Abstract
Objectives
This study explores patient perspectives (ideas, concerns, and expectations) in surgeon-patient consultations.
Methods
We examined 54 video-recorded consultations using applied conversation analysis. Consultations took place from 2012 to 2017 in an Australian metropolitan hospital clinic centre and involved seven surgeons across six specialties.
Results
Patient perspectives emerged in less than one third of consultations. We describe the initiation of and response to potential perspectives sequences, demonstrating how patients and surgeons co-construct these sequences when they do occur.
Conclusions
Findings suggest a need for greater attention to supporting patient agency through explicit pursuit of patient perspectives. The implications extend to the Calgary-Cambridge Guide, suggesting that it may benefit from a focus on active pursuit and appropriate responsiveness to patient perspectives.
Practice implications
This study highlights the need for surgeons to actively engage with the patient perspective offered in consultations, emphasising the importance of respect for the patient’s knowledge and expectations to improve patient satisfaction and healthcare outcomes.
This study explores patient perspectives (ideas, concerns, and expectations) in surgeon-patient consultations.
Methods
We examined 54 video-recorded consultations using applied conversation analysis. Consultations took place from 2012 to 2017 in an Australian metropolitan hospital clinic centre and involved seven surgeons across six specialties.
Results
Patient perspectives emerged in less than one third of consultations. We describe the initiation of and response to potential perspectives sequences, demonstrating how patients and surgeons co-construct these sequences when they do occur.
Conclusions
Findings suggest a need for greater attention to supporting patient agency through explicit pursuit of patient perspectives. The implications extend to the Calgary-Cambridge Guide, suggesting that it may benefit from a focus on active pursuit and appropriate responsiveness to patient perspectives.
Practice implications
This study highlights the need for surgeons to actively engage with the patient perspective offered in consultations, emphasising the importance of respect for the patient’s knowledge and expectations to improve patient satisfaction and healthcare outcomes.
| Original language | English |
|---|---|
| Article number | 108289 |
| Pages (from-to) | 1-8 |
| Number of pages | 8 |
| Journal | Patient Education and Counseling |
| Volume | 125 |
| Early online date | 12 Apr 2024 |
| DOIs | |
| Publication status | Published - Aug 2024 |
Bibliographical note
Copyright the Author(s) 2024. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.Keywords
- surgeon-patient communication
- patient perspectives
- patient agency
- Calgary-Cambridge Guide
- patient-centred approach