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    Practitioner and Patient Interpersonal Skills

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    Zoya Rashid
    Three studies examined doctor-patient communication: 1) McKinstry and Wang found patients prefer doctors dressed formally, and older/higher social class patients preferred traditional attire more. 2) McKinlay found doctors use words patients may not understand, and recall varies by medical knowledge and service use. 3) Ley determined patients recall 55% of information, with primacy effect and categorization improving recall.

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    Practitioner and Patient Interpersonal Skills

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    Zoya Rashid
    23 views4 pages
    Three studies examined doctor-patient communication: 1) McKinstry and Wang found patients prefer doctors dressed formally, and older/higher social class patients preferred traditional attire more. 2) McKinlay found doctors use words patients may not understand, and recall varies by medical knowledge and service use. 3) Ley determined patients recall 55% of information, with primacy effect and categorization improving recall.

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    Three studies examined doctor-patient communication: 1) McKinstry and Wang found patients prefer doctors dressed formally, and older/higher social class patients preferred traditional attire more. 2) McKinlay found doctors use words patients may not understand, and recall varies by medical knowledge and service use. 3) Ley determined patients recall 55% of information, with primacy effect and categorization improving recall.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views4 pages

    Practitioner and Patient Interpersonal Skills

    Uploaded by

    Zoya Rashid
    Three studies examined doctor-patient communication: 1) McKinstry and Wang found patients prefer doctors dressed formally, and older/higher social class patients preferred traditional attire more. 2) McKinlay found doctors use words patients may not understand, and recall varies by medical knowledge and service use. 3) Ley determined patients recall 55% of information, with primacy effect and categorization improving recall.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    practitioner and patient interpersonal skills

    Study online at https://quizlet.com/_b34bfm

    1. Interpersonal skills :: skills that are used between people who are attempting
    to communicate with each other
    2. Paralanguage:: speed/tone/volume/fluency of speech
    3. Mckinstry and wang: (1991): non verbal communications

    study: Aim:
    · Investigated doctors clothing as a form of non verbal communication

    Procedure:
    · 475 patients
    · Id: whether they were dressed formally (white coat) or informally (dress)
    · Dv: how satisfied they were with the doctors
    · 30 different doctors from 5 general medical centers from one area of scotland
    · Were interviewed about their opinions based on the 8 photographs
    · Images were of a m and f doctor
    · They were asked:
    -which doctor they would feel heppiest seeing for the first time (0-5)
    -whether they would have more confidence in the ability of on of these doctors
    based on appearance
    -whether they would be unhappy about consulting any of them
    -which doctor looked most like there own doctor
    · Finally asked a series of general closed questions about doc appearance
    · Interviewer sampled patients at different times on 5 occasions at each surgery
    seeing 70% of available patients
    4. Mckinstry and wang: (1991): non verbal communications

    FIndings: Main findings:


    · Participants preferred male doctors wearing a formal suit and a tie
    · Preferred female doctor in a white lab coat closely followed by female in a small
    skirt and a blouse
    · Preference for traditional doctors most apparent in older patients and those in
    higher social classes
    · 28% of patients reported being unhappy seeing one of the doctors shown usually
    the informal one, some patients said they disliked there doctor wearing a white lab
    coat
    · 64% said they way there doctors dressed was important
    · Female doctors preferred over male
    · Some individual diffrences
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    practitioner and patient interpersonal skills
    Study online at https://quizlet.com/_b34bfm
    · 41% expressed confidence in ability to one specific doctor
    · In conclusion: patients prefer doctors dressed formally, in a manner similar to
    previous doctors and
    5. MCKINLAY (1975) verbal communication:

    study: Aim:
    · Focused on barriers of communications such as differences in vocabulary be-
    tween doctors and patients
    · Conducted a study into the words which the doctors ina Scottish maternity
    hospital used

    Procedure:
    · Either classed as commonly used among patients or incomprehensible which is
    never used by patients, or were in between the 2 extremes.
    · Of the 57 words tested on 13 fell into the middle bracket
    · Study investigated the 13 /grey area
    · In an interview to test patients understanding, they were read each word , heard
    it in context and asked what they meant
    · Interview began with "this is not a test. We are trying to find out if doctors use
    words that patients don't understand, so its really a test of them"
    · Patient responses recorded and attached only to a number not a name
    · Scored independently by two doctors 1m 1f
    · One year after the doctors were asked to indicate for each word the level of
    understanding they expected of a typical patient
    -A: not understand at all and say so
    -B:get the meaning quite wrong
    -C:have an incomplete or vague understanding
    -D: understand pretty well
    6. MCKINLAY (1975) verbal communication:

    findings: Main findings:


    · Those who underused the maternity services were less likely to understand vocab
    than those who used it often
    · Navel and rhesus however was known more commonly
    · Woman who already had one child had better understanding of vocab
    · Purgative however was overall less understood for all groups
    7. Ley: verbal communication study: Aims:
    To investigate the amount of information remembered by patients after visiting their
    2/4
    practitioner and patient interpersonal skills
    Study online at https://quizlet.com/_b34bfm
    doctors.

    Procedures:
    Researchers talked to patients after they had their consultation and they were
    asked what they could recall about medical information given by the doctor. Also,
    they were asked to repeat what the doctor had said.
    This was then compared with what was actually said.
    8. Ley: verbal communication findings: Findings:
    · Most patients remembered 55% of the information they were given.
    · They had good recall of the first thing told (PRIMACY EFFECT)
    · Their recall did not improve with repetition
    · They remembered information that had been categorised
    · They remembered more if they had medical knowledge.

    Conclusions:
    Patient recall is increased by:
    · Categorisation
    · Signposting
    · Summarising
    · Repetition
    · Clarity
    · Use of diagrams

    Suggested: use simple language, state key info first, give concrete specific advice
    which is categorized and repeat key points by summarizing essentials
    9. Primacy effect:: saying the important things first, remember whatever comes
    first
    10. Issues and Debates:: • General
    oDoctor's beliefs will have a deterministic effect on
    patients' behaviour
    oBy underestimating their comprehension, doctors may
    bring a situation at patients may have a hard time
    understanding

    • Mckinlay
    oMckinlay's findings have great application to everyday life, suggesting that doctors
    3/4
    practitioner and patient interpersonal skills
    Study online at https://quizlet.com/_b34bfm
    should use understandable terminology to their patients, as some patients may not
    understand some terms
    oThis study also displays individual and situational explanations as there are
    individual differences in the patient's knowledge, as well as situational factors that
    the doctors may expect when consulting with patients

    • Mckinstry and Wang


    oMckinstry and Wang's findings show individual and
    situational explanations, as some patients may have individual preferences on their
    doctor's attire
    11. Evaluation:: • Mckinstry and Wang
    oThis study utilized a wide representative sample from
    different doctors and clinics.
    oThis reduces demand characteristics, as shown by the fact that some patients
    claimed that the doctor's attire was not important.
    oHowever, if a photograph of a female doctor in a formal suit was part of the
    choices, the preference for the female doctor in the white coat to be less apparent
    oThere could be pressure for women to conform to a stereotype, for example, there
    were more objections towards a female in jeans over a male.

    • Mckinlay
    oThe usage of blind scorers and clear interviews
    ensured the validity of the data gatheredoThe procedure is also standardized,
    which can increase
    reliability
    oAs the interview assured that only the doctors would be "tested", this ensured that
    participants are not psychologically harmed by being reassured

    • Ley
    oLey's proposals have great application into improving
    doctors' practices

    4/4

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