challenges to good quality communication (no interventions needed) Flashcards
why is good communication important?
Fallowfield (2002) and 150,000 consultations (institute for healthcare communications, 2018).
what is communication?
early models (Shannon and Weaver, 1948) did not take into account many of the factors that are now considered vital within a healthcare context. i.e. meaning, emotion, relationships etc.
what are some challenges with communication?
Hale (2014) case study of the boy with cerebral palsy who was non–verbal, with many health complications and a mother who only spoke Spanish
why is availability of info a double edged sword?
it is good because it increases access to healthcare for those who for whatever reason don’t have access normally. but the information available online is also likely to be low quality or inaccurate (Hodge, 2001).
why is patient expectation an issue with the availability of health information online?
Lender-pelz (1981) fulfilment theory where expectancy determines patient satisfaction. more information = more expectancy so this is bad if the information is inaccurate.
who found that availability of information is bad from a doctors perspective?
Kim (2009) found that doctors believed that healthcare information on the internet worsened the doctor-patient relationship.
doctors also raised worries that increased information led to over concern over health which would cause abuse of the healthcare system - which is already under considerable financial strain (Baird et al, 2004)
why is patient understanding a possible barrier to healthcare?
lower understanding leads to lower recall. this has been shown to lead to lower patient satisfaction and adherence to medication.
who found issues with patient understanding?
a case study of the Missouri school of medicine (2010) found that 60% of patients did not understand consent forms and 50% of the information they recalled after a consultation was inaccurate.
Hadlow and Pitts (1998) found that patients understood just 33% of medical terms used by doctors.
what interventions have been done to increase patient understanding?
Missouri school of medicine used video intervention - as of yet unknown success.
Harms (2006) intervention given to anaesthetists to increase clarity of communication led to a decrease in patient anxiety.
review by Harrington (2004) found that interventions given to patients led to an increase in questions being asked but not necessarily to an increased level of patient understanding. this is good because it is potentially way cheaper.
paragraph on patient-centredness (repeat of other essay).
- primary goal of healthcare (Weiner, 2004)
- Bagchi and Saha research
- intervention by Schouten (2005)
- Haug and Ory (1980) Old people but temporal validity and cultural shift invalidates it (Poulin and West, 2005)
