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Results for “Communication Barriers”

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PubMed2005

Physician strategies to reduce patients' out-of-pocket prescription costs.

BACKGROUND: Physicians often do not communicate with patients about out-of-pocket costs, although research indicates that physicians and patients value such discussion. METHODS: Cross-sectional national random sample mail survey of 1400 cardiologists and general internists to quantify barriers to communication about out-of-pocket costs and strategies used to assist patients in order of likelihood (from 5 [extremely likely] to 1 [not at all likely]). RESULTS: Overall, 519 (39.1%) of 1328 eligible physicians responded to the survey. The most common barriers were lack of habit, insufficient time, and concern over patient discomfort. The most common strategies used to assist patients were switching to a generic drug (mean, 4.34; SD, 0.86), using office samples (mean, 4.16; SD, 1.22), and discontinuing nonessential medicines (mean, 4.03; SD, 0.99). There were no statistically significant differences between cardiologists and general internists in barriers or strategies examined (P<.05). CONCLUSIONS: Our findings suggest that patient-physician communication about out-of-pocket costs is a problem affecting specialists and generalists nationwide. Despite barriers, physicians use multiple strategies that may vary in efficacy to assist patients burdened by these costs.

Adult↗
PubMed1999

Do physicians spend more time with non-English-speaking patients?

OBJECTIVE: To determine whether physicians at a general internal medicine clinic spend more time with non-English-speaking patients. DESIGN: A time-motion study comparing physician time spent with non-English-speaking patients and time spent with English-speaking patients during 5 months of observation. We also tested physicians' perceptions of their time use with a questionnaire. SETTING: Primary care internal medicine clinic at a county hospital. PATIENTS/PARTICIPANTS: One hundred sixty-six established clinic patients, of whom 57 were non-English speaking and 109 were English speaking, and 15 attending physicians and 8 third-year resident physicians. MEASUREMENTS AND MAIN RESULTS: Outcome measures included total patient time in clinic, wait for first nurse or physician contact, time in contact with the nurse or physician, physician time spent on the visit, and physician perceptions of time use with non-English-speaking patients. After adjustment for demographic and comorbidity variables, non-English-speaking and English-speaking patients did not differ on any time-motion variables, including physician time spent on the visit (26.0 vs 25.8 minutes). A significant number of clinic physicians believed that they spent more time during a visit with non-English-speaking patients (85.7%) and needed more time to address important issues during a visit (90. 4%), (both p <.01). Physicians did not perceive differences in the amount they accomplished during a visit with non-English-speaking patients. CONCLUSIONS: There were no differences in the time these physicians spent providing care to non-English-speaking patients and English-speaking patients. An important limitation of this study is that we were unable to measure quality of care provided or patients' satisfaction with their care. Physicians may believe that they are spending more time with non-English-speaking patients because of the challenges of language and cultural barriers.

Adult↗
PubMed2006

[Barriers to effective cancer pain management].

Pain is one of the most feared consequences of cancer experienced by patients. Despite numerious education programs, intervention strategies and multidiciplinary pain societies, approximately 60% of patients with cancer are experiencing pain. Cancer-related pain may affect patient's life in every way, and therefore it has a great influence on the overall quality of life. Barriers to adequate pain management exist, including those related to health-care professionals, the health-care system, and the patients. The most common barriers to pain management include knowledge deficits, misconceptions about opioids and their side effects, inadequate assessment, and organizational issues. The purpose of this article is to provide information about barriers to effective cancer pain management.

Communication Barriers↗
PubMed1999

[Care of persons with aphasia--a review of the literature].

What patients suffering from aphasia experience was examined by Helmbold et al. (1998). The course of the illness was described and divided into six stages. Other models of recovery processes do not take into account the fact that patients who have suffered a stroke are very often confronted with the problem of speech impairment which leads to a delay in recovery. If patients cannot talk to or interact with friends and relatives or professional carers they find it almost impossible to grasp their own clinical symptoms and ultimately to accept them. Nurses working in general hospitals rarely centre their attention on the individual needs of the patients, with the result that there is little or no interaction between patients with aphasia and their carers. This leads to isolation and depression. Interventions have shown that communication is possible even when there is serious speech impairment. In all attempts to encourage communication however the care and attention shown by nurses to aphasic patients is of decisive importance.

Aphasia↗
PubMed1990

Aspects of communication with people who have attempted suicide.

This paper addresses some potential difficulties in communication which may occur between health-care professionals and those who are being assessed following an unsuccessful suicide attempt. Attitudes towards suicide and attempted suicide which may be held by the patient and carer are reviewed and the effects that these may have on communication, particularly at the assessment stage, are considered. Some techniques to enhance communication and assessment are proposed.

Attitude of Health Personnel↗
PubMed1981

Special issues regarding psychotherapy with the deaf.

The authors interviewed 10 therapists and supervisors who had clinical experience in working with deaf patients. The responses centered on issues related to the necessity of visual rather than auditory communication, problems of diagnosis and assessment, therapist and patient expectations, special strengths of deaf patients, involvement of third parties, and modification of therapeutic technique. The authors emphasize that additional resources and research are necessary for clinicians to meet the needs of this large but still underserved population.

Adult↗
PubMedDate not supplied

Non-verbal communication: the importance of listening.

This article presents the author's personal reflection on how her nursing practice was enhanced as a result of losing her voice. Surprisingly, being unable to speak appeared to improve the nurse/patient relationship. Patients responded positively to a quiet approach and silent communication. Indeed, the skilled use of non-verbal communication through silence, facial expression, touch and closer physical proximity appeared to facilitate active listening, and helped to develop empathy, intuition and presence between the nurse and patient. Quietly 'being with' patients and communicating non-verbally was an effective form of communication. It is suggested that effective communication is dependent on the nurse's ability to listen and utilize non-verbal communication skills. In addition, it is clear that reflection on practical experience can be an important method of uncovering and exploring tacit knowledge in nursing.

Communication Barriers↗
PubMed1978

Techniques for communicating with your elderly patient.

A physician can best treat elderly patients if he or she understands their unique problems and employs effective techniques of communication. Be aware how your patient's anxiety or your own view about the elderly can erect a barrier to communication. Your position in the room, your tone of voice, your touch all communicate--either positively or negatively--to your elderly patient.

Aged↗