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Patient-initiated additional concerns in general surgery visits
1Department of Internal Medicine, University of California Davis, 4150 V St #3100, Sacramento, CA, 95817, USA.
Patient Education and Counseling
|August 23, 2018
Summary
Patients in general surgery visits frequently raise new concerns early, often before the physical exam. They strategically integrate concerns into the ongoing conversation rather than waiting until the end.
Area of Science:
- Medical Communication
- Surgical Practice
- Patient-Doctor Interaction
Background:
- Understanding patient communication patterns is crucial for effective healthcare delivery.
- Previous research focused on primary care, leaving a gap in general surgery settings.
Purpose of the Study:
- To investigate the timing and methods patients use to introduce additional concerns during general surgery consultations.
Main Methods:
- Analysis of 175 video-recorded general surgery visits.
- Utilized Conversation Analysis for detailed coding and interpretation of patient-initiated concerns.
Main Results:
- Patients initiated 377 concerns, with 66% "fitted-to-topic" and 20% "disjunctive."
- Most concerns (60%) were raised before the physical exam, particularly in pre-operative visits.
Conclusions:
- General surgery patients proactively voice concerns early, unlike the "door knob phenomenon" in acute care.
- Patients skillfully integrate concerns by aligning with the visit's flow and activities.
Keywords:
Additional concernsConversation analysisGeneral surgeryPhysician-patient communicationnVisit organizationMore Related Videos
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