عنوان مقاله [English]
Good communication between physician and patients during history taking and
examination could lead to the both patient and his family' trust. Thus, examination, diagnosis,
and treatment will be more precise and more accurate. The aim of this study was to
investigate all sections of physicians’ communication with patients from the observer and
patient’s view. This study was a descriptive – cross sectional study in 2013. In order to assess
the physician’s communication skill, 3 criteria of the Evans’s questionnaire, two groups
(physicians and their patients), and two questionnaires were evaluated. First group (N=50)
were specialists, general, residents, and interns, second group consisted 50of their patients
were selected simple-randomly. Distribution of two questionnaires, observation, and
interviews were conducted by the researcher. Data obtained with correlation coefficients
spearman, descriptive, and inferential statistics were analyzed by SPSS 20.0 software. The
Evans’s checklist has three steps for examination (starting, implementing, and ending)
through the present study; consequently, the first step (m=1.84), the second step (m=2.20),
and third step (m=1.89) were obtained from 3 points and final result was (m=1.93). In total,
the performance of physicians in communicating with their patients during visits was at
intermediate level (m=1.93) from both the observer and patients’ views. Moreover, according
to their views, the most areas of deficit were at the beginning (m=1.84) and then ending
(m=1.89) and during conducting of the interview (m=2.20), respectively. In the most parts,
there was no consistent between observer’s and patient’s views.
There are some deficiencies in physicians’ communication skills during history taking and
visits. Considering the importance of communication skills, teaching them before confronting
real patients would be necessary in Clinical Skills Learning Center.
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