Patient-centered communication in cosmetic eyelid surgery consultations in China: an observational transcript-based...

Area of Science:

• Oculoplastic surgery
• Cosmetic surgery
• Patient communication

Background:

• Patient satisfaction in cosmetic surgery relies on aligning patient goals with feasible options.
• Patient-centered communication in high-volume cosmetic surgery services is under-documented.

Purpose of the Study:

• To analyze communication patterns in oculoplastic consultations.
• To assess the operationalization of patient-centered communication in routine cosmetic surgery consultations.

Main Methods:

• Observational, transcript-based mixed-methods study of 50 double-eyelid blepharoplasty and medial epicanthoplasty consultations.
• Analysis of doctor's talk using the E5 framework (Engage, Educate, Empathize, Enable, Enlist).
• Qualitative thematic analysis and quantitative summaries of speaking time distribution.

Main Results:

• Consultations averaged 10.8 minutes, with doctors dominating speaking time (85%).
• Doctor's communication was 66.6% educational, focused on procedural explanations.
• Relational and participatory communication (Engage, Empathize, Enlist) comprised less than 7% of doctor's time.
• Limited time for preference negotiation and expectation setting hindered patient input.

Conclusions:

• Cosmetic oculoplastic consultations in this setting are information-delivery-focused, with clinicians largely setting the aesthetic agenda.
• To enhance patient-centered care and shared decision-making, repetitive explanations should be streamlined.
• Integrating brief moments for patient elicitation and enlistment is crucial for incorporating patient values into surgical planning.