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Do emergency physicians trust their patients?

Thierry Pelaccia1,2, Jacques Tardif3, Emmanuel Triby4

  • 1Centre for Training and Research in Health Sciences Education (CFR-PS), Faculty of Medicine, University of Strasbourg, 67085, Strasbourg, France. pelaccia@unistra.fr.

Internal and Emergency Medicine
|February 25, 2016
PubMed
Summary
This summary is machine-generated.

This study reveals emergency physicians assess patient reliability early. They use specific strategies to verify information when patients are deemed unreliable, impacting subsequent care.

Keywords:
Clinical reasoningDecision makingPatients’ labelingPhysician-patient relationship

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Area of Science:

  • Medical Sociology
  • Clinical Psychology
  • Emergency Medicine

Background:

  • Physician-patient relationship research traditionally focuses on patient trust.
  • This study shifts focus to physicians' trust in patients.

Purpose of the Study:

  • To explore emergency physicians' trust in their patients.
  • To understand how physicians assess patient reliability and its impact on history-taking.

Main Methods:

  • Semi-structured interviews with expert emergency physicians.
  • First-person video recordings of patient encounters using head-mounted micro cameras.
  • Stimulated recall interviews using video footage.

Main Results:

  • Physicians frequently judged patient account reliability early in encounters.
  • Unreliable accounts triggered specific information-gathering strategies (e.g., consistency checks, cross-referencing).
  • Physicians employed methods to collect objective data when patient accounts were questioned.

Conclusions:

  • Physicians' judgments of patient reliability may influence emergency department treatment.
  • Further research is needed on the accuracy of these judgments and their cognitive underpinnings.
  • Investigating the impact of reliability judgments on clinical decision-making is crucial.