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Communication with elderly patients through an intermediary in family medicine
Danica Rotar-Pavlič, Igor Švab, Marko Kolšek, 2008, original scientific article

Abstract: Background: Accurate reporting of a patient's story is an important skill in medicine. A doctor's interpretation of the patient's story reflects not only what was actually said, but also the doctor's view of the problem. Additional problems may appear when an intermediary is used for communication with patients. This problems may be influenced by the circumstances of the interview and the personal characteristics of an intermediary. Objectives: The aim of the study was to identify common characteristics of information that is lost, added and matched in a consultation with an intermediary. Methods: The qualitative study was done on a sample of 39 elderly patients from 26 different practices. The first part of the study consisted of one-to-one semi-structured interviews with elderly patients that were transcribed and coded. In the second stage of the study the interviewers who were involved in the first stage of study were debriefed and questioned about their interviews with patients. All interviews were audiotaped and transcribed verba tim.The transcripts and the codes of the first stage were compared with the transcripts and codes of the second stage. Results: After the comparison of the patient's transcripts with the transcripts of the interviewers, the data could be divided in three cathegories of information: omitted data - data that appear in the transcripts of the patients, but not in the transcripts of the debriefing of the interviewers, added data - data that appear only in the transcripts of the debriefing of the interviewers and matchingdata - data that appear in the transcripts of the patients and in the debriefing of the interviewers. Conclusion: There are differences between what occurs in a medical interview and what is reported by the interviewer in a debriefing. Some information is omitted and new information may appear that may increase our understanding, but may also be a source of added bias.
Keywords: komunikacija, starejši bolniki, posredniki, družinska medicina
Published in RUP: 15.10.2013; Views: 7125; Downloads: 45
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