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Clinician-patient communication during the diagnostic workup: The ABIDE project
Leonie N C Visser1,2, Marleen Kunneman3,4, Laxsini Murugesu1
1Department of Medical Psychology, Amsterdam Public Health research Institute, University of Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.
Introduction:
We aimed to describe clinician-patient communication in the diagnostic process of memory clinics, specifically clinician behavior known to facilitate knowledgeable participation of patients during consultations.
Methods:
In this multicenter, observational study, we audio-recorded routine diagnostic consultations of 41 clinicians and 136 patients/caregivers at eight memory clinics. Patients/caregivers completed surveys after each audiotaped consultation. We used a study-specific coding scheme to categorize communication behavior.
Results:
Clinicians often provided information on (results of) diagnostic testing. They infrequently invited questions and/or checked understanding. Clinician behavior to involve patients in decision-making about diagnostic testing was limited. Of note, patients/caregivers rarely expressed their information or involvement preferences. Yet, approximately, one quarter of them would have liked to receive more information.
Discussion:
Involving patients more explicitly by means of shared decision-making could benefit the quality of care provided in memory clinics because it enables clinicians to attune the diagnostic workup to the individual patient's needs.
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