A Survey on Doctor-Patient Communication in Gynecological Endocrinology Outpatient Clinic_Chinese Journal of Evidence-Based Medicine

Authors：

LI Xiaohong , SHE Wenjing ,  HAN Ziyan , LEI Haike

West China 2nd Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

HAN Ziyan, Email: hanziyanlxh_001@163.com

Keywords：

Gynecological endocrinology; Doctor-patient communication; Quality evaluation

DOI：

10.7507/1672-2531.20120105

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate patients in gynecological endocrinology clinic with the following three pieces of information: how did they provide their symptom information, how did they understand diagnostic and therapeutic information, and what was their attitude towards the visit, and to get to know about the situation and problems in doctor-patient communication, so as to aim directly at improving the efficiency of diagnosis and treatment.
Methods A total of 403 patients, who visited Prof. HAN Zi-yan’s clinic in the hospital from April to August 2010, were evaluated using self-edited Assessment on Doctor-patient Communication in Gynecological Endocrinology Outpatient Clinic.
Results a) As to the situation of patients providing symptom information as well as understanding diagnostic and therapeutic information, when doctor asked, only 29% (118/403) of patients could narrate their treatment history clearly, and 38% (152/403) could tell their examination history exactly. After doctors’ explanation, only 21% (86/403) understood their examination results correctly, and 27% (108/403) understood management and therapeutic advice. The result of correlation analysis showed the accuracy of patients in providing disease information and accepting diagnostic and therapeutic information was higher in patients aged from 21 to 40 rather than those younger than 20, in patients well- educated rather than those with little education at the primary school, and in patients who were also engaged in medical work, All differences were significant (all P lt;0.05); and b) As to patients’ attitude towards visit, 55% (222/403) of patients hoped to get more attention from doctor, and 37.5% (151/403) overly expected the visit.
Conclusion In the professor’s gynecological endocrinology outpatient clinic, many patients can’t clearly provide their treatment and examination history, neither understand exam situation and therapeutic advice at that visit, which are influenced by their age, education and occupation. In addition, psychological needs of patients should be concerned, too

Citation： LI Xiaohong,SHE Wenjing,HAN Ziyan,LEI Haike. A Survey on Doctor-Patient Communication in Gynecological Endocrinology Outpatient Clinic. Chinese Journal of Evidence-Based Medicine, 2012, 12(6): 642-646. doi: 10.7507/1672-2531.20120105 Copy

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2.	Martinali J, Bolman C, Brug J, et al. A checklist to improve patient education in a cardiology outpatient setting. Patient Educ Couns, 2001, 42(3): 231-238.
3.	Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Soc Sci Med, 2001, 52(4): 609-620.
4.	Sator M, Gstettner A, Hladschik-Kermer B. Doctor-patient-communication in an oncological outpatient department. A linguistic study of communication problems. Wien Klin Wochenschr, 2008, 120 (5-6): 158-170.
5.	周亮, 周瑞敏. 医患关系影响因素调查. 中国循证医学杂志, 2007, 7(11): 778-781.
6.	佘文静, 韩字研, 李小红. 女性不孕症门诊医患交流质量的现状调查. 实用妇产科杂志, 2012, 28(2): 147.
7.	郎景和. 医患交流的技巧. 实用妇产科杂志, 2010, 26(6): 408-410.
8.	Neeman N, Isaac T, Leveille S, et al. Improving doctor-patient communication in the outpatient setting using a facilitation tool: a preliminary study. Int J Qual Health Care, 2011 Dec 21. [Epub ahead of print].
9.	Talen MR, Muller-Held CF, Eshleman KG, et al. Patients’ communication with doctors: a randomized control study of a brief patient communication intervention. Fam Syst Health, 2011, 29(3): 171-183.
10.	卫茂玲, 苏维, 李幼平, 等. 医患沟通系统评价证据的循证分析. 中国循证医学杂志, 2008, 8(12): 1100-1104.
11.	Greene MG, Adelman RD, Friedmann E, et al. Older patient satisfaction with communication during an initial medical encounter. Soc Sci Med, 1994, 8(9): 1279-1288.
12.	Ishikawa H, Yano E, Fujimori S, et al. Patient health literacy and patient-physician information exchange during a visit. Fam Pract, 2009, 26(6): 517-523.
13.	Moore M. What does patient-centred communication mean in Nepal? Med Educ, 2008, 42(1):18-26.
14.	von Lengerke T, Kursch A, Lange K, et al. The communication skills course for second year medical students at Hannover Medical School: An evaluation study based on students’ self-assessments. GMS Z Med Ausbild, 2011; 28(4): Doc54. Epub 2011 Nov 15.
15.	Senol Y, Ozdogan M, Bozcuk H. Effects and Permanency of the Training Program "Communication with Cancer Patients" on the Opinions of Students. J Cancer Educ, 2012, 27(2): 338-341.

1. Guo Y, Kuroki T, Yamashiro S, et al. Illness behaviour and patient satisfaction as correlates of self-referral in Japan. Fam Pract, 2002, 19(4): 326-332.
2. Martinali J, Bolman C, Brug J, et al. A checklist to improve patient education in a cardiology outpatient setting. Patient Educ Couns, 2001, 42(3): 231-238.
3. Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Soc Sci Med, 2001, 52(4): 609-620.
4. Sator M, Gstettner A, Hladschik-Kermer B. Doctor-patient-communication in an oncological outpatient department. A linguistic study of communication problems. Wien Klin Wochenschr, 2008, 120 (5-6): 158-170.
5. 周亮, 周瑞敏. 医患关系影响因素调查. 中国循证医学杂志, 2007, 7(11): 778-781.
6. 佘文静, 韩字研, 李小红. 女性不孕症门诊医患交流质量的现状调查. 实用妇产科杂志, 2012, 28(2): 147.
7. 郎景和. 医患交流的技巧. 实用妇产科杂志, 2010, 26(6): 408-410.
8. Neeman N, Isaac T, Leveille S, et al. Improving doctor-patient communication in the outpatient setting using a facilitation tool: a preliminary study. Int J Qual Health Care, 2011 Dec 21. [Epub ahead of print].
9. Talen MR, Muller-Held CF, Eshleman KG, et al. Patients’ communication with doctors: a randomized control study of a brief patient communication intervention. Fam Syst Health, 2011, 29(3): 171-183.
10. 卫茂玲, 苏维, 李幼平, 等. 医患沟通系统评价证据的循证分析. 中国循证医学杂志, 2008, 8(12): 1100-1104.
11. Greene MG, Adelman RD, Friedmann E, et al. Older patient satisfaction with communication during an initial medical encounter. Soc Sci Med, 1994, 8(9): 1279-1288.
12. Ishikawa H, Yano E, Fujimori S, et al. Patient health literacy and patient-physician information exchange during a visit. Fam Pract, 2009, 26(6): 517-523.
13. Moore M. What does patient-centred communication mean in Nepal? Med Educ, 2008, 42(1):18-26.
14. von Lengerke T, Kursch A, Lange K, et al. The communication skills course for second year medical students at Hannover Medical School: An evaluation study based on students’ self-assessments. GMS Z Med Ausbild, 2011; 28(4): Doc54. Epub 2011 Nov 15.
15. Senol Y, Ozdogan M, Bozcuk H. Effects and Permanency of the Training Program "Communication with Cancer Patients" on the Opinions of Students. J Cancer Educ, 2012, 27(2): 338-341.

Chinese Journal of Evidence-Based Medicine

A Survey on Doctor-Patient Communication in Gynecological Endocrinology Outpatient Clinic

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