Publicação
Differences in evaluation of perceived physician communication behaviours from dual perspectives of physicians and patients
| Resumo: | Communication is a vital element of medical humanism and an important factor in the physician-patient relationship. This research aims to establish a physician-patient relationship evaluation system using physician communication behaviours as key indicators. It investigates the disparities in evaluating perceived physicians’ communication behaviours from dual perspectives of doctors and patients. This research utilized CiteSpace software to analyse literature from CNKI and PubMed, identifying trends and hotspots in humanism and doctor-patient relationships. A questionnaire survey was conducted with 504 patients and 189 primary care doctors. The patient questionnaire covered demographics, medical visits preferences, and PCBES (Physician Communication Behaviours Evaluation Scale), while the doctor questionnaire included demographics, PCBES, and PCBRQ (Physician Communication Behaviours Recognition Questionnaire). The results reveal that: 1) Patient's age, educational, concern about physician’s qualification, medical knowledge, and preference in listing concerns before a visit impact their PCBES scores. 2) Doctors’ demographics minimally affect their PCBES scores compared to their PCBRQ scores; doctors consistently rate their PCBRQ scores higher than their PCBES scores. Additionally, a positive correlation exists between doctors' PCBES and PCBRQ scores. 3) Apart from Item Q12 (doctor’s affability), significant discrepancies in PCBES scores between physicians and patients are noted for all other items. Moreover, physicians’ PCBES scores exceed patients’ evaluations for all items except for Q15 (doctor’s directive questioning). This research addresses a theoretical gap in studying cognitive differences regarding communication skills between physicians and patients. Practical recommendations include enhancing physician communication training, aligning cognition with behaviour, and implementing targeted strategies. |
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| Autores principais: | Zhao Ying |
| Assunto: | Physician-patient relationship Doctor's perspective Patient's perspective KAP model Comunicação -- Communication Relação médico-paciente Perspetiva do médico Perspetiva do paciente Modelo KAP |
| Ano: | 2025 |
| País: | Portugal |
| Tipo de documento: | tese de doutoramento |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | ISCTE |
| Idioma: | inglês |
| Origem: | Repositório ISCTE |
| Resumo: | Communication is a vital element of medical humanism and an important factor in the physician-patient relationship. This research aims to establish a physician-patient relationship evaluation system using physician communication behaviours as key indicators. It investigates the disparities in evaluating perceived physicians’ communication behaviours from dual perspectives of doctors and patients. This research utilized CiteSpace software to analyse literature from CNKI and PubMed, identifying trends and hotspots in humanism and doctor-patient relationships. A questionnaire survey was conducted with 504 patients and 189 primary care doctors. The patient questionnaire covered demographics, medical visits preferences, and PCBES (Physician Communication Behaviours Evaluation Scale), while the doctor questionnaire included demographics, PCBES, and PCBRQ (Physician Communication Behaviours Recognition Questionnaire). The results reveal that: 1) Patient's age, educational, concern about physician’s qualification, medical knowledge, and preference in listing concerns before a visit impact their PCBES scores. 2) Doctors’ demographics minimally affect their PCBES scores compared to their PCBRQ scores; doctors consistently rate their PCBRQ scores higher than their PCBES scores. Additionally, a positive correlation exists between doctors' PCBES and PCBRQ scores. 3) Apart from Item Q12 (doctor’s affability), significant discrepancies in PCBES scores between physicians and patients are noted for all other items. Moreover, physicians’ PCBES scores exceed patients’ evaluations for all items except for Q15 (doctor’s directive questioning). This research addresses a theoretical gap in studying cognitive differences regarding communication skills between physicians and patients. Practical recommendations include enhancing physician communication training, aligning cognition with behaviour, and implementing targeted strategies. |
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