Patient education and counseling · 2024
On being on the same page: Predictors of gastroenterologist-patient misalignment in inflammatory bowel disease.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Karimi Neda, Moore Alison R, Jones Ashleigh, Lukin Annabelle, Pipicella Joseph L, Williams Astrid-Jane, Ng Watson, Kanazaki Ria, Kariyawasam Viraj, Mitrev Nikola, Pandya Keval, Andrews Jane M, Connor Susan J
Аннотация
OBJECTIVES: This study explored the prevalence and degree of misalignment between gastroenterologists and people with inflammatory bowel disease (IBD) and investigated communication features related to misalignment.
METHODS: A mixed-methods approach incorporated qualitative and quantitative analyses of consultations and post-consultation patient and doctor interviews. Gastroenterologists at two Australian teaching hospitals and IBD patients participated in this study. Doctor-patient misalignment about topics discussed in consultations was quantified using patient and doctor interviews. Predictors of misalignment were hypothesised through a linguistic analysis of consultations and tested quantitatively.
RESULTS: Data from 69 patients and seven gastroenterologists showed that consultation participants had different perceptions about at least one aspect of care in 36 % of the consultations. Predictors of misalignment included missing the opportunity to clarify an issue or concern and missing the opportunity to explain the rationale for a diagnosis or recommendation.
CONCLUSION: Staying on the topic until the patient is ready to move on and using so-called related messages in questions and explanations increases the likelihood of doctor-patient alignment.
PRACTICE IMPLICATIONS: Generic and IBD-specific clinician- and patient-targeted interventions should cover strategies for adequately discussing patients' issues and concerns and clinicians' clinical reasoning. These strategies should also be considered in designing health promotion activities.
METHODS: A mixed-methods approach incorporated qualitative and quantitative analyses of consultations and post-consultation patient and doctor interviews. Gastroenterologists at two Australian teaching hospitals and IBD patients participated in this study. Doctor-patient misalignment about topics discussed in consultations was quantified using patient and doctor interviews. Predictors of misalignment were hypothesised through a linguistic analysis of consultations and tested quantitatively.
RESULTS: Data from 69 patients and seven gastroenterologists showed that consultation participants had different perceptions about at least one aspect of care in 36 % of the consultations. Predictors of misalignment included missing the opportunity to clarify an issue or concern and missing the opportunity to explain the rationale for a diagnosis or recommendation.
CONCLUSION: Staying on the topic until the patient is ready to move on and using so-called related messages in questions and explanations increases the likelihood of doctor-patient alignment.
PRACTICE IMPLICATIONS: Generic and IBD-specific clinician- and patient-targeted interventions should cover strategies for adequately discussing patients' issues and concerns and clinicians' clinical reasoning. These strategies should also be considered in designing health promotion activities.