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Communication & Medicine

Ying Jin, Dennis Tay
Effective doctor-patient communication has been widely endorsed as pivotal for optimal medical care and the building of a positive and lasting relationship between caregivers and patients. While the literature suggests that traditional Chinese medicine (TCM) doctors have better interpersonal skills than Western medicine (WM) doctors, and that the doctor-patient relationship in TCM is more lasting, a comparison of specific communication behaviors in both encounters has not yet been carried out. This paper examines the similarities and differences in communication behaviors between these two types of consultations in relation to doctor-elderly patient communication...
2017: Communication & Medicine
Staci Defibaugh
Small talk in medical visits has received ample attention; however, small talk that occurs at the close of a medical visit has not been explored. Small talk, with its focus on relational work, is an important aspect of medical care, particularly so considering the current focus in the US on the patient-centered approach and the desire to construct positive provider- patient relationships, which have been shown to contribute to higher patient satisfaction and better health outcomes. Therefore, even small talk that is unrelated to the transactional aspect of the medical visit in fact serves an important function...
2017: Communication & Medicine
Gabrina Pounds, Charlotte Salter, Mary Jane Platt, Pauline Bryant
The ability to empathise with patients is an important professional skill for doctors. Medical students practise this skill as part of their medical education, and are tested on their use of empathy within their final examination. Evidence shows that appropriate training makes a difference but that natural aptitude also plays a role. Most medical schools, therefore, probe applicants' basic understanding of empathy at admissions interviews. The purpose of the project presented in this paper was to apply existing understanding of how empathy may be communicated in a clinical context (building on a literature review by Pounds [2011]) to develop a new empathy-specific medical admissions interview station, probing applicants' empathic communicative performance (not just theoretical knowledge) and fitting the widely used Multiple Mini Interview (MMI) format...
2017: Communication & Medicine
Elisabeth Assing Hvidt, Jens Søndergaard, Dorte Gilså Hansen, Pål Gulbrandsen, Jette Ammentorp, Connie Timmermann, Niels Christian Hvidt
Although it is broadly recognized that health problems often involve existential and spiritual dimensions, recent research shows that these aspects of illness are rarely attended to by health professionals. Studies explain this in terms of barriers to communication, but health professionals' firsthand experiences and interpretations have so far been largely unexplored. Drawing on the theoretical traditions of phenomenology and hermeneutics, the present study presents Danish general practitioners' (GPs') experiences and interpretations of why the existential and spiritual dimensions are marginalized in patient care...
2017: Communication & Medicine
Frederikke Winther, Camilla Dindler
The literature on communication in patient-centred care typically focuses on physicians' alignment strategies. The goals of these strategies are diagnostic accuracy, effectiveness via compliance and patient-centredness. Although the success of these strategies can to some extent be measured, the ethical standards by which they are evaluated are not sufficiently clear. This article presents two models of alignment through 'explicit' metacommunication, derived from two different ethical perspectives on patient-centredness...
2017: Communication & Medicine
Maciej Walkiewicz, Małgorzata Tartas
The goal of the paper is to describe the extent to which medical students and professionals are vulnerable to extreme stress. A select review of existing literature on this area has been undertaken, using the English-language online databases EBSCO, Medline and PubMed. The search has identified 36 citations relating to 6324 medical students and 28,285 medical staff (physicians, residents, nurses). The review indicates that merely beginning medical studies is a risk factor for stress, and that medical professionals, who are vulnerable to extreme work stress, say that they do not receive enough support from their co-workers...
2017: Communication & Medicine
Joanna Pawelczyk, Małgorzata Talarczyk
One of the goals of psychotherapy with bulimia patients is identification of the functions of the eating disorder in their lives. Thus, as in any psychotherapeutic approach, the therapist should facilitate the patient's disclosure of his or her experience of living with bulimia. Talking about one's dysphoric experiences and, particularly in the case of bulimia, symptoms and experiences that commonly deprive people with bulimia of dignity, constitutes an emotional challenge for the patient and an equally challenging interactional task for the therapist...
2017: Communication & Medicine
Charlotta Plejert, Christina Samuelsson, Jan Anward
The present article addresses the issue of combining conversation analysis (CA) with talk-extrinsic data, with a specific focus on speech and language therapy and education. Even though the use of CA together with other data sources is now generally accepted, particularly in the field of 'applied CA', it is still important to discuss how this is to be done, what pitfalls to avoid, and what methodological problems might remain unresolved. The procedures from a Swedish project on interaction in speech and language intervention that combines CA with interviews and video-based retrospection sessions are used as a basis for discussion...
2017: Communication & Medicine
Srikant Sarangi
No abstract text is available yet for this article.
2017: Communication & Medicine
Eleni Siouta, Ulla Hellström Muhli, Bjöörn Fossum, Klas Karlgren
OBJECTIVE: To feel involved in decisions about atrial fibrillation (AF) treatment, patients need supportive communication from cardiologists. Shedding light on cardiologists' perceptions of patient involvement in AF care settings is thus of importance. We examine (1) how cardiologists describe patient involvement and communication related to shared decisionmaking regarding AF treatment, and (2) their perceptions of efforts to involve patients in the treatment decisions. METHODS: Ten cardiologists were interviewed in four Swedish hospitals...
