Communication skills of physicians during patient interaction in an in-patient setting at Tikur Anbessa Specialized Teaching Hospital (TASH), Addis Ababa, Ethiopia, 2009.

Authors

  • Daniel Zewdneh
  • Kifle W/Michael
  • Sosena Kebede

Abstract

Abstract Background: Physician-patient relationship is foremost among the numerous qualities needed for sound patient care. In the Ethiopian clinical setting, a vast majority of patients complain that physicians do not interact with them properly. Objective: Assess behavior of physicians (verbal and nonverbal) when interacting with patients. Methods: Randomly selected physicians were observed in doctor-patient interactions in an inpatient setting using a standardized check list at Tikur Anbessa Hospital in November, 2009.Mean comparison of total scores of each category as well as mean interaction and biomedical exam times were made using Pearson’s Chi square, and Student’s T test. Results: 211 interactions were observed. 22.7% were consultants, 49.7% were residents and 26.5% were interns. Mean total score of observed behavior ranged from poor to satisfactory across category and showed statistically significant variations. Average interaction time was 7.87 minutes while average biomedical exam time was 5.05 minutes. The means showed a significant variation (p=0.001 at 95% CI). Conclusion: The study has shown that there is a reasonable ground to suggest that physician-patient interaction has deficiencies. Due attention should be given to improve communication skills of physicians. [Ethiop. J. Health Dev. 2011;25(1):3-9]

References

References

Accreditation Council for Graduate Medical Education (ACGME). Advancing Education in interpersonal and Communication Skills (an educational resource outcome Project), 2005.

Kalet A, Pugnaire M, Cole-Kelly K, Janicik R, Ferrara E, Schwartz M, Lipkin. M, Lazare A. Teaching Communication in Clinical Clerkships: Models from the Macy Initiative in Health Communications, Acad Med 2004;79:511-520.

Participants in the Bayer-Fetzer Conference on Physician-Patient Communication in Medical Education. Essential Elements of Communication in Medical Encounters: The Kalamazoo Consensus Statement. Acad Med 2001;76(4):390-393.

Colman DR. Bedside manner; A practical guide to

interacting with patients (text). First Edition. Anchorage: Alaska; 2007.

Windish DM, Price EG, Clever SL, Maaziner JL,

Patricia AT. Teaching medical students: The

important connection between communication and

clinical reasoning; Journal of General Internal

Medicine 2005;20:1108- 1113.

Travaline JM, Ruchinskas R, D’Alonzo GE. Patientphysician communication: Why and how? Journal

of American Ostheopathic Association (JAOA) 2005;105(1).

Ashbury FD, Iverson DC, Kralji B. Physician

communication skills: Results of a survey of

general/family practitioners in Newfoundland. Med

Educ. Online (serial online) 2001;6:1: available at

URL http://www.med-ed-online.org

Ruiz MR, Rodriguez EP, Torres LP, Torre.

Physician-patient communication: A study on the

observed behaviors of specialty physicians and the

ways their patients perceive them; patient Education

and Counseling, Elsevier, WWW.elsevier.com/

locate/pateducou : 2006;64:242-248.

Falvo D, Smith JK. Assessing residents behavioral

science skills: Patient’s view of physician-patient

interactions. Journal of Family Practice 1983;17(3):

-483.

Doyle BL, Ware JE: Physician conduct and other

factors that affect consumer satisfaction with medical care: Journal of Medical Education 1977;52:793-801.

Ben SZ. The function of the professional’s affective

behavior in client satisfaction: A revised approach to

social interaction theory. Journal of Health Social

Behavior 1976;17:3-11.

Coombs RH, Vincent CE. Psycho-social aspects of

medical training (text). Chicago, IL: Charles Thomas; 1971.

Pacoe LY, Naar R, Guyett IPR, Wells R. Teaching

medical students interpersonal relationship skills.

Journal of Medical Education 1976;51:743-750.

Hutter M, Dungy CL, Zakus GE, Moore VJ , Ott JE,

Favert AC. Interviewing skills; A comprehensive approach to reaching and evaluation. Journal of Medical Education 1977;52: 328-333.

Suzanne MK. Doctor-patient communication: Principles and practices. Canadian Journal of Neurological Sciences 2002;29:523-529.

Duggan A. Understanding interpersonal communication across health contexts: Advances in the last decade and challenges for the next decade. Journal of Health Communication 2006;11: 93-108.

Lehmann F, Luke C, Andre B, Dennis F. Physicianpatient

interaction: A reliable and valid checklist of quality. Canadian Family Physician 1990;36:17111716.

Lebow JL. Consumer assessments of the quality of

medical care. Med Care 1974;12:328.

Di Matteo MR, Di Nicola D. Sources of assessment

of physician performance; A study of comparative reliability and patterns of interaction. Med Care 1981;19:829.

Bensing JM; Doctor-patient communication and the

quality of care; Soc Sci Med 1991;32(11):1301-1310.

Stewart M, Brown J, Levenstein J, McCracken E,

McWhinney JR. The patient-centered clinical method: Changes in residents performance over two months of training. Family Practice 1986;3:164-167.

Kraan HF, Crijnen AM, Zuidweg J; The Maastricht

history-taking and advising checklist (MHAC). Maastricht: The Netherlands, Department of Social Psychiatry, Maastricht Medical School University of Limburg; 1986

Bensing JM, Debra LR; Communication pattern of

physicians in the United States and the Netherlands.

Journal of General Internal Medicine 2003;18: 33534.

Downloads

Published

2016-09-29

How to Cite

Zewdneh, D., W/Michael, K., & Kebede, S. (2016). Communication skills of physicians during patient interaction in an in-patient setting at Tikur Anbessa Specialized Teaching Hospital (TASH), Addis Ababa, Ethiopia, 2009. The Ethiopian Journal of Health Development, 25(1). Retrieved from https://ejhd.org/index.php/ejhd/article/view/59