Optimizing Hospitalist-Patient Communication: An Observation Study of Medical Encounter Quality

被引:11
作者
Apker, Julie [1 ]
Baker, Margaret [2 ]
Shank, Scott [1 ]
Hatten, Kristen [1 ]
VanSweden, Sally [3 ]
机构
[1] Western Michigan Univ, Sch Commun, Kalamazoo, MI 49008 USA
[2] Transmat Mfg Co, Holland, MI USA
[3] Bronson Healthcare Grp, Kalamazoo, MI USA
关键词
D O I
10.1016/j.jcjq.2017.08.011
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Optimizing patient-hospitalist interactions heightens patient satisfaction, improves patient health outcomes, and improves hospitalist job satisfaction. A study was conducted to recognize hospitalist communication that enhance encounters, identify hospitalist behaviors for improvement interventions, and explore the association of time and gender with communication quality. Methods: Researchers observed encounters between 36 hospitalists and 206 adult patients. All but 1 of the hospitalists was observed at a 410-bed, general medical and surgical facility in the Midwest. Results: On the adapted Kalamazoo Essential Elements of Communication Checklist (KEECC), hospitalists scored highest on the Builds a Relationship, Shares Information, and Gathers Information dimensions. Participants were seen using multiple, effective verbal and nonverbal techniques to show care and concern, as well as create relational rapport, often while successfully sharing and obtaining clinical information. Hospitalists scored lowest on the Understands the Patient Perspective and Reaches Agreement dimensions. Hospitalists were observed infrequently and inconsistently empathizing with patients and rarely attempting to gain shared understanding and agreement from patients. Significant difference was found in sharing information (t [194] = 2.47; p= 0.01), with male hospitalists (mean [M] = 4.14; standard deviation [SD] = 1.01) more highly rated than female hospitalists (M= 3.78; SD = 0.90). Hospitalist and patient gender match revealed significant difference in sharing information (F [3,192] = 2.60; p = 0.05). Male hospitalists were rated higher interacting with female patients than female hospitalists interacting with male patients. Conclusion: Results identify specific hospitalist communication techniques that may ultimately contribute to better-quality medical encounters. Communication interventions are recommended.
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页码:196 / 203
页数:8
相关论文
共 38 条
[1]   Why should I talk about emotion? Communication patterns associated with physician discussion of patient expressions of negative emotion in hospital admission encounters [J].
Adams, Kristen ;
Cimino, Jenica E. W. ;
Arnold, Robert M. ;
Anderson, Wendy G. .
PATIENT EDUCATION AND COUNSELING, 2012, 89 (01) :44-50
[2]  
Blanden Adam R, 2009, J Hosp Med, V4, pE1, DOI 10.1002/jhm.524
[3]   Communication Skills Training for Physicians Improves Patient Satisfaction [J].
Boissy, Adrienne ;
Windover, Amy K. ;
Bokar, Dan ;
Karafa, Matthew ;
Neuendorf, Katie ;
Frankel, Richard M. ;
Merlino, James ;
Rothberg, Michael B. .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2016, 31 (07) :755-761
[4]  
Bonsteel A., 1997, HUMANIST, V57, P15
[5]   Essential elements of communication in medical encounters: The Kalamazoo consensus statement [J].
Brunett, PH ;
Campbell, TL ;
Cole-Kelly, K ;
Danoff, D ;
Frymier, R ;
Goldstein, MG ;
Gordon, GH ;
Klass, DJ ;
Kurtz, S ;
Laidlaw, J ;
Lang, F ;
MacLellan, AM ;
Makoul, G ;
Miller, S ;
Novack, D ;
Rider, EA ;
Simon, FA ;
Sluyter, D ;
Swing, S ;
Weston, W ;
Whelan, GP .
ACADEMIC MEDICINE, 2001, 76 (04) :390-393
[6]   Communication Challenges in the Hospital Setting: A Comparative Case Study of Hospitalists' and Patients' Perceptions [J].
Burleson, Debra .
JOURNAL OF BUSINESS AND TECHNICAL COMMUNICATION, 2014, 28 (02) :187-221
[7]   Predictors of hospitalised patients' preferences for physician-directed medical decision-making [J].
Chung, Grace S. ;
Lawrence, Ryan E. ;
Curlin, Farr A. ;
Arora, Vineet ;
Meltzer, David O. .
JOURNAL OF MEDICAL ETHICS, 2012, 38 (02) :77-82
[8]   Race, gender, and partnership in the patient-physician relationship [J].
Cooper-Patrick, L ;
Gallo, JJ ;
Gonzales, JJ ;
Vu, HT ;
Powe, NR ;
Nelson, C ;
Ford, DE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (06) :583-589
[9]   Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review [J].
Davidson, Karina W. ;
Shaffer, Jonathan ;
Ye, Siqin ;
Falzon, Louise ;
Emeruwa, Iheanacho O. ;
Sundquist, Kevin ;
Inneh, Ifeoma A. ;
Mascitelli, Susan L. ;
Manzano, Wilhelmina M. ;
Vawdrey, David K. ;
Ting, Henry H. .
BMJ QUALITY & SAFETY, 2017, 26 (07) :596-606
[10]   Longitudinal Effects of Medical Students' Communication Skills on Future Performance [J].
Dong, Ting ;
LaRochelle, Jeffrey S. ;
Durning, Steven J. ;
Saguil, Aaron ;
Swygert, Kimberly ;
Artino, Anthony R., Jr. .
MILITARY MEDICINE, 2015, 180 (04) :24-30