Assessment of Doctor-Patient Communication Among Residents in Internal Medicine Polyclinic At RSUP Dr. Mohammad Hoesin Palembang 2014 Using Simplified Checklist of Calgary Cambridge Guide
DOI:
https://doi.org/10.19166/med.v7i6.2596Keywords:
doctor-patient communication, Checklist Calgary Cambridge GuideAbstract
Introduction : Misperceptions between doctors and patients can bring negative impact for both the doctors and patients. Misperceptions may occur due to miscommunication during doctor-patient communication. Therefore, assessment during the communication process is necessary.
Methods : This study was a descpritive study with qualitative approach. Checklist Calgary Cambridge Guide (CCCG) was chosen as instrument because it has been widely used in many country.The study was condicted in Polyclinic Internal Medicine of dr. Mohammad Hoesin Hospital due to its high patient load with various diseases that is suitable for doctor-patient communication observation. Subjects were six residents in the department. Observation was done during the communication process. Deep interview was then done to assess the resident’s knowledge and opinions in doctor-patient communication and barriers related to it.
Results : Majority of the residents failed to do some points of the CCCG, which includes self introduction, role and nature of interview, obtain consent and explain process, obtain permission prior to physical examination.
Conclusions : In conclusion, the doctor-patient communication among residents in Internal Medicine Polyclinic At RSUP Dr. Mohammad Hoesin Palembang.
References
1. Kurtz S, Silverman J, Drapper J. Teaching and Learning Communication Skills in Medicine. Oxon: Radcliffe Medical Press. 1998.
2. Middleton S, Gattellari M, Harris JP, et al. Assessing Surgeons' Disclosure of Risk Information Before Carotid Endarterectomy. ANZ J Surg. 2006; 76 (7): 618-24. https://doi.org/10.1111/j.1445-2197.2006.03788.x
3. Jennifer, FH, Dip SA, Longnecker N. Doctor-Patient Communication: A Review. Ochsner J. 2010; 10: 38-43.
4. Subijanto AA. Peran komunikasi Dalam Menjalankan Profesi Dokter Yang Berkualitas Di Masyarakat. Univ Sebelas Maret. 2009.
5. Duffy FD, Gordon GH, Whelan G, et al. Assessing competence in Communication and Interpersonal Skills: “The Kalamazoo II report”. Acad Med.
6. Jahan F, Muhammed M, Mark N, et al. Comparison of The Medical Students’ Self-assessment and Simulated Patients Evaluation of Students Communication Skills in Family Medicine Objective Structured Clinical Examination (OSCE). MEJFM. 2014; 12 (9). ttps://doi.org/10.5742/MEWFM.2014.92583
7. Herquanto, E, Basuki S, Jauzi, M. Pengetahuan dan Keterampilan Komunikasi Dokter Pasien dan Faktor- Faktor yang Memengaruhinya. J Indon Med Assoc. 2011; 61 (5).
8. Ibrahim, A, Delia ZI, Asuku M. Communication Skills among Surgical Trainees: Perception of Residents in a Teaching Hospital in Nothern Nigeria: Niger J Surg. 2011;17 (1). https://doi.org/10.4314/njs.v17i1.70701
9. Roter DL, Hall JA. Physician Gender and Patient-Centered Communication: A Critical Review of Empirical Research. Annu Rev Publ Health 2004; 25: 497-519. https://doi.org/10.1146/annurev.publhealth.25.101802.123134
10. Hall JA, Irish JT, Roter DL. Gender in Medical Encounters : An Analysis of Physician and Patient Communication in A Primary Care Setting. Health Psyschol.1994;13(5): 384-92. https://doi.org/10.1037/0278-6133.13.5.384
11. Leonard EE. Race, Ethnicity, Culture, and Disparities in Health Care. J Gen Intern Med. 2006; 21(6): 667-9. https://doi.org/10.1111/j.1525-1497.2006.0512.x
12. Collins TC, Clark JA, Petersen L, et al. Racial Differences in How Patients Perceive Physician Communication Regarding Cardiac Testing. Med Care. 2002; 40 (1 Suppl): 127-34. https://doi.org/10.1097/00005650-200201001-00004
13. Pawito. Penelitian Komunikasi Kualitatif. PT. LKiS Pelangi Aksara, Yogyakarta. 2007.
14. Bensenor IM. Do you believe in the power of clinical examination? The answer must be yes!. San Paulo Med. 2003; 121[6]: 223. https://doi.org/10.1590/S1516-31802003000600001
15. Claramita M, Adi U, Hardyanto S, et al. Doctor-patient communication in a Southeast Asian setting: the conflict between ideal and reality. Adv in Health Sci Educ. 2011;16: 69-80. https://doi.org/10.1007/s10459-010-9242-7
16. Hillen HCB. The IT anamnesis? Diagnosing software requiremnets. Radboud University Njimegen. June 25, 2012.
17. Jamie AG, Alda MG, Elan DC, et al. Addressing health literacy through clear health communication: A training program for internal medicine residents. Patient Education and Counseling 95. 2014; 76-82. https://doi.org/10.1016/j.pec.2014.01.004
18. Lacasse M, Maker D. Fishing and history taking. Canadian Family Physician. Le Medecin de Familie Canadien, 2008; 54(6): 891-2.
19. Roshan R, Rao AP. A study of relative contribution of the history, physical examination and investigations in making medical diagnosis. J Assoc Physici India. 2000; 48(8):771-5.
20. Consumer Health Forum of Australia. Informed Consent in Heatlhcare: An Issues Paper. 2013.
21. Queensland Health. 2011. Guide to Informed Decision-making in Healthcare.
22. Sulaiha SA, Wee YL, Lie JC, et al. The lack of effective hand washing practice despite high level of knowledge and awareness in medical students of clinical years. IEJSME. 2010; 4(2): 18-26.
23. Lynn NB. Health literacy: A prescription to end confusion. Committee on Health Literacy, Board on Euroscience and Behavioral Health. Washington, DC: The National Academies Press. 2001.
24. Robin JD. Can meds communication skills: Can they be taught?. MAC Ortho Grand Rounds Dec. 2011.
25. Silverman J, Kurtz S, Draper J. Skills for communicating with patients. 2nd Ed. Oxon, UK: Radcliffe Publishing. 2005.
26. Cohen M, Vick K, Tim B, et al. Long consultation and quality of care: AIMA position statement. Australasian Integrative Medicine Association 19 2012; 19-22.
27. Howie JGR, Heaney DJ, Maxwell M, et al. Quality at general practice consultations: cross-sectional survey. BMJ. 1999; 319: 738-743. https://doi.org/10.1136/bmj.319.7212.738
28. Ellis, C. The doctor and medical student’s perspectives of the doctor-patient relationship: an analysis of communication. Int J Commun and Health. 2013;1.
29. Deveugele M, Anselm D, Atie VB. Consultation length in general practice: cross sectional study in six European countries. BMJ. Aug31, 2002; 325(7362): 472. https://doi.org/10.1136/bmj.325.7362.472
30. Wilson A, Susan, C. The relationship between consultation length, process and outcomes in general practice: a systematic review. BrJ of Gen, December 2002. 52(485Pract,): 1012-20.
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