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Related Experiment Videos

Interviewing when family members are present.

Forrest Lang1, Kim Marvel, David Sanders

  • 1Department of Family Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City 37614, USA. lang@etsu.edu

American Family Physician
|May 9, 2002
PubMed
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Physicians need specific skills to interview patients with family present, ensuring privacy and patient-centered care. Effective communication strategies help manage complex family dynamics during medical visits.

Area of Science:

  • Medical interviewing
  • Family systems in healthcare
  • Patient-centered communication

Background:

  • Family members frequently attend patient office visits.
  • Their presence introduces unique communication challenges and opportunities for physicians.
  • Addressing confidentiality, privacy, and agency are critical considerations.

Purpose of the Study:

  • To outline essential interviewing skills for physicians when family members are present.
  • To provide strategies for respectfully and efficiently involving families while maintaining patient focus.
  • To identify advanced skills for managing complex family dynamics during clinical encounters.

Main Methods:

  • Review of core interviewing principles applied to family-inclusive consultations.

Related Experiment Videos

  • Identification of specific techniques for rapport-building and encouraging participation from all individuals.
  • Discussion of strategies to avoid common pitfalls like triangulation and ensure agreement on care plans.

    • Main Results:

    • A core set of skills includes building rapport with each participant, understanding individual perspectives, and encouraging open communication.
    • Key techniques involve listening to all concerns, avoiding triangulation, maintaining confidentiality, and verifying treatment plan agreement.
    • Advanced skills may be necessary, such as conflict management, negotiation, and referral to family therapy.

    Conclusions:

    • Effective family-inclusive interviewing requires specific physician skills to navigate complex dynamics.
    • Maintaining patient-centered care and addressing confidentiality are paramount.
    • Utilizing a range of communication strategies ensures better outcomes in family-involved medical visits.