Clinician-patient communication during the diagnostic workup: The ABIDE project.
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ABSTRACT: 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.
SUBMITTER: Visser LNC
PROVIDER: S-EPMC6667786 | biostudies-literature | 2019 Dec
REPOSITORIES: biostudies-literature
Publications
Clinician-patient communication during the diagnostic workup: The ABIDE project.
Visser Leonie N C LNC Kunneman Marleen M Murugesu Laxsini L van Maurik Ingrid I Zwan Marissa M Bouwman Femke H FH Schuur Jacqueline J Wind Hilje A HA Blaauw Marjolijn S J MSJ Kragt J Jolijn JJ Roks Gerwin G Boelaarts Leo L Schipper Annemieke C AC Schooneboom Niki N Scheltens Philip P van der Flier Wiesje M WM Smets Ellen M A EMA
Alzheimer's & dementia (Amsterdam, Netherlands) 20190729
<h4>Introduction</h4>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.<h4>Methods</h4>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 ...[more]
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