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Physicians criticizing physicians to patients.

Susan H McDaniel1, Diane S Morse, Shmuel Reis

  • 1Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA, Susanh2_mcdaniel@urmc.rochester.edu.

Journal of General Internal Medicine
|May 30, 2013
PubMed
Summary
This summary is machine-generated.

Physicians frequently criticize other doctors

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Area of Science:

  • Medical communication
  • Healthcare teamwork
  • Patient-physician relationships

Background:

  • Effective communication is vital for healthcare teamwork.
  • Physician discussions about patient referrals are common.
  • Unprofessional comments about other physicians can negatively impact patient care and staff well-being.

Purpose of the Study:

  • To analyze how physicians discuss care provided by other physicians with advanced cancer patients.
  • To identify patterns in physician communication regarding inter-physician care.

Main Methods:

  • Qualitative analysis of recorded physician-patient encounters.
  • Standardized patients (SPs) with advanced lung cancer participated.
  • Physician comments were categorized as supportive or critical.

Main Results:

  • 41% of encounters included comments about prior care.
  • 67% of comments were critical of other physicians.
  • Supportive comments (29%) praised other physicians' care.

Conclusions:

  • Physicians often criticize colleagues to patients.
  • This behavior can negatively influence patient satisfaction and care quality.
  • Healthcare systems should implement policies and training to mitigate such unprofessional conduct.