Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study.
Overactive bladder (OAB) and urinary incontinence are common problems that have significant impact on quality of life (QOL). Less than half of sufferers seek help from their physicians; many who do are dissatisfied with treatment and their physicians' understanding of their problems. Little is...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2017-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5687746?pdf=render |
| _version_ | 1818889141498150912 |
|---|---|
| author | Steven R Hahn Pamela Bradt Kathleen A Hewett Daniel B Ng |
| author_facet | Steven R Hahn Pamela Bradt Kathleen A Hewett Daniel B Ng |
| author_sort | Steven R Hahn |
| collection | DOAJ |
| description | Overactive bladder (OAB) and urinary incontinence are common problems that have significant impact on quality of life (QOL). Less than half of sufferers seek help from their physicians; many who do are dissatisfied with treatment and their physicians' understanding of their problems. Little is known about the sociolinguistic characteristics of physician-patient communication about OAB in community practice.An IRB-approved observational sociolinguistic study of dialogues between patients with OAB and treating physicians was conducted. Study design included semi-structured post-visit interviews, post-visit questionnaires, and follow-up phone calls. Conversations were analyzed using techniques from interactional sociolinguistics.Communication was physician- rather than patient-centered. Physicians spoke the majority of words and 83% of questions were closed-ended. The impact of OAB on QOL and concerns about and adherence to treatment were infrequently addressed by physicians, who were poorly aligned with patients in their understanding. These topics were addressed more frequently when open-ended questions successfully eliciting elaborated responses were used in ask-tell-ask or ask-tell sequences.Clinical dialogue around OAB is physician-centered; topics critical to managing OAB are infrequently and inadequately addressed. The use of patient-centered communication is correlated with more discussion of critical topics, and thus, more effective management of OAB. |
| first_indexed | 2024-12-19T17:04:18Z |
| format | Article |
| id | doaj.art-9adcaf0fb1b042c49d9322601a621656 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-19T17:04:18Z |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-9adcaf0fb1b042c49d9322601a6216562022-12-21T20:13:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-011211e018612210.1371/journal.pone.0186122Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study.Steven R HahnPamela BradtKathleen A HewettDaniel B NgOveractive bladder (OAB) and urinary incontinence are common problems that have significant impact on quality of life (QOL). Less than half of sufferers seek help from their physicians; many who do are dissatisfied with treatment and their physicians' understanding of their problems. Little is known about the sociolinguistic characteristics of physician-patient communication about OAB in community practice.An IRB-approved observational sociolinguistic study of dialogues between patients with OAB and treating physicians was conducted. Study design included semi-structured post-visit interviews, post-visit questionnaires, and follow-up phone calls. Conversations were analyzed using techniques from interactional sociolinguistics.Communication was physician- rather than patient-centered. Physicians spoke the majority of words and 83% of questions were closed-ended. The impact of OAB on QOL and concerns about and adherence to treatment were infrequently addressed by physicians, who were poorly aligned with patients in their understanding. These topics were addressed more frequently when open-ended questions successfully eliciting elaborated responses were used in ask-tell-ask or ask-tell sequences.Clinical dialogue around OAB is physician-centered; topics critical to managing OAB are infrequently and inadequately addressed. The use of patient-centered communication is correlated with more discussion of critical topics, and thus, more effective management of OAB.http://europepmc.org/articles/PMC5687746?pdf=render |
| spellingShingle | Steven R Hahn Pamela Bradt Kathleen A Hewett Daniel B Ng Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study. PLoS ONE |
| title | Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study. |
| title_full | Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study. |
| title_fullStr | Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study. |
| title_full_unstemmed | Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study. |
| title_short | Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study. |
| title_sort | physician patient communication about overactive bladder results of an observational sociolinguistic study |
| url | http://europepmc.org/articles/PMC5687746?pdf=render |
| work_keys_str_mv | AT stevenrhahn physicianpatientcommunicationaboutoveractivebladderresultsofanobservationalsociolinguisticstudy AT pamelabradt physicianpatientcommunicationaboutoveractivebladderresultsofanobservationalsociolinguisticstudy AT kathleenahewett physicianpatientcommunicationaboutoveractivebladderresultsofanobservationalsociolinguisticstudy AT danielbng physicianpatientcommunicationaboutoveractivebladderresultsofanobservationalsociolinguisticstudy |