampil
The Advisory Committee on Immunization Practices recommends that men who have sex with men (MSM) 26 years of age or younger be routinely vaccinated against HPV. For men outside of this risk-based population, the recommendation is routine vaccination until age 21. Thus, in order for this risk-based recommendation for MSM to be implemented, two distinct actions need to be completed during the clinical visit: (1) discuss recommendations for HPV vaccination with men and (2) assess sexual orientation to determine if a risk-based recommendation should be made...
April 29, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28452605/icu-nurses-and-physicians-dialogue-regarding-patients-clinical-status-and-care-options-a-focus-group-study
#16
Monica Kvande, Else Lykkeslet, Sissel Lisa Storli
Nurses and physicians work side-by-side in the intensive care unit (ICU). Effective exchanges of patient information are essential to safe patient care in the ICU. Nurses often rate nurse-physician communication lower than physicians and report that it is difficult to speak up, that disagreements are not resolved and that their input is not well received. Therefore, this study explored nurses' dialogue with physicians regarding patients' clinical status and the prerequisites for effective and accurate exchanges of information...
December 2017: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/28442450/implementing-an-internet-delivered-skin-cancer-genetic-testing-intervention-to-improve-sun-protection-behavior-in-a-diverse-population-protocol-for-a-randomized-controlled-trial
#17
Jennifer L Hay, Marianne Berwick, Kate Zielaskowski, Kirsten Am White, Vivian M Rodríguez, Erika Robers, Dolores D Guest, Andrew Sussman, Yvonne Talamantes, Matthew R Schwartz, Jennie Greb, Jessica Bigney, Kimberly A Kaphingst, Keith Hunley, David B Buller
BACKGROUND: Limited translational genomic research currently exists to guide the availability, comprehension, and appropriate use of personalized genomics in diverse general population subgroups. Melanoma skin cancers are preventable, curable, common in the general population, and disproportionately increasing in Hispanics. OBJECTIVE: Variants in the melanocortin-1 receptor (MC1R) gene are present in approximately 50% of the population, are major factors in determining sun sensitivity, and confer a 2-to-3-fold increase in melanoma risk in the general population, even in populations with darker skin...
April 25, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28436026/studies-of-physician-patient-communication-with-older-patients-how-often-is-hearing-loss-considered-a-systematic-literature-review
#18
Jamie M Cohen, Jan Blustein, Barbara E Weinstein, Hannah Dischinger, Scott Sherman, Corita Grudzen, Joshua Chodosh
Hearing loss is remarkably prevalent in the geriatric population: one-quarter of adults aged 60-69 and 80% of adults aged 80 years and older have bilateral disabling loss. Only about one in five adults with hearing loss wears a hearing aid, leaving many vulnerable to poor communication with healthcare providers. We quantified the extent to which hearing loss is mentioned in studies of physician-patient communication with older patients, and the degree to which hearing loss is incorporated into analyses and findings...
April 24, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28430098/building-physician-networks-as-part-of-the-zika-response
#19
Nia Heard-Garris, Sanjeev Arora, Nicole Lurie
The global community needs to easily identify and respond to new and reemerging threats, such as H1N1, Ebola, and most recently Zika. Clinicians are often the first-line providers to recognize these threats, but yet have few opportunities to learn from each other in real time. In this concept article, we describe the ways clinical information is traditionally shared during a public health emergency and then introduce new mechanisms to facilitate physician communication and learning as a part of the response to Zika...
April 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28420502/the-impact-of-situation-background-assessment-recommendation-sbar-on-safety-attitudes-in-the-obstetrics-department
#20
Wan-Hua Ting, Fu-Shiang Peng, Ho-Hsiung Lin, Sheng-Mou Hsiao
OBJECTIVE: Previous studies evaluating the situation-background-assessment-recommendation (SBAR) have been shown to increase effective nurse-physician communication and collaboration. The purpose of this study is to evaluate the impact of the SBAR technique on safety attitudes in the obstetrics department. MATERIALS AND METHODS: This study implemented the SBAR Collaborative Communication Education course and was conducted in a medical center from February 2012 to March 2015, which included an educational session on fetal heart rate monitoring, a case-based discussion, and a video demonstration on traditional and SBAR communication...
April 2017: Taiwanese Journal of Obstetrics & Gynecology
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