2017: Communication & Medicine
Lauris Christopher Kaldjian
Shared decision making depends on respectful dialogue that allows patients and clinicians to discuss medical facts and the beliefs and values that give them meaning for a particular patient. This dialogue is most likely to succeed when tests and treatments are placed within a purpose-oriented landscape that sets goals of care in the foreground so that the direction of decision making is clear before too much focus is placed on interventional options. The beliefs and values that guide patients allow them to identify and prioritize their most important goals of care in light of other dimensions of decision making...
2017: Communication & Medicine
Alicia Sherriff, Hamza Ally, Wasim Mahomed, Heather Rae, Rory Schanknecht, Seipati Sealanyane, Gina Joubert
Doctors use medical abbreviations to communicate with colleagues from other medical departments. Medical abbreviations save time, but they can be misinterpreted and lead to treatment errors. This study evaluated the understanding of common medical abbreviations in the Departments of Oncology, Surgery, Gynaecology, Paediatrics and Internal Medicine at an academic hospital in Bloemfontein, South Africa in 2012. In this cross-sectional study, questionnaires consisting of 35 medical abbreviations were distributed to specialists, registrars, medical officers and interns...
2017: Communication & Medicine
James P Meza, Anthony Provenzano, Lawrence R Fischetti, Elise LaRoche
The purpose of this study was to assess differences in language complexity for physician and patient speech and describe differences in speech content and literacy for medical office visits related to contraception. In a cross-sectional, mixed-methods study, we invited clinic faculty, residents, and consecutive patients to participate in simulated clinical encounters. Two investigators independently transcribed the recordings of these encounters. We calculated Flesch-Kincaid Reading Level (FKRL) and Flesch Reading Ease (FRE) scores as proxy measures for language complexity related to physician and patient speech...
2017: Communication & Medicine
Dennis Tay
The study of metaphor in psychotherapy is undergoing a 'contextual turn', shifting emphasis from global mechanisms underlying metaphors and therapeutic change to their naturally occurring properties in therapist-patient interaction. While there have been rich qualitative and contextual descriptions of metaphors in psychotherapy, complementary quantitative accounts of metaphor usage patterns over larger amounts of talk have been less forthcoming. This paper reports metaphor usage patterns as associations between key contextual variables which characterize metaphors in a dataset of Chinese psychotherapy talk...
2017: Communication & Medicine
Pauliina Siitonen, Tiina Keisanen, Karl-Erik Wahlberg
In this paper, we compare two methodological approaches - Conversation Analysis (CA) and the Communication Deviance (CD) Scale - in detecting confusing family interaction, which is considered one of the risk factors for schizophrenia. CA is a method for identifying and describing actions in interaction, whereas the CD Scale presents the criteria for identifying communication defects in the field of schizophrenia research. Our aim is to determine whether the approaches resonate with and could complement each other in analysing the same interactional data - i...
2017: Communication & Medicine
Magdalena Zabielska, Magda Żelazowska
The aim of this paper is to study the 'translation process' (Fleischman 2001) from the patient's story into the doctor's report in interactive case reports from professional medical journals. Interactive case reports are a relatively new development in the genre, which has been postulated by, and adopted in, several publication outlets. The novelty of the variety is the possibility for readers to comment on a published case as well as the optional Patient's perspective section, in which the patient can share their experience of illness and treatment...
2017: Communication & Medicine
Shuya Kushida, Takeshi Hiramoto, Yuriko Yamakawa
In spite of increasing advocacy for patients' participation in psychiatric decision-making, there has been little research on how patients actually participate in decision-making in psychiatric consultations. This study explores how patients take the initiative in decision-making over treatment in outpatient psychiatric consultations in Japan. Using the methodology of conversation analysis, we analyze 85 video-recorded ongoing consultations and find that patients select between two practices for taking the initiative in decision-making: making explicit requests for a treatment and displaying interest in a treatment without explicitly requesting it...
2016: Communication & Medicine
Annabel Levesque, Han Z Li
This study explores male physicians' use of verbal compliance gaining strategies to encourage patients to adhere to medication regimens, lifestyle changes, or future appointments, and assesses which strategies are associated with patients' reported healthcare experiences. Five physicians from a family practice clinic in northern British Columbia, Canada, were audio-recorded while interacting with 31 patients during actual consultations. Compliance-gaining utterances were coded into five categories of strategies, while patient experience with care was assessed using a questionnaire...
2016: Communication & Medicine
Geoffrey M Maina, Vera Caine, Judy Mill, Randolph Wimmer
Since the introduction of antiretroviral medications, HIV has been regarded as a chronic illness. However, people living with HIV continue to experience social consequences of HIV infection such as stigma, discrimination, violence, and other human rights violations. In this paper, we focus on the experiences of Atoti, a person living with HIV in Kenya. We argue that HIV remains a biographically disruptive and exceptional illness that is complicated by its invisibility and unpredictable trajectory. Based on Atoti's experiences, we argue that Bury's (1982) concept of biographical disruption, used to explain the social processes of a person suffering a chronic illness, does not fully capture the complexity of experiencing living with HIV...
2016: Communication & Medicine
Diana L Awad Scrocco
This exploratory study examines conversations between faculty physician preceptors and resident physicians to identify communicative actions that encourage pedagogical dialogue. Using a modified grounded theory approach, this study considers resident-preceptor conversations at the levels of the conversational exchange and the clause. Four categories of exchanges emerged from the analysis: presenting the case, teaching clinical concepts, initiating clinical discussion, and offering/requesting direct instruction...
2016: Communication & Medicine
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