Experiences and expectations of physician communication: A focus group discussion with Indian patients with type 2 diabetes mellitus.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2023-09-14 DOI:10.1177/17423953231200683

Tejal Lathia, Mahati Chittem, Shweta Chawak, Praneeta Katdare, Shreya Jayaram, Chitra Selvan

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引用次数: 0

Abstract

Objectives: This pilot study aimed to: (a) understand the experiences of Indian patients with type 2 diabetes mellitus and their expectations of their physicians during a medical consultation, (b) serve as a preliminary study to inform the development of a larger project exploring and improving patients' communication experiences, and (c) assess whether the pilot study findings indicate the viability of using the Relationship: Establishment, Development, and Engagement model of communication as the conceptual framework for the larger project.

Methods: Using convenience sampling, 11 patients participated in a focus group discussion. Conventional content analysis was used.

Results: Two themes were generated: (a) A plethora of negative feelings: experiences of the physician's verbal and nonverbal communication styles, and (b) 'I know what I want': Expectations of communication by patients from their physician.

Conclusions: The medical encounter with the physician elicited a range of negative experiences and clear expectations from the patients with type 2 diabetes mellitus. This pilot points to the need for (a) a mixed methods approach to comprehensively examine the communication needs of patients with type 2 diabetes mellitus from their physician, (b) understand physicians' communication practices, and (c) using these findings, culturally adapt and test the Relationship: Establishment, Development, and Engagement to improve physicians' communication skills in India.

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对医生沟通的体验和期望：与印度 2 型糖尿病患者的焦点小组讨论。

目标：这项试点研究旨在(a) 了解印度 2 型糖尿病患者在就诊过程中的经历以及他们对医生的期望；(b) 作为一项初步研究，为制定探索和改善患者沟通经历的大型项目提供信息；(c) 评估试点研究结果是否表明使用 "关系：建立、发展和参与 "沟通模式作为大型项目概念框架的可行性：方法：方法：采用便利抽样法，11 名患者参加了焦点小组讨论。采用传统的内容分析法：结果：产生了两个主题：（a）大量负面感受：对医生语言和非语言沟通方式的体验；（b）"我知道我想要什么"：结论：结论：2 型糖尿病患者在与医生的医疗接触中产生了一系列负面感受，并对医生抱有明确的期望。这项试验表明，有必要：（a）采用混合方法全面研究 2 型糖尿病患者与医生沟通的需求；（b）了解医生的沟通做法；以及（c）利用这些发现，对《关系》进行文化调整和测试：关系：建立、发展和参与》，以提高印度医生的沟通技巧。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.