Related Experiment Video
Updated: Feb 11, 2026
08:50
Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
16.8K
Assessing Physician-Patient Dialogues About Chronic Migraine During Routine Office Visits
Dawn C Buse1, Patrick Gillard2, Kaitlyn Arctander3
1Albert Einstein College of Medicine and Montefiore Headache Center, Bronx, NY, USA.
Headache
|May 5, 2018
Summary
Physician communication in chronic migraine care often lacks crucial diagnostic details and standard techniques like open-ended questions. Improving these communication strategies is vital for better patient outcomes.
Area of Science:
- Neurology
- Medical Communication
- Health Services Research
Background:
- Chronic migraine is a significant health issue, often underdiagnosed and undertreated.
- Effective physician-patient communication is essential for accurate diagnosis, treatment planning, and patient adherence in managing chronic conditions.
- Communication patterns in clinical encounters present a potential area for intervention to improve chronic migraine care.
Purpose of the Study:
- To evaluate physician-patient communication during routine medical visits for patients with chronic migraine.
- To determine the frequency of specific communication techniques employed by neurologists in chronic migraine consultations.
Main Methods:
- Prospective, observational study analyzing audio recordings of neurologist-patient dialogues.
- 35 encounters involving patients with clinician-identified chronic migraine were recorded and transcribed.
- Dialogues were analyzed by a sociolinguist for communication parameters, strategies, and language indicative of optimal care.
Main Results:
- Most questions asked were closed-ended (82.0%).
- Key diagnostic elements like headache frequency (days per month) and disability were infrequently assessed (77.1% and 22.9% respectively).
- Standard communication techniques such as the 'ask-tell-ask' method and open-ended questions were rarely utilized.
Conclusions:
- Neurologist-chronic migraine patient dialogues often omit critical diagnostic information and standard communication practices.
- There is a need for intervention studies to explore how enhanced communication impacts diagnostic accuracy, treatment decisions, and patient-reported outcomes.
- Improving communication strategies in chronic migraine management is recommended.
Related Concept Videos
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
2.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
2.5K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.2K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.2K
01:23Chronic Pharyngitis
12.4K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
12.4K
01:24Chronic Pancreatitis I: Introduction
750
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
750
01:25Chronic Kidney Disease I: Introduction
762
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
762
01:17Chronic Bowel Disorders: Introduction
815
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
815