TY - JOUR
T1 - Clinician-patient communication during the diagnostic workup: The ABIDE project
AU - Visser, Leonie N. C.
AU - Kunneman, Marleen
AU - Murugesu, Laxsini
AU - van Maurik, Ingrid
AU - Zwan, Marissa
AU - Bouwman, Femke H.
AU - Schuur, Jacqueline
AU - Wind, Hilje A.
AU - Blaauw, Marjolijn S. J.
AU - Kragt, J. Jolijn
AU - Roks, Gerwin
AU - Boelaarts, Leo
AU - Schipper, Annemieke C.
AU - Schooneboom, Niki
AU - Scheltens, Philip
AU - van der Flier, Wiesje M.
AU - Smets, Ellen M. A.
PY - 2019
Y1 - 2019
N2 - Introduction: We aimed to describe clinician-patient communication in the diagnostic process of memory clinics, specifically clinician behavior known to facilitate knowledgeable participation of patients during consultations. Methods: In this multicenter, observational study, we audio-recorded routine diagnostic consultations of 41 clinicians and 136 patients/caregivers at eight memory clinics. Patients/caregivers completed surveys after each audiotaped consultation. We used a study-specific coding scheme to categorize communication behavior. Results: Clinicians often provided information on (results of) diagnostic testing. They infrequently invited questions and/or checked understanding. Clinician behavior to involve patients in decision-making about diagnostic testing was limited. Of note, patients/caregivers rarely expressed their information or involvement preferences. Yet, approximately, one quarter of them would have liked to receive more information. Discussion: Involving patients more explicitly by means of shared decision-making could benefit the quality of care provided in memory clinics because it enables clinicians to attune the diagnostic workup to the individual patient's needs.
AB - Introduction: We aimed to describe clinician-patient communication in the diagnostic process of memory clinics, specifically clinician behavior known to facilitate knowledgeable participation of patients during consultations. Methods: In this multicenter, observational study, we audio-recorded routine diagnostic consultations of 41 clinicians and 136 patients/caregivers at eight memory clinics. Patients/caregivers completed surveys after each audiotaped consultation. We used a study-specific coding scheme to categorize communication behavior. Results: Clinicians often provided information on (results of) diagnostic testing. They infrequently invited questions and/or checked understanding. Clinician behavior to involve patients in decision-making about diagnostic testing was limited. Of note, patients/caregivers rarely expressed their information or involvement preferences. Yet, approximately, one quarter of them would have liked to receive more information. Discussion: Involving patients more explicitly by means of shared decision-making could benefit the quality of care provided in memory clinics because it enables clinicians to attune the diagnostic workup to the individual patient's needs.
KW - Alzheimer's disease
KW - Dementia
KW - Diagnostic work-up
KW - Doctor-patient communication
KW - Patient engagement
KW - Shared decision-making
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85069845858&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31388556
U2 - 10.1016/j.dadm.2019.06.001
DO - 10.1016/j.dadm.2019.06.001
M3 - Article
C2 - 31388556
VL - 11
SP - 520
EP - 528
JO - Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring
JF - Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring
SN - 2352-8729
ER -