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Disparities in patient-resident physician communication and counseling: A multi-perspective exploratory qualitative study

Effective communication between physicians and patients plays an integral role in clinical care. Gaps in a physician’s ability to ensure effective communication, especially with patients from diverse backgrounds, are known causes of medical errors. This study explores the potential biases and dispar...

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Autores principales: Merchant, Asma Altaf Hussain, Shaikh, Namra Qadeer, Afzal, Noreen, Noorali, Ali Aahil, Abdul Rahim, Komal, Ahmad, Rida, Ahmer, Areesha, Khan, Adnan Ali, Bakhshi, Saqib Kamran, Mahmood, Saad bin Zafar, Lakhdir, Maryam Pyar Ali, Khan, Muhammad Rizwan, Tariq, Muhammad, Haider, Adil H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593213/
https://www.ncbi.nlm.nih.gov/pubmed/37871016
http://dx.doi.org/10.1371/journal.pone.0288549
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author Merchant, Asma Altaf Hussain
Shaikh, Namra Qadeer
Afzal, Noreen
Noorali, Ali Aahil
Abdul Rahim, Komal
Ahmad, Rida
Ahmer, Areesha
Khan, Adnan Ali
Bakhshi, Saqib Kamran
Mahmood, Saad bin Zafar
Lakhdir, Maryam Pyar Ali
Khan, Muhammad Rizwan
Tariq, Muhammad
Haider, Adil H.
author_facet Merchant, Asma Altaf Hussain
Shaikh, Namra Qadeer
Afzal, Noreen
Noorali, Ali Aahil
Abdul Rahim, Komal
Ahmad, Rida
Ahmer, Areesha
Khan, Adnan Ali
Bakhshi, Saqib Kamran
Mahmood, Saad bin Zafar
Lakhdir, Maryam Pyar Ali
Khan, Muhammad Rizwan
Tariq, Muhammad
Haider, Adil H.
author_sort Merchant, Asma Altaf Hussain
collection PubMed
description Effective communication between physicians and patients plays an integral role in clinical care. Gaps in a physician’s ability to ensure effective communication, especially with patients from diverse backgrounds, are known causes of medical errors. This study explores the potential biases and disparities in patient-resident communication, which may influence a patient’s quality of care. This exploratory qualitative study was conducted at the largest academic medical center in Pakistan. Purposive sampling was used to approach participants from surgery, medicine, obstetrics and gynecology, pediatrics and family medicine. Faculty, fellows and residents working in these departments and medical students in their fourth and fifth years of undergraduate education with prior experience of at least one month in these specialties during their clinical rotations were included. Focus group discussions (FGDs) lasting 45–60 minutes were conducted with each cohort of healthcare professionals separately, using a semi-structured interview guide. Sixty participants (19 males and 41 females, mean age: 32.9, SD: 10.9) took part in the study. Thematic analysis revealed five major themes. Four themes focused on residents’ biases and patient disparities hindering patient-resident communication: (1) patient-resident gender discordance (2) ethnicity and language barriers, (3) differing social class of the patient, and (4) challenging patient-resident interactions (patients resistant to treatment, exceedingly inquisitive and those with multiple attendants, etc.). The fifth theme identified the need for a communication skills curriculum in postgraduate medical education. Opposite gender and discordant socioeconomic/cultural backgrounds of patients pose a challenge to effective patient-physician communication. Self-identification and awareness of residents’ biases when interacting with patients can ensure their active elimination and improve their communication skills. Integrating these components in a standardized curriculum within postgraduate programs can enable resident-physicians to provide the same level of care and communicate more efficiently with patients of all backgrounds.
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spelling pubmed-105932132023-10-24 Disparities in patient-resident physician communication and counseling: A multi-perspective exploratory qualitative study Merchant, Asma Altaf Hussain Shaikh, Namra Qadeer Afzal, Noreen Noorali, Ali Aahil Abdul Rahim, Komal Ahmad, Rida Ahmer, Areesha Khan, Adnan Ali Bakhshi, Saqib Kamran Mahmood, Saad bin Zafar Lakhdir, Maryam Pyar Ali Khan, Muhammad Rizwan Tariq, Muhammad Haider, Adil H. PLoS One Research Article Effective communication between physicians and patients plays an integral role in clinical care. Gaps in a physician’s ability to ensure effective communication, especially with patients from diverse backgrounds, are known causes of medical errors. This study explores the potential biases and disparities in patient-resident communication, which may influence a patient’s quality of care. This exploratory qualitative study was conducted at the largest academic medical center in Pakistan. Purposive sampling was used to approach participants from surgery, medicine, obstetrics and gynecology, pediatrics and family medicine. Faculty, fellows and residents working in these departments and medical students in their fourth and fifth years of undergraduate education with prior experience of at least one month in these specialties during their clinical rotations were included. Focus group discussions (FGDs) lasting 45–60 minutes were conducted with each cohort of healthcare professionals separately, using a semi-structured interview guide. Sixty participants (19 males and 41 females, mean age: 32.9, SD: 10.9) took part in the study. Thematic analysis revealed five major themes. Four themes focused on residents’ biases and patient disparities hindering patient-resident communication: (1) patient-resident gender discordance (2) ethnicity and language barriers, (3) differing social class of the patient, and (4) challenging patient-resident interactions (patients resistant to treatment, exceedingly inquisitive and those with multiple attendants, etc.). The fifth theme identified the need for a communication skills curriculum in postgraduate medical education. Opposite gender and discordant socioeconomic/cultural backgrounds of patients pose a challenge to effective patient-physician communication. Self-identification and awareness of residents’ biases when interacting with patients can ensure their active elimination and improve their communication skills. Integrating these components in a standardized curriculum within postgraduate programs can enable resident-physicians to provide the same level of care and communicate more efficiently with patients of all backgrounds. Public Library of Science 2023-10-23 /pmc/articles/PMC10593213/ /pubmed/37871016 http://dx.doi.org/10.1371/journal.pone.0288549 Text en © 2023 Merchant et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Merchant, Asma Altaf Hussain
Shaikh, Namra Qadeer
Afzal, Noreen
Noorali, Ali Aahil
Abdul Rahim, Komal
Ahmad, Rida
Ahmer, Areesha
Khan, Adnan Ali
Bakhshi, Saqib Kamran
Mahmood, Saad bin Zafar
Lakhdir, Maryam Pyar Ali
Khan, Muhammad Rizwan
Tariq, Muhammad
Haider, Adil H.
Disparities in patient-resident physician communication and counseling: A multi-perspective exploratory qualitative study
title Disparities in patient-resident physician communication and counseling: A multi-perspective exploratory qualitative study
title_full Disparities in patient-resident physician communication and counseling: A multi-perspective exploratory qualitative study
title_fullStr Disparities in patient-resident physician communication and counseling: A multi-perspective exploratory qualitative study
title_full_unstemmed Disparities in patient-resident physician communication and counseling: A multi-perspective exploratory qualitative study
title_short Disparities in patient-resident physician communication and counseling: A multi-perspective exploratory qualitative study
title_sort disparities in patient-resident physician communication and counseling: a multi-perspective exploratory qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593213/
https://www.ncbi.nlm.nih.gov/pubmed/37871016
http://dx.doi.org/10.1371/journal.pone.0288549
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