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Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters
OBJECTIVE: The paper characterizes outpatient communication in a major cancer hospital in southern China with regard to the structure, style and focus of doctor–patient communication. METHOD: Fifty‐one encounters between doctors and patients were recorded in the outpatient department of the cancer h...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543146/ https://www.ncbi.nlm.nih.gov/pubmed/30957939 http://dx.doi.org/10.1111/hex.12890 |
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author | Tu, Jiong Kang, Ge Zhong, Jiudi Cheng, Yu |
author_facet | Tu, Jiong Kang, Ge Zhong, Jiudi Cheng, Yu |
author_sort | Tu, Jiong |
collection | PubMed |
description | OBJECTIVE: The paper characterizes outpatient communication in a major cancer hospital in southern China with regard to the structure, style and focus of doctor–patient communication. METHOD: Fifty‐one encounters between doctors and patients were recorded in the outpatient department of the cancer hospital and analysed inductively to identify patterns of doctor–patient outpatient communication. RESULTS: Outpatient communication in the cancer hospital is characterized by structuralized conversation, doctor domination of the conversation and a focus on technology during communication. These characteristics suggest an extreme inequality of power between Chinese doctors and patients at the individual level. They are also shaped by the institutional environment of Chinese hospitals. DISCUSSION: Measures should be taken at both the interpersonal and institutional level to improve doctor–patient communication. At the micro‐interpersonal level, public education and professional skills training are needed to improve communication and promote mutual understanding between patients and doctors. At the macro‐institutional level, changes are needed in terms of transforming the structural factors that shape doctor–patient communication. CONCLUSIONS: Structuralized conversation, doctor domination of the conversation and a focus on technology during outpatient encounters present challenges to effective doctor–patient communication. These patterns are shaped by the institutional environment of Chinese hospitals and suggest the extreme power imbalance between Chinese doctors and patients. |
format | Online Article Text |
id | pubmed-6543146 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-65431462019-06-04 Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters Tu, Jiong Kang, Ge Zhong, Jiudi Cheng, Yu Health Expect Original Research Papers OBJECTIVE: The paper characterizes outpatient communication in a major cancer hospital in southern China with regard to the structure, style and focus of doctor–patient communication. METHOD: Fifty‐one encounters between doctors and patients were recorded in the outpatient department of the cancer hospital and analysed inductively to identify patterns of doctor–patient outpatient communication. RESULTS: Outpatient communication in the cancer hospital is characterized by structuralized conversation, doctor domination of the conversation and a focus on technology during communication. These characteristics suggest an extreme inequality of power between Chinese doctors and patients at the individual level. They are also shaped by the institutional environment of Chinese hospitals. DISCUSSION: Measures should be taken at both the interpersonal and institutional level to improve doctor–patient communication. At the micro‐interpersonal level, public education and professional skills training are needed to improve communication and promote mutual understanding between patients and doctors. At the macro‐institutional level, changes are needed in terms of transforming the structural factors that shape doctor–patient communication. CONCLUSIONS: Structuralized conversation, doctor domination of the conversation and a focus on technology during outpatient encounters present challenges to effective doctor–patient communication. These patterns are shaped by the institutional environment of Chinese hospitals and suggest the extreme power imbalance between Chinese doctors and patients. John Wiley and Sons Inc. 2019-04-08 2019-06 /pmc/articles/PMC6543146/ /pubmed/30957939 http://dx.doi.org/10.1111/hex.12890 Text en © 2019 The Authors. Health Expectations published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Papers Tu, Jiong Kang, Ge Zhong, Jiudi Cheng, Yu Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters |
title | Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters |
title_full | Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters |
title_fullStr | Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters |
title_full_unstemmed | Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters |
title_short | Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters |
title_sort | outpatient communication patterns in a cancer hospital in china: a qualitative study of doctor–patient encounters |
topic | Original Research Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543146/ https://www.ncbi.nlm.nih.gov/pubmed/30957939 http://dx.doi.org/10.1111/hex.12890 |
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