| How do lay people assess the quality of physicians' communicative responses to patients' emotional cues and concerns? An international multicentre study based on videotaped medical consultations. | |
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MedLine Citation:
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PMID: 21784600 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: to establish which kind of physician communicative responses to patient cues and concerns are appreciated by lay people. METHODS: A balanced sample (259 people) was recruited in public places to participate in a full day observation of four videotaped standardized medical consultations. In a two-step procedure participants gave their individual quality ratings of the whole consultations and then of a set of four fragments from each consultation. They contained a patient negative emotional expression and the subsequent physician response, according to the VR-CoDES. RESULTS: Higher quality ratings were given to physician responses which provided space to the patient to talk and to the explicit expressions of empathy. The explicit responses were favored above non-explicit responses. Participants' global evaluation of the whole consultation affected their quality assessments of the fragments (halo-effect). In a multivariate model, lay people's background characteristics appeared to be relevant: to be female, of lower educational level and living in Belgium or Italy predicted higher ratings. CONCLUSIONS: Providing space to patients is appreciated by all participants, combined with the need for tailor made communication. PRACTICE IMPLICATIONS: To teach physicians listening skills and how to show empathy with distressed patients should be a core element in medical education. |
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Authors:
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Maria Angela Mazzi; Jozien Bensing; Michela Rimondini; Ian Fletcher; Liesbeth van Vliet; Christa Zimmermann; Myriam Deveugele |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-7-22 |
Journal Detail:
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Title: Patient education and counseling Volume: - ISSN: 1873-5134 ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-7-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Public Health and Community Medicine, University of Verona, Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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