Research conducted in primary care settings has demonstrated that effective communication enhances patient recall of information, compliance, satisfaction, psychologic well-being, and biomedical outcomes.
However, surgeons face communication challenges that are unique to the surgical situation.
This study provides the first description of routine communication between community-practicing surgeons and their patients.
Audiotapes of 676 routine office visits with 29 general surgeons and 37 orthopedic surgeons were coded for structure and content.
Descriptive analysis of quantitative data is supplemented by illustrative examples of dialog selected to represent typical patterns of communication.
The mean visit length was 13 minutes.
Surgeons talked more than patients, with typical surgical consultations containing relatively high amounts of patient education and counseling.
Consultations had a narrow biomedical focus with little discussion of the psychologic aspects of patient problems.
The affective tone of visits was generally positive, with few instances of overt criticism or disagreement by either party.
However, surgeons infrequently expressed empathy toward patients, and social conversation was brief.
The study underscores the differencesd in both the content and process of routine surgical visits compared with primary care visits. (...)
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Homme, Personnel sanitaire, Chirurgien, Pratique professionnelle, Relation médecin malade, Communication, Satisfaction
Mots-clés Pascal anglais : United States, North America, America, Human, Health staff, Surgeon, Professional practice, Physician patient relation, Communication, Satisfaction
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0127599
Code Inist : 002B30A05. Création : 16/11/1999.