Raciocínio e Comunicação

Communication Skills Training for Physicians Improves Patient Satisfaction

Boissy, A., Windover, A.K., Bokar, D. et al. Communication Skills Training for Physicians Improves Patient Satisfaction. J GEN INTERN MED 31, 755–761 (2016). https://doi.org/10.1007/s11606-016-3597-2 ABSTRACT BACKGROUND Skilled physician communication is a key component of patient experience. Large-scale studies of exposure to communication skills training and its impact on patient satisfaction have not been conducted. OBJECTIVE We aimed to examine the impact of experiential relationship-centered physician communication skills training on patient satisfaction and physician experience. DESIGN Read more…

By gesep, ago

Family Physicians’ Experiences of Physical Examination.

Annals of Family Medicine. 2019 jul; 17 (4) : 304-310. Martina Ann Kelly, Lisa Kathryn Freeman, Tim Dornan PMID: 31285207 PURPOSE: The increased availability of reliable diagnostic technologies has stimulated debate about the utility of physical examination in contemporary clinical practice. To reappraise its utility, we explored family physicians’ experiences. METHODS: Guided by principles of phenomenology, we conducted in-depth qualitative interviews exploring 16 family physicians’ experiences of conducting physical examination: 7 (44%) men and 9 Read more…

By gesep, ago

Physician Behavior and Patient Satisfaction: A Qualitative Review

Thomas L. Schwenk, MD reviewing Zulman DM et al. JAMA 2020 Jan 7 Healthcare experts evaluated physician–patient interactions and recommended five practices. Productivity demands and administrative tasks, particularly those associated with electronic medical records, often are blamed for detracting from the quality of physician–patient interactions and thereby lowering patients’ satisfaction with their healthcare. Stanford investigators attempted to identify specific physician behaviors that enhance physician presence and patient experience. The authors conducted a systematic literature review, observed interactions between Read more…

By gesep, ago

Review: The abilities of clinical symptoms to diagnose acute aortic dissection was assessed.

Ohle R, Kareemi HK, Wells G, et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. Acad Emerg Med. 2018 Apr;25(4):397-412. doi: 10.1111/acem.13360. Epub 2018 Jan 24. OBJECTIVES: Acute aortic dissection is a life-threatening condition due to a tear in the aortic wall. It is difficult to diagnose and if missed carries a significant mortality. METHODS: We conducted a librarian-assisted systematic review of PubMed, MEDLINE, Embase, and the Cochrane database from 1968 Read more…

By gesep, ago

What Happens When the History and Physical Exam Are Not Private?

Daniel J. Pallin, MD, MPH reviewing Stoklosa H et al. Emerg Med J 2018 Feb 3 Most emergency physicians reported altering the history and physical examination when they occurred in the hallway or in the presence of a patient’s companion. Although privacy is important in physician-patient interactions, there has been limited research on the effects of practicing medicine without privacy. Investigators surveyed over 400 emergency physicians at a national conference to determine how they altered their care when the Read more…

By gesep, ago

Comparative Accuracy of Focused Cardiac Ultrasonography and Clinical Examination for Left Ventricular Dysfunction and Valvular Heart Disease: A Systematic Review and Meta-analysis

Marbach JA et al. Ann Intern Med 2019 Aug 6. Flint N and Siegel RJ. Ann Intern Med 2019 Aug 6 Background:Incorporating focused cardiac ultrasonography (FoCUS) into clinical examination could improve the diagnostic yield of bedside patient evaluation. Purpose:To compare the accuracy of FoCUS-assisted clinical assessment versus clinical assessment alone for diagnosing left ventricular dysfunction or valvular disease in adults having cardiovascular evaluation. Data Sources:English-language searches of MEDLINE, Embase, and Web of Science from 1 Read more…

By gesep, ago

Diagnosis of elevated intracranial pressure in critically ill adults: systematic review and meta-analysis.

Fernando SM, et al. BMJ. 2019. OBJECTIVES: To summarise and compare the accuracy of physical examination, computed tomography (CT), sonography of the optic nerve sheath diameter (ONSD), and transcranial Doppler pulsatility index (TCD-PI) for the diagnosis of elevated intracranial pressure (ICP) in critically ill patients. DESIGN: Systematic review and meta-analysis.DATA SOURCES: Six databases, including Medline, EMBASE, and PubMed, from inception to 1 September 2018. STUDY SELECTION CRITERIA: English language studies investigating accuracy of physical examination, Read more…

By gesep, ago