Moh'd S Dawod, Mohammad N Alswerki, Jehad Feras AlSamhori, Ahmad F Alelaumi, Yousef Al-Shamaileh, Saleh Abualhaj, Runa Amoudi, Esraa Lahloh, Atheer Dahoud, Afa' Alqatawna
{"title":"理解沟通差距在MSK咨询：弥合病人和医生的观点。","authors":"Moh'd S Dawod, Mohammad N Alswerki, Jehad Feras AlSamhori, Ahmad F Alelaumi, Yousef Al-Shamaileh, Saleh Abualhaj, Runa Amoudi, Esraa Lahloh, Atheer Dahoud, Afa' Alqatawna","doi":"10.1002/msc.70148","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Communication gaps between patients and physicians in musculoskeletal (MSK) care can affect satisfaction and outcomes. While many studies focus on patient dissatisfaction, few compare it directly with physician perceptions. This study aimed to identify perceptual gaps during MSK consultations by analysing both perspectives across key communication domains.</p><p><strong>Methods: </strong>A cross-sectional survey was administered to 950 patients and 85 physicians in outpatient MSK clinics in Jordan. Structured questionnaires assessed perceptions of consultation quality across eight patient domains and five physician domains. Independent sample t-tests were used to compare satisfaction groups. Perceptual gaps were identified by matching patient and physician responses.</p><p><strong>Results: </strong>Dissatisfied patients reported significantly lower scores in key domains: diagnosis understanding (4.08 vs. 6.15, p = 0.04), clarity of condition explanation (4.23 vs. 6.91, p = 0.01), involvement in treatment decisions (3.23 vs. 6.19, p = 0.002), and consultation time adequacy (3.03 vs. 6.91, p = 0.03). In contrast, physicians in non-satisfactory encounters rated higher feelings of being rushed (8.56 vs. 3.33, p = 0.002), perceived patient disorganisation (8.64 vs. 2.02, p = 0.001), and resistance to non-pharmacologic advice (7.58 vs. 2.20, p = 0.001). These findings reveal six major gaps: consultation time, communication clarity, patient organisation, treatment receptiveness, shared decision-making, and trust.</p><p><strong>Conclusion: </strong>This study revealed six communication gaps between patients and physicians in MSK care-spanning time, clarity, decision-making, and trust. Physicians often believed they communicated effectively, while patients felt rushed, confused, or excluded. Bridging these gaps requires clearer communication, active patient involvement, and greater attention to how care is delivered and perceived.</p><p><strong>Level of evidence: </strong>Level III-Cross-sectional observational study.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70148"},"PeriodicalIF":1.6000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Understanding Communication Gaps in MSK Counselling: Bridging Patient and Doctor Perspectives.\",\"authors\":\"Moh'd S Dawod, Mohammad N Alswerki, Jehad Feras AlSamhori, Ahmad F Alelaumi, Yousef Al-Shamaileh, Saleh Abualhaj, Runa Amoudi, Esraa Lahloh, Atheer Dahoud, Afa' Alqatawna\",\"doi\":\"10.1002/msc.70148\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Communication gaps between patients and physicians in musculoskeletal (MSK) care can affect satisfaction and outcomes. While many studies focus on patient dissatisfaction, few compare it directly with physician perceptions. This study aimed to identify perceptual gaps during MSK consultations by analysing both perspectives across key communication domains.</p><p><strong>Methods: </strong>A cross-sectional survey was administered to 950 patients and 85 physicians in outpatient MSK clinics in Jordan. Structured questionnaires assessed perceptions of consultation quality across eight patient domains and five physician domains. Independent sample t-tests were used to compare satisfaction groups. Perceptual gaps were identified by matching patient and physician responses.