Evidence map›Paper›PMID 34744429›Full record

ArticleSarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG2021

Raising awareness on physician-patient communication in IPF: an Italian multicenter study exploring the pulmonologist's perspective.

Sara Tomassetti, Alfredo Sebastiani, Antonella Caminati, Tiberio Oggionni, Michele Davì, Alessandra Ghirardini, Monica M Martinoli

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Article in Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sara TomassettiDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, Italy.
Alfredo SebastianiDay Hospital and ILD Unit, San Camillo-Forlanini Hospital, Rome, Italy.
Antonella CaminatiSemi-Intensive Care Unit, Department of Pneumology, Department of Respiratory Physiopathology and Pulmonary Hemodynamics, San Giuseppe Hospital - MultiMedica IRCCS, Milan, Italy.
Tiberio OggionniPulmonology Unit, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Michele DavìRoche SpA, Monza, Italy.
Alessandra GhirardiniRoche SpA, Monza, Italy.
Monica M MartinoliFreelancer; Adjunct Professor, University of the Studies of Milan, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) remains a debilitating, poor prognosis disease requiring a patient-centered approach.

objectivesTo explore the pulmonologist's perspective on physician-patient communication.

methodsA faculty of psychologists and pulmonologists organized a training course consisting of two workshops 12 months apart. Self-assessment questionnaires (pre- and post-course), role play (RP) simulations (during both workshops) and clinical consultation observations followed by semi-structured interviews (during the 12 months) were employed to evaluate the pulmonologists' knowledge of patient-centered medicine and communication/relational skills (questionnaires), their communication style (RP) and possible communication/relational difficulties (semi-structured interviews).

resultsTwenty-three pulmonologists attended the first workshop and 14 the second one; 10 attended both. The questionnaires revealed the interest in patient-centered medicine and communication but also the need for deeper knowledge and improved skills. From the RP sessions performed during the first workshop, a disease-oriented approach emerged; notably, after the training, some improvements suggested a more patient-centered approach, e.g., a more frequent exploration of the patient agenda. Finally, the semi-structured interviews allowed to identify the low patients' cultural level and the poor general knowledge of IPF among the barriers hampering an effective communication with the clinician, who, however, is responsible for overcoming these obstacles.

conclusionsDespite the overall disease-prone approach to IPF patients, there was room for improvement through adequate training, which, in practice, may ameliorate communication and drive towards patient-centeredness. Exploring the pulmonologists' needs may help tailoring training interventions. Raising awareness on these topics is crucial to ensure IPF patients optimal care.

Indexed as

CommunicationIdiopathic pulmonary fibrosisPatient-centerednessQuestionnaireRole playSemi-structured interviewsTraining

Identifiers

PMID34744429
PMCPMC8552572

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LicenceCC BY-NC-SA
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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.