Talking about psychosocial problems: An observational study on changes in doctor–patient communication in general practice between 1977 and 2008
| Autor: | Butalid, L, Bensing, J., Verhaak, P.F., Stress and self-regulation, Leerstoel Bensing, Afd Klinische psychologie |
|---|---|
| Přispěvatelé: | Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Stress and self-regulation, Leerstoel Bensing, Afd Klinische psychologie |
| Rok vydání: | 2014 |
| Předmět: |
trends
Adult Male observation Adolescent media_common.quotation_subject General Practice Empathy doctor-patient communication methods Doctor patient communication Young Adult Nursing general practitioners Communication styles Humans Medicine Practice Patterns Physicians' Child Referral and Consultation Aged Netherlands media_common Aged 80 and over Physician-Patient Relations business.industry Communication Process Assessment Health Care Videotape Recording General Medicine Middle Aged Psychologie (PSYC) mental disorders quality General practice Global Positioning System Female Observational study business Psychosocial |
| Zdroj: | Patient Education and Counseling, 94(3), 314-321. ELSEVIER IRELAND LTD Patient Education and Counseling, 94(3), 314. Elsevier Ireland Ltd. |
| ISSN: | 0738-3991 |
| DOI: | 10.1016/j.pec.2013.11.004 |
| Popis: | Objective To examine whether GPs’ communication styles have changed since the introduction and implementation of clinical guidelines for psychosocial problems in Dutch general practice in the 1990s. Methods From a database of 5184 consultations videotaped between 1977 and 2008, 512 consultations assessed by GPs as ‘completely psychosocial’ were coded with RIAS (Roter Interaction Analysis System). The 121 consultations prior to and 391 consultations after implementation of guidelines were analyzed whether communication styles have changed over time. Results We found that GPs were more likely to consider consultations to be mainly (17%) or completely (12%) psychosocial after the implementation of guidelines. They gave more biomedical and psychosocial information and advice in the second period compared to the first period. We also found that empathy decreased over time (frequency of empathic statements by GPs changed from 2.9–3.2 to 1.4–1.6 between periods). Conclusion Communication in psychosocial consultations has changed; GPs have become more focused on task-oriented communication (asking questions, giving information and advice) and less on showing empathy. Practice implications GPs face the challenge of integrating an evidence-based approach of applying guidelines that promote active symptom exploration with understanding patients’ personal contexts and giving room to their emotions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect