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Exploring healthcare communication models in private physiotherapy practice.
Amy Hiller1, Marilys Guillemin2, Clare Delany3
1Centre for Health Equity, The University of Melbourne, Melbourne, Australia; Department of Physiotherapy, The University of Melbourne, Melbourne, Australia.
Patient Education and Counseling
|August 9, 2015
Summary
Physiotherapists in private practice primarily use a practitioner-centered communication style. However, subtle touch and conversation demonstrate patient-centered care, suggesting a need for enhanced communication education.
Area of Science:
- Healthcare Communication
- Physiotherapy Practice
- Qualitative Research
Background:
- Models of healthcare communication are essential for effective patient-provider interactions.
- Understanding communication dynamics in physiotherapy is crucial for optimizing patient outcomes.
- Private practice settings may have unique communication patterns compared to other healthcare environments.
Purpose of the Study:
- To investigate the presence of established healthcare communication models in patient-physiotherapist interactions within private practice.
- To analyze the communication styles employed by physiotherapists in their daily practice.
Main Methods:
- Qualitative ethnographic approach utilizing direct observation of 52 patient-physiotherapist treatment sessions.
- Semi-structured interviews were conducted with 9 physiotherapists.
- Thematic analysis was applied to the collected qualitative data.
Main Results:
- Physiotherapist-led communication dominated, focusing on the physical aspects of patient conditions.
- Communication was structured, incorporating casual conversation and therapeutic touch.
- Physiotherapists did not explicitly reference formal communication models but described intentional communication strategies.
Conclusions:
- Physiotherapy communication in private practice largely aligns with a 'practitioner-centred' model.
- Implicit elements like touch and casual conversation convey competence and care, reflecting aspects of a 'patient-centred' model.
- Physiotherapists could benefit from formal training in patient-centered communication, and existing practices like touch and conversation should be integrated into theoretical frameworks.
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