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Coding Problematic Understanding in Patient-provider Interactions.

Maria Grazia Rossi1, Fabrizio Macagno1

  • 1Instituto de Filosofia da Nova, Universidade Nova de Lisboa.

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|August 29, 2019
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Summary

This study introduces a coding scheme to identify communication issues in type 2 diabetes care. Patients frequently show problematic understanding, highlighting a need for improved health-care provider communication strategies.

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Area of Science:

  • Linguistics
  • Health Communication
  • Pragmatics

Background:

  • Effective communication is crucial in managing type 2 diabetes mellitus.
  • Misunderstandings in health-care provider-patient interactions can negatively impact patient outcomes.
  • Existing literature in pragmatics and linguistics offers frameworks for analyzing communication.

Purpose of the Study:

  • To propose a novel coding scheme for identifying and assessing linguistic evidence of problematic understanding in health-care communication.
  • To analyze communication patterns between health-care providers and patients with type 2 diabetes mellitus.
  • To develop an evidence-based tool for improving health-care communication.

Main Methods:

  • Development of a coding scheme based on linguistic evidence of misunderstandings, categorized by probative force (stronger, acceptable, weak).
  • Pilot study utilizing a corpus of 46 Italian transcripts of videotaped consultations.
  • Analysis of communication between six health-care providers and 13 patients with type 2 diabetes mellitus.

Main Results:

  • The coding scheme identified 'acceptable' (58%) and 'strong' (35%) evidence of problematic understanding as most frequent.
  • Patients exhibited significantly more problematic understanding than health-care providers.
  • Health-care providers demonstrated greater awareness of potential misunderstandings and more frequent verification of their interpretations.

Conclusions:

  • Problematic understanding is prevalent in patient-provider communication regarding type 2 diabetes.
  • The developed coding scheme is a foundational tool for detecting communication issues.
  • Findings suggest specific linguistic strategies can mitigate misunderstandings, improving health-care provider communicative skills.