Evidence map›Paper›PMID 29987081›Full record

ArticleAnnals of family medicine2018

The Evaluation of Physicians' Communication Skills From Multiple Perspectives.

Jenni Burt, Gary Abel, Marc N Elliott, Natasha Elmore, Jennifer Newbould, Antoinette Davey, Nadia Llanwarne, Inocencio Maramba, Charlotte Paddison, John Campbell and 1 more

Abstract readComparative Study
In one paragraph

Article in Annals of family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  6. Observational
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  10. Doctor-Patient Communication in Primary Health Care: A Mixed-Method Study in Fiji.International journal of environmental research and public health · 2021
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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

11 authors.

Jenni BurtThe Healthcare Improvement Studies Institute (THIS Institute), University of Cambridge, Cambridge Biomedical Campus, Cambridge, United Kingdom jenni.burt@thisinstitute.cam.ac.uk.
Gary AbelUniversity of Exeter Medical School, St Luke's Campus, Exeter, United Kingdom.
Marc N ElliottRAND Corporation, Santa Monica, California.
Natasha ElmoreThe Healthcare Improvement Studies Institute (THIS Institute), University of Cambridge, Cambridge Biomedical Campus, Cambridge, United Kingdom.
Jennifer NewbouldRAND Europe, Cambridge, United Kingdom.
Antoinette DaveyUniversity of Exeter Medical School, St Luke's Campus, Exeter, United Kingdom.
Nadia LlanwarneCambridge Centre for Health Services Research, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
Inocencio MarambaUniversity of Exeter Medical School, St Luke's Campus, Exeter, United Kingdom.
Charlotte PaddisonCambridge Centre for Health Services Research, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
John CampbellUniversity of Exeter Medical School, St Luke's Campus, Exeter, United Kingdom.
Martin RolandCambridge Centre for Health Services Research, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.

Funding

Department of Health RP-PG-0608-10050
6 · The paper itself

Abstract

purposeTo examine how family physicians', patients', and trained clinical raters' assessments of physician-patient communication compare by analysis of individual appointments.

methodsAnalysis of survey data from patients attending face-to-face appointments with 45 family physicians at 13 practices in England. Immediately post-appointment, patients and physicians independently completed a questionnaire including 7 items assessing communication quality. A sample of videotaped appointments was assessed by trained clinical raters, using the same 7 communication items. Patient, physician, and rater communication scores were compared using correlation coefficients.

resultsIncluded were 503 physician-patient pairs; of those, 55 appointments were also evaluated by trained clinical raters. Physicians scored themselves, on average, lower than patients (mean physician score 74.5; mean patient score 94.4); 63.4% (319) of patient-reported scores were the maximum of 100. The mean of rater scores from 55 appointments was 57.3. There was a near-zero correlation coefficient between physician-reported and patient-reported communication scores (0.009,

conclusionsThe lack of correlation between physician scores and those of others indicates that physicians' perceptions of good communication during their appointments may differ from those of external peer raters and patients. Physicians may not be aware of how patients experience their communication practices; peer assessment of communication skills is an important approach in identifying areas for improvement.

Indexed as

CommunicationPhysician-Patient RelationsAdolescentAdultAgedAged, 80 and overAttitude of Health PersonnelEnglandFemaleHumansLinear ModelsMaleMiddle AgedObserver VariationPatient SatisfactionPhysicians, Familyhealth care quality measurementhealth care surveyspatient experiencepatient satisfactionphysician-patient communicationphysician-patient relationsquality of health care

Identifiers

PMID29987081
PMCPMC6037531

What OpenQuestion holds

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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.