The effect of discussing pain on patient-physician communication in a low-income, black, primary care patient population.

ABSTRACT:

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Patients and physicians report that discussions about pain are frequently frustrating and unproductive. However, the relationship between discussions about pain and patient-physician communication is poorly understood. We analyzed 133 video-recorded visits and patient self-report data collected at a clinic providing primary care to a low-income, black patient population. We used "thin slice" methods to rate two or three 30-second video segments from each visit on variables related to patient and physician affect (ie, displayed emotion) and patient-physician rapport. Discussions about pain were associated with a .32 increase in patient unease (P < .001) and a .21 increase in patient positive engagement (P = .004; standardized coefficients) compared to discussions about ot

SUBMITTER: Henry SG 

PROVIDER: S-EPMC3846383 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature