Patients Fail to Disclose Their Symptoms During A Visit to Their Primary Care Physician

Divya Karavadi
{"title":"Patients Fail to Disclose Their Symptoms During A Visit to Their Primary Care Physician","authors":"Divya Karavadi","doi":"10.36648/1479-1072.29.2.20","DOIUrl":null,"url":null,"abstract":"Patient-physician communication is Associate in Nursing integral a part of clinical observe. once done well, such communication produces a therapeutic result for the patient, as has been valid in controlled studies. Formal coaching programs are created to reinforce and live specific communication skills. several of those efforts, however, specialise in medical faculties and early postgraduate years and, therefore, stay isolated in educational settings. Thus, the communication skills of the busy medical practitioner typically stay poorly developed, and also the want for established physicians to become higher communicators continues. during this article, the authors concisely review the why and the way of effective patient-physician communication. they start by reviewing current information on the advantages of effective communication within the clinical context of physicians caring for patients. The authors then supply specific steering on the way to attain effective communication within the patient-physician relationship. However, there's very little empirical proof relating to the role of patients in distinguishing and preventing medical damage[1]. For hospitalized patients, the technical complexness of treatment and also the acute nature of their sicknesses undermine their ability to acknowledge issues. In ambulant patients, many studies document poor understanding of treatment recommendations or medication regimens[2].Two recent reports address patients’ ability to spot medication-related errors and injuries in medical care. within the ambulant Quality Improvement Project, eighteen of patients in eleven medical care practices according a tangle because of medications within the previous year, however solely three-dimensional of patients’ charts recorded this finding.11 A limitation of the study was the dearth of certification by physicians of patient-reported medication symptoms. The goal of the current study was to know the medication-related symptoms old by members of this patient cohort yet because the contribution of poor patient-physician communication to ADEs. we have a tendency to theorized that if patients and physicians communicated additional effectively concerning medication-related symptoms, then the intensity or period of symptoms can be quenched. Specifically, we have a tendency to wanted to answer the subsequent questions: (1) What square measure the frequency, type, and severity of patient-identified medication symptoms? (2) however typically do clinicians accept as true with patients’ attribution of symptoms to their medications? (3) What factors square measure related to patients’ choices to inform physicians concerning symptoms? (4) What factors square measure related to physicians’ choices to handle patient-reported medication symptoms?","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"37 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Quality in primary care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36648/1479-1072.29.2.20","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Patient-physician communication is Associate in Nursing integral a part of clinical observe. once done well, such communication produces a therapeutic result for the patient, as has been valid in controlled studies. Formal coaching programs are created to reinforce and live specific communication skills. several of those efforts, however, specialise in medical faculties and early postgraduate years and, therefore, stay isolated in educational settings. Thus, the communication skills of the busy medical practitioner typically stay poorly developed, and also the want for established physicians to become higher communicators continues. during this article, the authors concisely review the why and the way of effective patient-physician communication. they start by reviewing current information on the advantages of effective communication within the clinical context of physicians caring for patients. The authors then supply specific steering on the way to attain effective communication within the patient-physician relationship. However, there's very little empirical proof relating to the role of patients in distinguishing and preventing medical damage[1]. For hospitalized patients, the technical complexness of treatment and also the acute nature of their sicknesses undermine their ability to acknowledge issues. In ambulant patients, many studies document poor understanding of treatment recommendations or medication regimens[2].Two recent reports address patients’ ability to spot medication-related errors and injuries in medical care. within the ambulant Quality Improvement Project, eighteen of patients in eleven medical care practices according a tangle because of medications within the previous year, however solely three-dimensional of patients’ charts recorded this finding.11 A limitation of the study was the dearth of certification by physicians of patient-reported medication symptoms. The goal of the current study was to know the medication-related symptoms old by members of this patient cohort yet because the contribution of poor patient-physician communication to ADEs. we have a tendency to theorized that if patients and physicians communicated additional effectively concerning medication-related symptoms, then the intensity or period of symptoms can be quenched. Specifically, we have a tendency to wanted to answer the subsequent questions: (1) What square measure the frequency, type, and severity of patient-identified medication symptoms? (2) however typically do clinicians accept as true with patients’ attribution of symptoms to their medications? (3) What factors square measure related to patients’ choices to inform physicians concerning symptoms? (4) What factors square measure related to physicians’ choices to handle patient-reported medication symptoms?
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
病人在看初级保健医生时没有透露他们的症状
医患沟通是护理专业临床观察的重要组成部分。一旦做得好,这种交流就会对病人产生治疗效果,这在对照研究中是有效的。正式的培训课程是为了加强和实践特定的沟通技巧而创建的。然而,其中一些努力专门针对医学院和早期研究生,因此在教育环境中是孤立的。因此,忙碌的医生的沟通技巧通常仍然不发达,而且对现有医生成为高级沟通者的需求仍在继续。在本文中,作者简要回顾了有效医患沟通的原因和方法。他们首先回顾了在医生照顾病人的临床环境中有效沟通的优势的当前信息。然后,作者提供具体的指导方式,以实现有效的沟通,在医患关系。然而,关于患者在识别和预防医疗损伤中的作用,很少有经验证据[1]。对于住院病人来说,治疗的技术复杂性和他们疾病的急性性质削弱了他们承认问题的能力。在门诊患者中,许多研究表明对治疗建议或用药方案的理解不足[2]。最近的两份报告讨论了患者在医疗护理中发现与药物有关的错误和伤害的能力。在“门诊质量改进项目”中,11个医疗保健实践中有18个患者在前一年因药物而发生混乱,然而,只有三维患者图表记录了这一发现该研究的一个局限性是缺乏医生对患者报告的药物症状的证明。本研究的目的是了解该患者队列成员的药物相关症状,因为不良的医患沟通对ADEs的贡献。我们倾向于认为,如果患者和医生就药物相关症状进行更有效的沟通,那么症状的强度或周期就可以被消除。具体来说,我们倾向于回答以下问题:(1)什么方衡量患者确定的药物症状的频率、类型和严重程度?(2)临床医生通常如何接受患者将症状归因于药物的说法?(3)哪些因素平方测量与患者选择告知医生有关症状?(4)哪些因素平方测量与医生选择处理患者报告的药物症状相关?
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Evaluating improvement. Understanding processes and how to improve them. Commissioning for quality improvement. The Impact 0f Pandemic Ebola Virus 0n Global Public Health Preterm birth and factors: An institution based cross-sectional study in case of southern Ethiopia
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1