Evidence map›Paper›PMID 27157118›Full record

ArticleAtencion primaria2016

Communication skills of tutors and family medicine physician residents in Primary Care clinics.

Francisco Javier Valverde Bolívar, Miguel Pedregal González, María Francisca Pérez Fuentes, María Dolores Alcalde Molina, Jesús Torío Durántez, Miguel Delgado Rodríguez

Abstract readMulticenter Study
In one paragraph

Article in Atencion primaria, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Francisco Javier Valverde BolívarTeaching Unit of Family and Community Medicine in Jaen, Distrito Sanitario Jaén-Jaén Sur (Jaén Health District-Jaén South), Avenida del Ejercito Español número 10, Post Code 23007, Jaen, Spain; Andalusian Research Group, Development and Innovation Plan (CTS-982). Electronic address: franciscoj.valverde.sspa@juntadeandalucia.es.
Miguel Pedregal GonzálezTeaching Unit of Family and Community Medicine in Huelva, Distrito Sanitario Huelva-Costa (Huelva-Costa Health District), Calle Cuesta de las tres caídas s/n., Post Code 21001, Huelva, Spain.
María Francisca Pérez FuentesLinares Health Care Centre in Virgen de Linarejos, Área Sanitaria Norte de Jaén (Health Area North of Jaén), Avenida de San Sebastián s/n, Post Code 23700, Linares, Jaen, Spain.
María Dolores Alcalde MolinaHealth Centre Virgen de la Capilla, Distrito Sanitario Jaén-Jaén Sur (Jaén Health Care District-Jaén South), Calle Arquitecto Berges número 10, Post Code 23007, Jaen, Spain.
Jesús Torío DurántezMedical Examination, Territorial Delegation for Equality, Health and Social Policies, Paseo de la Estación número 15, Post Code 23071, Jaen, Spain.
Miguel Delgado RodríguezDepartment of Preventative Medicine and Public Health, Universidad de Jaén, Campus de las Lagunillas, Post Code 23071, Jaen, Spain; Biomedical Research Centre in Epidemiology and Public Health Net Biomedic Research Net (CIBERESP), Ministry of Health, ISCIII (Ministry of Science and Innovation), C/Sinesion Delgado 6, Post Code 29071, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine the communicative profiles of family physicians and the characteristics associated with an improved level of communication with the patient.

designA descriptive multicentre study. LOCATION: Primary Healthcare Centres in Almeria, Granada, Jaen and Huelva.

participants119 family physicians (tutors and 4th year resident physicians) filmed and observed with patients. PRINCIPAL MEASUREMENTS: Demographic and professional characteristics. Analysis of the communication between physicians and patients, using a CICAA (Connect, Identify, Understand, Agree and Assist, in English) scale. A descriptive, bivariate, multiple linear regression analysis was performed.

resultsThere were 436 valid interviews. Almost 100% of physicians were polite and friendly, facilitating a dialogue with the patient and allowing them to express their doubts. However, few physicians attempted to explore the state of mind of the patient, or enquire about their family situation or any important stressful events, nor did they ask open questions. Furthermore, few physicians summarised the information gathered. The mean score was 21.43±5.91 points (maximum 58). There were no differences in the total score between gender, city, or type of centre. The linear regression verified that the highest scores were obtained from tutors (B: 2.98), from the duration of the consultations (B: 0.63), and from the age of the professionals (B: -0.1).

conclusionPhysicians excel in terms of creating a friendly environment, possessing good listening skills, and providing the patient with information. However the ability to empathise, exploring the psychosocial sphere, carrying out shared decision-making, and asking open questions must be improved. Being a tutor, devoting more time to consultations, and being younger, results in a significant improvement in communication with the patient.

Indexed as

CommunicationInternship and ResidencyPhysician-Patient RelationsPrimary Health CareAdultFamily PracticeFemaleHealth FacilitiesHumansMaleMiddle AgedAtención primaria de SaludCommunicationComunicaciónInternado y ResidenciaInternships and residenciesPhysician–patient relationsPrimary healthcareRelaciones Médico-Paciente

Identifiers

PMID27157118
PMCPMC6875993

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.