interesting article on rating doctor-patient communications

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Tue Aug 28 18:08:17 UTC 2018


We might also ask if patients have really been given enough information in
a manner that they understand, or if they are simply used to the generally
poor communication skills, interruptions and medical jargon that are
barriers--and which patients accept as normal...at least 94% of the time.

In my kidney cancer advocacy work, there are countless patients who ask
other patients for help in understanding their own diagnosis.  Even when a
tumor is found, they will not have been told how large it is, where it is
located and how that might impact surgery or general treatment, how their
general health may be limiting as to surgery, etc.  Post surgery, they may
not ever be told the pathology of their tumor, despite dramatic differences
in prognosis or treatment options.  They may be told, "Got it all and you
will never have to worry again", with no follow up in the least.  Of
course, that last group of patients is thrilled, will think highly of the
doctor and fail to seek a second opinion (this time from an oncologist) or
even mention the surgery other doctors.  That sort of communication and
care may result in a satisfied patient until the disease returns or he
learns that he was not given a complete diagnosis with CT and bone scans
and on it goes.


Peggy Zuckerman

Peggy Zuckerman
www.peggyRCC.com

On Tue, Aug 28, 2018 at 10:53 AM, Tom Benzoni <benzonit at gmail.com> wrote:

> I'm really confused by this.
>
> IF:
> Perfect = 100 (top of scale)
> Patients scored their physicians = 94
> Physicians scored themselves = 75
> Experts scored the physicians = 57
> THEN:
> 1. Physicians are hard on themselves; they're doing pretty good.
> 2. Experts are out of touch.
> This brings into question whether experts are experts, given that the
> patients are the experts on communication.
>
> Help me out here.
>
> tom benzoni
>
>
> On Thu, Aug 23, 2018 at 11:20 PM David L Meyers <dm0015 at comcast.net>
> wrote:
>
>>
>> http://www.annfammed.org/content/16/4/330.full
>>
>> David
>> David L Meyers, MD FACEP
>> Listserv Moderator/Board member
>> Society to Improve Diagnosis in Medicine
>> www.improvediagnosis.org |
>> Save the Dates: Diagnostic Error in Medicine, November 4-6, 2018; New
>> Orleans, LA
>> Diagnostic Error in Medicine-2nd European Conference, August 30-31, 2018;
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>> Melbourne, Australia
>>
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