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  1. Physician-patient communication : The relationship with malpractice claims among primary care physicians and surgeons.

    Article - En anglais

    Objective

    - To identify specific communication behaviors associated with malpractice history in primary care physicians and surgeons.

    Design

    - Comparison of communication behaviors of « claims » vs « no-claims » physicians using audiotapes of 10 routine office visits per physician.

    Settings

    - One hundred twenty-four physician offices in Oregon and Colorado.

    Participants

    - Fifty-nine primary care physicians (general internists and family practitioners) and 65 general and orthopedic surgeons and their patients.

    Physicians were classified into no-claims or claims (=2 lifetime claims) groups based on insurance company records and were stratified by years in practice and specialty.

    Main Outcome Measures

    - Audiotape analysis using the Roter Interaction Analysis System.

    Results

    - Significant differences in communication behaviors of no-claims and claims physicians were identified in primary care physicians but not in surgeons.

    Compared with claims primary care physicians, no-claims primary care physicians used more statements of orientation (educating patients about what to expect and the flow of a visit), laughed and used humor more, and tended to use more facilitation (soliciting patients'opinions, checking understanding, and encouraging patients to talk).

    No-claims primary care physicians spent longer in routine visits than claims primary care physicians (mean, 18.3 vs 15.0 minutes), and the length of the visit had an independent effect in predicting claims status. (...)

    Mots-clés Pascal : Relation médecin malade, Interaction sociale, Comportement, Médecin, Faute professionnelle, Dommages intérêts, Qualité, Soin, Aspect juridique, Homme, Etats Unis, Amérique du Nord, Amérique, Personnel sanitaire

    Mots-clés Pascal anglais : Physician patient relation, Social interaction, Behavior, Physician, Malpractice, Compensatory damage, Quality, Care, Legal aspect, Human, United States, North America, America, Health staff

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0192049

    Code Inist : 002B30A11. Création : 21/05/1997.