Doctor patient communication

Not yet recruiting

Conditions: Health professionals and patients visiting OPD services

Registration Number: CTRI/2019/12/022460

Lead Sponsor: KH Manipal

Brief Summary: In the evolution of medicine, an increasing numberof patients, in particular with chronic disease or illness, is requiringtreatment by healthcare providers from different disciplines. Two major trendsemerge. First, diagnostic workups and treatments are increasingly organized onan outpatient basis, and, second, especially treatment and care is shiftingtowards primary care. Both trends increase the need for sharing informationbetween specialists and general practitioners (GPs) to ensure continuity ofcare, in an integrated transmural model1

Although a review of the literature revealed thatfaceâ€toâ€face communication is recommended, in practice, written communicationremains the most usual means of communication between healthcare professionals.Furthermore, there is a consensus about particular advantages of writtencommunication over faceâ€toâ€face communication.

Faceâ€toâ€face communication is essential to get thefull conversation. In faceâ€toâ€face communication, all involved parties can notonly hear what is being said but also they can see the body language and facialexpressions that provide key information so they can better understand themeaning behind the words. In the past, this type of communication was onlypossible in person, but as technology advances there are more ways to havethese faceâ€toâ€face conversations1

Violence erupts as a result of interacting factorsencompassing staff behavior, patient behavior, hospital setting, professionalroles, and waiting times. Patients and staff reported similar perceptions andemotions regarding the episodes of violence in which they were involved

Half of the reasons stated by physicians and nursesfor violence eruption were related to patient dissatisfaction with the qualityof service, the degree of staff professionalism, or an unacceptable comment ofa staff member. In addition, data from the focus groups pointed to lack ofunderstanding of the hospital system on the part of patients, together withpoor communication between patients and providers and expectations gaps2

References:

1. Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E., Hallaert, G., Van Daele, S., Buylaert, W., â€¦ Vogelaers, D. (2015). Communication in healthcare: a narrative review of the literature and practical recommendations. International journal of clinical practice, 69(11), 1257-67.

2. Shafran-Tikva, S., Chinitz, D., Stern, Z., & Feder-Bubis, P. (2017). Violence against physicians and nurses in a hospital: How does it happen? A mixed-methods study. Israel journal of health policy research, 6(1), 59. doi:10.1186/s13584-017-0183-y

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 200

Inclusion Criteria

participants will be healthcare personnel and patients.

Exclusion Criteria

Health care professionals with more than 20 years of experience and OPD patients not able to comprehend English language.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
change in the communication skill sets and behaviour of doctors towards patients and their response to this change	This change will be seen after 6 weeks of intervention

Secondary Outcome Measures

Name	Time	Method
Reduced incidence of doctor patient violence. Positive image of doctors among the patient group	After one year of intervention

Trial Locations

Locations (1): Kasturba hospital
🇮🇳
Udupi, KARNATAKA, India
Kasturba hospital
🇮🇳Udupi, KARNATAKA, India
Anand KM
Principal investigator
9844009873
anand.km@manipal.edu