Communication in patient–physician relationship in Turkey: opinions of family medicine residents

Nazife Alpman, A. Peker
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Abstract

Background. healthy patient–physician communication (ppC) affects the effectiveness of the service, increases satisfac tion with health services and ensures cooperation with patient. research has revealed that there are communication problems be tween physicians and patients, and patients mostly complain about physicians’ communication skills. Objectives. We aim to determine the opinions of family medicine residents about ppC, uncover communication problems in Turkey and also find out if having communication education has an effect on these problems. Material and methods. The data was collected by surveys which were sent to family medicine residents via the Internet, and each resident could answer just one survey. for analyses, we used the IBm spss15.0 package program. P < 0.05 was considered statistically significant. Results. 312 (11.3%) out of 2,765 family medicine residents in Turkey participated in this study. The majority of residents were female (73.1%). more than half of the residents (63.5%) had received training about communication. most of the residents indicated that they had communication problems with patients or patients’ relatives (88.4%). most of the residents (73.7%) said “yes, definitely” to the question “Do you think there is a communication problem between patients and physicians in Turkey?”. No significant difference was found between trained and untrained residents. The most frequent answers to reasons for communication problems were limited time (50.6%), socio-cultural level of the patient (20.5%) and heavy workload of physicians (20.5%). Conclusions. most residents indicated that they had communication problems with patients or patients’ relatives before, and there is a serious communication problem between patients and physicians in Turkey. In this study, there was no significant difference between whether residents had received training about communication and those having problems in this area.
土耳其医患关系中的沟通:家庭医学居民的意见
背景。健康的医患沟通(ppC)影响服务的有效性,提高对卫生服务的满意度,并确保与患者的合作。研究表明,医患之间存在沟通问题,患者大多抱怨医生的沟通技巧。目标。我们的目的是确定家庭医学居民对ppC的看法,揭示土耳其的沟通问题,并了解进行沟通教育是否对这些问题有影响。材料和方法。数据通过调查收集,这些调查通过互联网发送给家庭医学居民,每个居民只能回答一份调查。为了进行分析,我们使用了IBm spss15.0软件包程序。P < 0.05为差异有统计学意义。结果:土耳其2,765名家庭医学居民中有312人(11.3%)参加了这项研究。大多数居民为女性(73.1%)。超过一半(63.5%)的居民接受过沟通培训。绝大多数住院医师表示与患者或患者家属存在沟通问题(88.4%)。大多数居民(73.7%)对“你认为土耳其的病人和医生之间存在沟通问题吗?”的问题回答“肯定存在”。在接受过培训的住院医生和未接受过培训的住院医生之间没有发现显著差异。最常见的沟通问题原因是时间有限(50.6%)、患者的社会文化水平(20.5%)和医生的工作量大(20.5%)。结论。大多数居民表示,他们以前与患者或患者亲属有沟通问题,在土耳其,患者与医生之间存在严重的沟通问题。在本研究中,住院医师是否接受过沟通培训与在沟通方面存在问题的住院医师之间没有显著差异。
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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