Doctor – patient communication: What Malaysia needs

solid state technology, 2020

2817 Archives Available @ www.solidstatetechnology.us by the doctor during their first visit to hospital. This results in gap in communication due to which it is difficult to recommend treatment plans and to continuous care to patients. Choice of solution:Developed a structural questionnaire that identify the gap in communication between doctor and patient and provides a solution for two way communication and for better decision making. Implementation:Conducted a quality improvement survey at a five tertiary care hospitals by using questionnaire and studied the importance of communication, confidence while talking to physician and relationship between patient satisfaction and communication. The study included 103 patients from various tertiary care hospitals. Evaluation: Study revealed that 90% of patients interact with doctors regularly and take their role in decision making as well as they ask the physician about condition of patients and clarifications to patients illness during the stay in hospital and their visit. Around 40% of the respondents very often agreed on effective doctor patient communication. During the data collection experience, 60% of the patients felt that problems faced by them are effectively addressed by questionnaire method and gaps were identified and suggestions were provided to patients and doctors Lessons learned: Provided suggestions to both patients and doctors to improve the patient-doctor communication and found that both of them are highly satisfied and followed the suggestions provided. This provided patient satisfaction and also in improving doctor-patient communication at tertiary care hospitals.

International Journal of Health and Clinical Research, 2021

Introduction: Effective doctorpatient communication is a central clinical function and the resultant rapport is the heart and art of medicine and a central component in the delivery of health care. This communication is essential in achieving the desired outcomes of treatment. A doctor's communication and interpretational skills encompass the ability to gather information in order to facilitate accurate diagnosis, counsel appropriately, give therapeutic instructions and establish caring relationship with the patients. Methodology: The study population was the people who consulted their doctors in the hospital for any illness of their own or their children. Informed consent was taken from the patients interviewed. Data was collected from a total of 448 patients who came for a consultation to the hospital.Results: The results of our study agrees with other studies that many patients are not satisfied with the consultation and that doctors fail many a time in adequately educating the patients and providing them better compliance. Nearly 25 percent of the patients complain that they are not satisfied with their consultation and couldn't build compliance with their doctors. Conclusion: The study concludes that many crevices in doctorpatient communication are left un-filled, making most of the patients not satisfied after their consultation with doctors.

Communication is the procedure of generation, transmission, or gathering of messages to oneself or another substance, for the most part by means of a commonly comprehended arrangement of signs. Communication skills are the tools that individuals use to evacuate boundaries and troubles to perform successful correspondence (are learnable, trainable, versatile simply like some other expertise). The objective was to assess the effectiveness of the communication skills system among consultants, physicians, registrars and medical officers with their patients in different units of medicine and surgery. Methods: It was a descriptive-analytical study in OFTH August 2010. (241) participants by simple random sampling. All patients attend the OFTH for their appointment and agreed to be included in this study. Whereas the emergent and urgent were excluded. Data were collected using small groups discussion and pre-tested questionnaires. Results: Many doctors know some information about Doctor-Patient Communication Skills but, they didn't perform it because of, the high frequency of patients in referral clinics. Doctors spent 6 to 10 minutes with 179 patients (74.3%), 11to 15 minutes with 46 patients (19.1%), 1 to 5 minutes with 12 patients (5%), 16 to 20 minutes with 3 patients (1.2%) and more than 26 minutes with one patient (O.4%). Patients' satisfaction; 205 patients are satisfied represent (85.1%), 36 patients aren't satisfied represent (14.9%). Those who aren't satisfied; 25 patients (69%) because of a short duration of the medical interview, 8 patients (22%) because doctors didn't mention the adverse effects of the drugs and 3 patients (9%) because doctors didn't mention the possible complications of the operation. Conclusion: Doctor-patient communication skills were done by medical officers, registrars, physicians, and consultants. They took a short time 6-10 minutes for the medical interview (74.3%), they didn't share information with their colleagues in the same unit by (46.5%) in 112 patients and didn't involve other health care professionals in patients' care by (62.7%) for 151 patients. Despite that, the patients' satisfaction was (85.1%

Effective as well as competent communication of doctors with their patients is fundamental for conveying high-quality patient care along with building a harmonious physicianpatient relationship which constitutes a core dimension of patient-centeredness (Shikawa et al., 2013 and Da Liu et al., 2016). Effective physicianpatient communication can be defined as the method in which a physician transfers information to a patient in a way that he understands the doctors` instructions efficiently, supporting patients' self-management, managing of ambiguity and feelings, and helping decision making (Travaline et al., 2005; and Zolnierek and DiMatteo, 2009). Ineffective doctor-patient communication is challenging since it can result in non-adherence plus other health-related issues as the stress of paying for medical expenses (Meluch and Oglesby, 2015). Throughout the precedent years, patient-centeredness has been internationally discussed in all health care related fields (Baker, 2001). Patient-centered care is defined as clinical management given by medical experts that focuses on respecting and attending to patient's requirements, preferences, needs, and standards, instead of the physician's own plan (Breen et al., 2009). Physicians' communication skills affect a diversity of factors in clinical practice, and many studies revealed that effective doctorpatient communication increases patient satisfaction, patient understanding, recall, and compliance with treatment and health outcomes. Additionally, effective communication can also increase the physician's job-satisfaction, health, and well-being (Hu et al., 2016). Good communication is essential for both patients' and physicians' satisfaction, satisfied patients are less liable to malpractice complaints, and have better job satisfaction, a lesser amount of work-related stress, and diminished burnout (Harmon et al., 2006). Studies have shown that excellent physician-patient communication [PPC] skills are related to patient health outcomes. Zolnierek and DiMatteo, 2009 in a meta-analysis study; stated that effective physician-patient communication has a positive significant correlation with patient adherence to treatment; they also found a considerable increase in the patients' adherence after doctors received communication skills training. Other studies established a

