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How do physicians talk with their patients about risks?

A Kalet1, J C Roberts, R Fletcher

  • 1New York University Medical Center, Department of Medicine, New York.

Journal of General Internal Medicine
|July 1, 1994
PubMed
Summary
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Physician-patient risk communication about future illness occurred in only 26% of visits. While patients were generally satisfied, they often had poor recall of specific risk details discussed.

Area of Science:

  • Medical Communication
  • Health Risk Assessment
  • Patient-Physician Relationship

Background:

  • Effective communication regarding health risks is crucial for informed patient decision-making.
  • Understanding the dynamics of risk discussion in primary care settings is essential for improving patient outcomes.
  • Previous research indicates variability in how physicians address potential future illnesses with patients.

Purpose of the Study:

  • To investigate the frequency and characteristics of risk communication during physician-patient encounters in community-based practices.
  • To assess patient understanding, satisfaction, and recall following discussions about health risks.
  • To identify patient versus physician initiation of risk-related dialogue.

Main Methods:

  • Audiotaping of 160 physician-patient encounters across 19 private practices.

Related Experiment Videos

  • Structured coding scheme to identify and characterize discussions about the risk of future illness.
  • Post-encounter interviews to evaluate patient understanding and satisfaction.

    • Main Results:

    • Risk discussion was present in 26% of observed visits.
    • Specific discussions about health outcomes occurred in 48% of encounters.
    • Patients initiated only 16% of risk discussions but reported general satisfaction, despite poor recall of specifics.

    Conclusions:

    • Risk communication is infrequent in routine physician-patient interactions.
    • While patients express satisfaction, their recall of specific risk information is limited, suggesting a need for improved communication strategies.
    • Further research should explore methods to enhance patient comprehension and retention of health risk information.