Dermatologists Communication Skills and Performance From Point of View of Patients

Dermatologists Communication Skills and Performance From Point of View of Patients

Authors

  • Nasim Farajtabar Nashli Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences,Tehran, Iran
  • Parvaneh Hatami Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences,Tehran, Iran
  • Zeinab Aryanian Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences,Tehran; Department of Dermatology, Babol University of Medical Sciences, Babol, Iran
  • Abbas Rahimi Foroushani Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Science
  • Reza Robati Skin Research Center, Shahid Beheshti University of Medical Sciences; Department of Dermatology, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Azadeh Goodarzi Department of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center, School of Medicine, Iran University of Medical Sciences; Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Masoud Assadi Health Research Institute, Babol University of Medical Sciences; Department of Medical Ethics, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Narges Ghandi Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran

Keywords:

communication skills, Calgary- Cambridge Observation Guide, CCOG, dermatology, Persian

Abstract

Introduction: Effective communication is an important issue in patient-doctor interaction which is even more important regarding chronic disorders which need a strong relationship between patient and clinician for better compliance and optimal control disease.

Objectives: This study was aimed to develop the best cultural adapted Persian version of the 28-item Calgary- Cambridge Observation Guide (CCOG) questionnaire.

Methods: In this descriptive‑analytic study, data collected from 400 patients attending the outpatient dermatology clinics of 3 major hospitals in Tehran using the modified Persian version of CCOG questionnaire, both before and after being visited by dermatologists.

Results: The difference of CCG scores for all of questions, except for questions number 1,16 and 22, was statistically significant. The highest score, both before and after visiting, attained by question regarding being respectful. The lowest scores for necessary behavior and the adequate amount of execution were related to questions number 3 (Introducing self) and 4 (Introducing role), respectively. Age and educational level of patients were significantly correlated with their expectations regarding communication skills of clinician.

Conclusions: This study showed the acceptable validity of modified Persian version of CCOG-24 item questionnaire. Our findings also demonstrated that there was a significant difference between what patients expected from a dermatologist and the manner they actually were treated regarding physician communication skills.

References

Dwamena F, Holmes-Rovner M, Gaulden CM, et al. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev. 2012;12:CD003267. DOI: 10.1002/14651858.CD003267.pub2. PMID: 23235595.

Smith SM, Soubhi H, Fortin M, Hudon C, O'Dowd T. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database Syst Rev. 2012;(4):CD006560. DOI: 10.1002/14651858.CD006560.pub2. PMID: 22513941.

Poitras ME, Maltais ME, Bestard-Denommé L, Stewart M, Fortin M. What are the effective elements in patient-centered and multimorbidity care? A scoping review. BMC Health Serv Res. 2018;18(1):446. DOI: 10.1186/s12913-018-3213-8. PMID: 29898713. PMCID: PMC6001147.

Moore PM, Rivera S, Bravo-Soto GA, Olivares C, Lawrie TA. Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev. 2018;7(7):CD003751. DOI: 10.1002/14651858.CD003751.pub4. PMID: 30039853. PMCID: PMC6513291.

Wool MS. Teaching and Learning Communication Skills in Medicine (2e). Health Expect. 2005;8(4):363–365. DOI: 10.1111/j.1369-7625.2005.00351.x. PMCID: PMC5060313.

Dohms MC, Collares CF, Tiberio IC. Brazilian version of Calgary-Cambridge Observation Guide 28-item version: cross-cultural adaptation and psychometric properties. Clinics (Sao Paulo). 2021 14;76:e1706. DOI: 10.6061/clinics/2021/e1706. PMID: 34133477. PMCID: PMC8183315.

Streiner DL. Being inconsistent about consistency: when coefficient alpha does and doesn’t matter. J Pers Assess. 2003;80(3):217-222. DOI: 10.1207/S15327752JPA8003_01. PMID: 12763696.

Ebrahimi A, Esfahani N, Saghafi M. Patients’ Expectations and Satisfaction with their Treating Physician. RJMS.2004;(41)11:367-375.

Athari M., Anbari A. Relashinship of physician and patient. DANESHVAR MEDICINE. 2010;17(85)17:71-80. Available from https://www.sid.ir/fa/journal/ViewPaper.aspx?id=110177.

Renzi C, Abeni D, Picardi A, et al. Factors associated with patient satisfaction with care among dermatological outpatients. Br J Dermatol. 2001;145(4):617-623. DOI: 10.1046/j.1365-2133.2001.04445.x. PMID: 11703289.

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Published

2023-04-29

How to Cite

1.
Farajtabar Nashli N, Hatami P, Aryanian Z, et al. Dermatologists Communication Skills and Performance From Point of View of Patients. Dermatol Pract Concept. 2023;13(2):e2023120. doi:10.5826/dpc.1302a120

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