Patient-physician communication in the emergency department in Taiwan: physicians’ perspectives
Abstract Background Effective patient-physician communication promotes trust and understanding between physicians and patients and reduces medical disputes. In this study, the Roter Interaction Analysis System was used to explore physician-patient communication behaviors in the emergency departments...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-02-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-07533-1 |
| _version_ | 1828135813747048448 |
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| author | Yi-Fen Wang Ya-Hui Lee Chen-Wei Lee Chien-Hung Hsieh Yi-Kung Lee |
| author_facet | Yi-Fen Wang Ya-Hui Lee Chen-Wei Lee Chien-Hung Hsieh Yi-Kung Lee |
| author_sort | Yi-Fen Wang |
| collection | DOAJ |
| description | Abstract Background Effective patient-physician communication promotes trust and understanding between physicians and patients and reduces medical disputes. In this study, the Roter Interaction Analysis System was used to explore physician-patient communication behaviors in the emergency departments of Taiwanese hospitals. Method Data was collected from the dialogues between 8 emergency physicians and 54 patients through nonparticipant observation, and 675 pieces of data were quantitatively and qualitatively analyzed. Results The results showed that: 1. Emergency physicians’ communication behaviors are task-focused. They usually ask closed-ended questions to collect data to identify the symptoms quickly and provide medical treatment. 2. Socioemotion-oriented physician-patient communication behaviors are less common in the emergency department and only serve as an aid for health education and follow-up. Due to time constraints, it is difficult to establish relationships with patients and evoke their positivity. Conclusions It is suggested that future education programs on physician-patient communication in the emergency department should focus on strengthening physicians’ ability to communicate with patients in a more open way. They should adopt socioemotional-oriented communication skills, expressing respect and kindness, and allowing patients to briefly describe their symptoms and participate in the treatment process to achieve physician-patient consensus. |
| first_indexed | 2024-04-11T17:53:13Z |
| format | Article |
| id | doaj.art-6674864ea0774e72a30aee93f5b47695 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-11T17:53:13Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-6674864ea0774e72a30aee93f5b476952022-12-22T04:10:58ZengBMCBMC Health Services Research1472-69632022-02-012211710.1186/s12913-022-07533-1Patient-physician communication in the emergency department in Taiwan: physicians’ perspectivesYi-Fen Wang0Ya-Hui Lee1Chen-Wei Lee2Chien-Hung Hsieh3Yi-Kung Lee4Office of Industry-Academia Cooperation, National Yunlin University of Science & TechnologyDepartment of Adult & Continuing Education, National Chung Cheng UniversityEmergency Department, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationDepartment of Adult & Continuing Education, National Chung Cheng UniversityEmergency Department, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationAbstract Background Effective patient-physician communication promotes trust and understanding between physicians and patients and reduces medical disputes. In this study, the Roter Interaction Analysis System was used to explore physician-patient communication behaviors in the emergency departments of Taiwanese hospitals. Method Data was collected from the dialogues between 8 emergency physicians and 54 patients through nonparticipant observation, and 675 pieces of data were quantitatively and qualitatively analyzed. Results The results showed that: 1. Emergency physicians’ communication behaviors are task-focused. They usually ask closed-ended questions to collect data to identify the symptoms quickly and provide medical treatment. 2. Socioemotion-oriented physician-patient communication behaviors are less common in the emergency department and only serve as an aid for health education and follow-up. Due to time constraints, it is difficult to establish relationships with patients and evoke their positivity. Conclusions It is suggested that future education programs on physician-patient communication in the emergency department should focus on strengthening physicians’ ability to communicate with patients in a more open way. They should adopt socioemotional-oriented communication skills, expressing respect and kindness, and allowing patients to briefly describe their symptoms and participate in the treatment process to achieve physician-patient consensus.https://doi.org/10.1186/s12913-022-07533-1Patient-physician communicationEmergency departmentRoter interaction analysis system |
| spellingShingle | Yi-Fen Wang Ya-Hui Lee Chen-Wei Lee Chien-Hung Hsieh Yi-Kung Lee Patient-physician communication in the emergency department in Taiwan: physicians’ perspectives BMC Health Services Research Patient-physician communication Emergency department Roter interaction analysis system |
| title | Patient-physician communication in the emergency department in Taiwan: physicians’ perspectives |
| title_full | Patient-physician communication in the emergency department in Taiwan: physicians’ perspectives |
| title_fullStr | Patient-physician communication in the emergency department in Taiwan: physicians’ perspectives |
| title_full_unstemmed | Patient-physician communication in the emergency department in Taiwan: physicians’ perspectives |
| title_short | Patient-physician communication in the emergency department in Taiwan: physicians’ perspectives |
| title_sort | patient physician communication in the emergency department in taiwan physicians perspectives |
| topic | Patient-physician communication Emergency department Roter interaction analysis system |
| url | https://doi.org/10.1186/s12913-022-07533-1 |
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