</p><p><strong>Results: </strong>Dissatisfied patients reported significantly lower scores in key domains: diagnosis understanding (4.08 vs. 6.15, p = 0.04), clarity of condition explanation (4.23 vs. 6.91, p = 0.01), involvement in treatment decisions (3.23 vs. 6.19, p = 0.002), and consultation time adequacy (3.03 vs. 6.91, p = 0.03). In contrast, physicians in non-satisfactory encounters rated higher feelings of being rushed (8.56 vs. 3.33, p = 0.002), perceived patient disorganisation (8.64 vs. 2.02, p = 0.001), and resistance to non-pharmacologic advice (7.58 vs. 2.20, p = 0.001). These findings reveal six major gaps: consultation time, communication clarity, patient organisation, treatment receptiveness, shared decision-making, and trust.</p><p><strong>Conclusion: </strong>This study revealed six communication gaps between patients and physicians in MSK care-spanning time, clarity, decision-making, and trust. Physicians often believed they communicated effectively, while patients felt rushed, confused, or excluded. Bridging these gaps requires clearer communication, active patient involvement, and greater attention to how care is delivered and perceived.</p><p><strong>Level of evidence: </strong>Level III-Cross-sectional observational study.</p>\",\"PeriodicalId\":46945,\"journal\":{\"name\":\"Musculoskeletal Care\",\"volume\":\"23 2\",\"pages\":\"e70148\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Musculoskeletal Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/msc.70148\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"RHEUMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Musculoskeletal Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/msc.70148","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
在肌肉骨骼（MSK）护理中，患者和医生之间的沟通差距会影响满意度和结果。虽然许多研究关注的是患者的不满，但很少有人将其与医生的看法直接进行比较。本研究旨在通过分析跨关键通信领域的两种观点来确定MSK磋商期间的感知差距。方法：对约旦门诊MSK诊所的950名患者和85名医生进行横断面调查。结构化问卷评估了八个患者领域和五个医生领域对咨询质量的看法。采用独立样本t检验比较满意度组。通过匹配患者和医生的反应来识别感知差距。结果：不满意患者在诊断理解（4.08 vs. 6.15, p = 0.04）、病情解释清晰（4.23 vs. 6.91, p = 0.01）、参与治疗决策（3.23 vs. 6.19, p = 0.002）和咨询时间充足（3.03 vs. 6.91, p = 0.03）等关键领域的得分明显较低。相比之下，不满意就诊的医生对匆忙的感觉（8.56 vs. 3.33, p = 0.002）、患者的混乱感（8.64 vs. 2.02, p = 0.001）和对非药物建议的抵抗力（7.58 vs. 2.20, p = 0.001）评分更高。这些发现揭示了六个主要差距：咨询时间、沟通清晰度、患者组织、治疗接受度、共同决策和信任。结论：本研究揭示了患者与医生在MSK护理方面的六个沟通差距：跨越时间、清晰度、决策和信任。医生通常认为他们的沟通是有效的，而病人则感到匆忙、困惑或被排斥。弥合这些差距需要更清晰的沟通、患者的积极参与以及对如何提供和感知护理的更多关注。证据等级：iii级——横断面观察性研究。
Understanding Communication Gaps in MSK Counselling: Bridging Patient and Doctor Perspectives.
Introduction: Communication gaps between patients and physicians in musculoskeletal (MSK) care can affect satisfaction and outcomes. While many studies focus on patient dissatisfaction, few compare it directly with physician perceptions. This study aimed to identify perceptual gaps during MSK consultations by analysing both perspectives across key communication domains.
Methods: A cross-sectional survey was administered to 950 patients and 85 physicians in outpatient MSK clinics in Jordan. Structured questionnaires assessed perceptions of consultation quality across eight patient domains and five physician domains. Independent sample t-tests were used to compare satisfaction groups. Perceptual gaps were identified by matching patient and physician responses.
Results: Dissatisfied patients reported significantly lower scores in key domains: diagnosis understanding (4.08 vs. 6.15, p = 0.04), clarity of condition explanation (4.23 vs. 6.91, p = 0.01), involvement in treatment decisions (3.23 vs. 6.19, p = 0.002), and consultation time adequacy (3.03 vs. 6.91, p = 0.03). In contrast, physicians in non-satisfactory encounters rated higher feelings of being rushed (8.56 vs. 3.33, p = 0.002), perceived patient disorganisation (8.64 vs. 2.02, p = 0.001), and resistance to non-pharmacologic advice (7.58 vs. 2.20, p = 0.001). These findings reveal six major gaps: consultation time, communication clarity, patient organisation, treatment receptiveness, shared decision-making, and trust.
Conclusion: This study revealed six communication gaps between patients and physicians in MSK care-spanning time, clarity, decision-making, and trust. Physicians often believed they communicated effectively, while patients felt rushed, confused, or excluded. Bridging these gaps requires clearer communication, active patient involvement, and greater attention to how care is delivered and perceived.
Level of evidence: Level III-Cross-sectional observational study.
期刊介绍：
Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
