RT Journal Article
T1 Communication skills of tutors and family medicine physician residents in Primary Care clinics
A1 Valverde Bolivar, Francisco Javier
A1 Pedregal Gonzalez, Miguel
A1 Perez Fuentes, Maria Francisca
A1 Alcalde Molina, Maria DoloreS
A1 Torio Durantez, Jesus
A1 Delgado Rodriguez, Miguel
K1 Communication
K1 Physician-patient relations
K1 Internships and residencies
K1 Primary healthcare
K1 Consultations
K1 Students
K1 Doctors
K1 Length
AB Aim: To determine the communicative profiles of family physicians and the characteristics associated with an improved level of communication with the patient.Design: A descriptive multicentre study.Location: Primary Healthcare Centres in Almeria, Granada, Jaen and Huelva.Participants: 119 family physicians (tutors and 4th year resident physicians) filmed and observed with patients.Principal measurements: Demographic and professional characteristics. Analysis of the communication between physicians and patients, using a CICAA (Connect, Identify, Understand, Agree and Assist, in English) scale. A descriptive, bivariate, multiple linear regression analysis was performed.Results: There were 436 valid interviews. Almost 100% of physicians were polite and friendly, facilitating a dialogue with the patient and allowing them to express their doubts. However, few physicians attempted to explore the state of mind of the patient, or enquire about their family situation or any important stressful events, nor did they ask open questions. Furthermore, few physicians summarised the information gathered. The mean score was 21.43 +/- 5.91 points (maximum 58). There were no differences in the total score between gender, city, or type of centre. The linear regression verified that the highest scores were obtained from tutors (B: 2.98), from the duration of the consultations (B: 0.63), and from the age of the professionals (B: 0.1).Conclusion: Physicians excel in terms of creating a friendly environment, possessing good listening skills, and providing the patient with information. However the ability to empathise, exploring the psychosocial sphere, carrying out shared decision-making, and asking open questions must be improved. Being a tutor, devoting more time to consultations, and being younger, results in a significant improvement in communication with the patient. (C) 2016 Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
PB Ediciones doyma s a
SN 0212-6567
YR 2016
FD 2016-12-01
LK http://hdl.handle.net/10668/18703
UL http://hdl.handle.net/10668/18703
LA en
DS RISalud
RD Mar 18, 2025