BMJ, 1991

2019

Introduction: The involvement in healthcare system encompasses the art of human interaction. Communication skills is considered “The Most Important Skill in Medicine”. Aim of Work: In this review, we will try to address different aspects of caregiver-patient communication and relationship. Methodology: A comprehensive and systematic search was conducted regarding aspects of patients-physician communication. PubMed and Google Scholar were the mainly used databases. Conclusion: Patients’ satisfaction is an indicator of adequate provider-patient relationship. In fact, patients’ satisfaction is regarded as the main criterion for determining the quality of therapeutic and health services. Adequate communication enhance patients’ satisfaction and outcomes. The patient-center approach focuses on the patient’s concerns, perspectives, and information needs.

Introduction: Effective physician-patient communication plays a crucial role in establishing a successful therapeutic outcome. Having good quality communication skills is vital for doctors to build up an agreeable doctor-patient connection. In Egypt, the discipline of effective doctor-patient communication is still underestimated Aim of work: This study aimed to assess physicians' perception concerning the significance of effective physician-patient communication and to evaluate their actual practice and patient communication skills. Materials and methods: A cross-sectional study was conducted among physicians working at outpatient clinics at Tanta University Hospitals. Data collection was done using a self-administered questionnaire sheet conveyed to 275 randomly selected physicians working in different outpatient clinics. Physicians' perception concerning effective communication was assessed by means of self-assessment questions created by Samuel and Albert, and the level of physician-patient communication practice was assessed using the adapted Kalamazoo Checklist. Results: The study included 275 physicians; 48.6% of participants had highly perceived the significance of effective communication. 'Effective doctor-patient communication is highly associated with increased patient satisfaction' showed the highest perception among physicians (94.5%). The medical curriculum followed by media and the internet were the commonest sources of participants` information. About 41.8% of participant physicians had 'good' communication with a higher percentage among female doctors. Significant positive correlations were found between physicians' years of experience and communication skills practice competencies. Conclusion: About half of the physicians highly perceived the significance of effective doctor-patient communication and more than two-fifths of them had good doctor-patient communication skills. Enforcement of training courses concerning effective physician-patient communication is substantially recommended for both undergraduate students and graduated physicians.

Advances in Health Sciences Education, 2012

Studies of doctor-patient communication generally advocate a partnership communication style. However, in Southeast Asian settings, we often see a more one-way style with little input from the patient. We investigated factors underlying the use of a oneway consultation style by doctors in a Southeast Asian setting. We conducted a qualitative study based on principles of grounded theory. Twenty residents and specialists and 20 patients of a low or high educational level were interviewed in internal medicine outpatient clinics of an Indonesian teaching hospital and two affiliated hospitals. During 26 weeks we engaged in an iterative interview and coding process to identify emergent factors. Patients were generally dissatisfied with doctors' communication style. The doctors indicated that they did not deliberately use a one-way style. Communication style appeared to be associated with characteristics of Southeast Asian culture, the health care setting and medical education. Doctor-patient communication appeared to be affected by cultural characteristics which fell into two broad categories representing key features of Southeast Asian culture, ''social distance'' and ''closeness of relationships'', and to characteristics categorized as ''specific clinical context''. Consideration of these characteristics could be helpful in promoting the use of a partnership communication style.

The Malaysian journal of medical sciences : MJMS

There is growing interest in research on patient satisfaction with healthcare provider (HCP) communication as a measure of healthcare quality and HCPs' communication competency. This study aimed to determine the levels of patient satisfaction with healthcare provider-patient communication (HCP-PC) and its associated factors at the outpatient clinic at Hospital Kuala Lumpur. A cross-sectional study was conducted on a convenience sample in July 2012 using self-administered questionnaires for the data collection. Both overall and domain-specific satisfaction were measured, with the three domains being exchanging information (EI), socio-emotional behaviour (SB), and communication style (CS). The findings show that 92.8% of the 283 respondents were satisfied with overall HCP-PC, 89.5% with EI, 91.3% with SB, and 72.2% with CS. Satisfaction was statistically higher among Malays for CS and higher among those with low education and poor health for EI, SB and CS. EI and overall communica...

Tennessee medicine : journal of the Tennessee Medical Association, 1998

Mūsdienu ekonomiskā doma nereti aplūko peļņu kā atlīdzību ne tikai faktoru "kapitāls" un "uzņēmējs" sagādātājiem, bet arī faktora "darbs" sagādātājiem uzņēmumā. Metode, ar kuras palīdzību tiek panākta šāda labumu sadale, ir darbinieku finansiāla līdzdalība. Tai piemīt dažādas formas -peļņdalība, kapitāldaļu īpašumtiesības, uzkrāšanas modeļi, prēmēšanas sistēmas. Šajā rakstā tiek aplūkoti darbinieku finansiālās līdzdalības teorētiskie un praktiskie aspekti uzņēmumos.