Doctor-patient care relationship in genetic cardiomyopathies: An exploratory study on clinical consultations

Doctor-patient care relationship in genetic cardiomyopathies: An exploratory study on clinical consultations.

Full text not available from this repository.
Item Type: Article
Status: Published
Official URL: https://doi.org/10.1371/journal.pone.0236814
Journal or Publication Title: PLOS ONE
Volume: 15
Number: 8
Page Range: e0236814
Date: 2020
Divisions: Cardio Genomics
Depositing User: General Admin
Identification Number: 10.1371/journal.pone.0236814
ISSN: 1932-6203
Date Deposited: 04 Jan 2021 00:37
Abstract:

Background
The present study aims to explore the setting of consultation and communication between physicians and patients affected by genetic cardiomyopathies, investigating how the two parts of the therapeutic relationship participate and share information.

Methods and results
45 adult patients affected by various cardiomyopathies took part in a prospective case study while attending consultations at a cardiologic outpatient clinic constituting an Italian referral centre for cardiomyopathies. A researcher observed the consultations, which were audio-recorded and transcribed. Transcripts were coded and an analysis of setting, type of communication implemented and participation of doctors and patients in terms of word-count and type of questions/answers was carried out.

Overall word-count was significantly higher for physicians than for patients (t(44) = 9,506; p<0.001). Doctors were prone to ask closed questions (t(44) = -11,90; p<0.001) while patients preferred open answers (t(44) = 5.58; p<0.001), enriched with subjective issues related to their illness experience. Partial correlation highlights a significant positive relation between doctors’ closed question and patients’ open answers (r = .838; p<0.001).

Conclusions
Findings emphasize patients’ need for adequate time and space to share their subjective illness experience with the physician, within an approach informed by the insights and recommendations of Narrative Medicine. These findings are instrumental to improving the specific clinical setting for individuals with genetic cardiomyopathies.

Creators:
Creators
Email
Cannatà, Antonio
UNSPECIFIED
Fioretti, Chiara
UNSPECIFIED
Magni, Elisa
UNSPECIFIED
Barlocco, Fausto
UNSPECIFIED
Tomberli, Alessia
UNSPECIFIED
Baldini, Katia
UNSPECIFIED
Ingles, Jodie
UNSPECIFIED
Smorti, Andrea
UNSPECIFIED
Olivotto, Iacopo
UNSPECIFIED
Last Modified: 04 Jan 2021 00:37
URI: https://eprints.centenary.org.au/id/eprint/808

Actions (login required)

View Item View Item