Lecture 1: Microanalysis Applications Flashcards
DelVento et al 2009
Aim: To investigate the communication of bad news by medical professionals
Methods: 8 doctors were recorded giving a terminal diagnosis to sham patients
Results: Significantly greater use of implicit language
Fallowfield and Jenkins 2004
Aim: To review research into the delivery of sad, bad and difficult news
Results: Education benefits patients and doctors. Doctors often haunted by 1st experience. Privacy, clarity, attitude, compassion and unambiguous language important.
Harrington et al 2004
Aim: To review 20 studies of patient interventions
Results: Significantly influenced patient participation (10/16). Consultation length typically unaffected. Significant recall improvements. Improved perceptions of control over health.
Frederikson and Bull 1995
Aim: To test the impact of a patient information leaflet on consultations
Method: 80 patients-experimental group given informative leaflet (told to give clear and concise details early)
Results: 80 percent of experimental group rated as good. No increase in consultation length
Tamblyn et al 2007
Poor scores in C-C guide assessment predicts subsequent patient complaints
Silverman et al 2013
Created Calgary-Cambridge guide that is used in 70% of Medical schools
Communication seen as a taught skills
Taught: Content, process and perception skills
Maguire et al 1986
Aim: Follow up study
Methods: The Drs saw 1 genuine and 2 simulated patients
Results: Feedback group significantly better but all had improved. Neither scored well at the start and end of the interview. Less good with psychiatric group.
Maguire et al 1978
Aim: To compare the effects of feedback on medical students
Methods: 3types of feedback- audio, video and tutor ratings.
Results: Pre-training: little difference. Post training: Controls no significant improvement, feedback significant improvement. Video and audio significant (video best).
