ArticlePatient education and counseling2012
Expressing uncertainty in clinical interactions between physicians and older patients: what matters?
Article in Patient education and counseling, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of hearing loss on clinical interactions between older adults and health professionals: a systematic review.European geriatric medicine · 2020Pooled it
- Trial
- Patient priorities and the doorknob phenomenon in primary care: Can technology improve disclosure of patient stressors?Patient education and counseling · 2018Trial
- Trial
- Dialogued into being: Constructing knowledge about hand osteoarthritis from a polyphony of voices in healthcare encounters.International journal of qualitative studies on health and well-being · 2024Article
- How and why do doctors communicate diagnostic uncertainty: An experimental vignette study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Communicating uncertainties when disclosing diagnostic test results for (Alzheimer's) dementia in the memory clinic: The ABIDE project.Health expectations : an international journal of public participation in health care and health policy · 2020Observational
- The Use of Expectancy and Empathy When Communicating With Patients With Advanced Breast Cancer; an Observational Study of Clinician-Patient Consultations.Frontiers in psychiatry · 2019Article
- Uncertainty and Competing Priorities in Shared Clinical Decision-Making.Journal of patient-centered research and reviews · 2018Article
- How does uncertainty shape patient experience in advanced illness? A secondary analysis of qualitative data.Palliative medicine · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveUncertainty is one key factor influencing physician and patient behavior. We examined the propensity to express uncertainty on mental health versus biomedical issues by elderly patients (>65 years) and physicians during primary care visits.
methods385 videotaped visits were coded according to "topics," which are issues raised by any participant during the visit. This approach allowed us to examine if uncertainty was expressed in biomedical, mental health or other topics, and the factors associated with expressions of uncertainty.
resultsWe found that patients expressed uncertainty in 20.21% of topics compared to physicians expressing uncertainty in 11.73% of topics discussed in all visits. Patients expressed uncertainty in 22% of biomedical and 46.5% (p<0.01) of mental health topics. Similar statistics were found in physicians' expression of uncertainty with more uncertainty being expressed with mental health topics (23.9%) than biomedical topics (12.56%, p<0.05).
conclusionPatients expressed more uncertainties than physicians during visits. Patients and physicians both expressed more uncertainties on mental health topics suggesting that patients and primary care physicians felt less knowledgeable or less confident about dealing with mental health issues. PRACTICE IMPLICATIONS: Understanding the inherent uncertainties in medicine can help physicians and patients engage in more productive discussion about both biomedical and mental health topics.
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