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The Current State of Doctors’ Communication Skills in Mainland China from the Perspective of Doctors’ Self-evaluation and Patients’ Evaluation: A Cross-Sectional Study
Authors:Ai Guo  Pei Wang
Institution:1. Shanghai Normal University, Department of Psychology, Shanghai, China;2. School of Psychiatry, Wenzhou Medical University, Wenzhou, China;3. East China Normal University, Faculty of Education, Shanghai, China;1. James M. Anderson Center for Health Systems Excellence, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, USA;2. Department of Pediatrics, University of Cincinnati College of Medicine, 3333 Burnet Ave, Cincinnati, OH, USA;3. Smaller Sanities Studio, New York, NY, USA;4. Department of Pediatrics, University of North Carolina at Chapel Hill, 101 Manning Dr, Chapel Hill, NC, USA;5. Division of Biostatistics and Epidemiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, USA;6. Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, USA;1. Amsterdam UMC, Vrije Universiteit Amsterdam, Midwifery Science, AVAG, Amsterdam, the Netherlands;2. National Institute for Public Health and the Environment (RIVM), Centre for Population Screening, Bilthoven, the Netherlands;1. School of Public Health, University of Sydney, Sydney, Australia;2. Centre for Biostatistics, Division of Health Sciences, University of Otago, Dunedin, New Zealand;1. Department of Health Education & Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;2. Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran;3. Center for Aging in Diverse Communities, University of California San Francisco, San Francisco, CA, USA;4. Institute for Health & Aging, University of California San Francisco, San Francisco, CA, USA;5. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;1. Department of Family and Community Medicine, University of Maryland School of Medicine, 29 S. Paca St., Baltimore, MD, USA;2. Department of Family and Community Medicine, University of Maryland School of Medicine School of Medicine, Baltimore, MD, USA;3. Department of Family and Community Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
Abstract:ObjectiveTo assess doctors’ communication skills in mainland China using the SEGUE Framework.MethodsA survey on doctors’ communication skills with doctors (n = 1361) and patients (n = 1757) from 14 provinces in eastern, central and western China was conducted.ResultsThe doctors’ self-evaluation scores were higher than patients’ evaluations (p < .001). The scores of female doctors were higher than males (p = .022). Both doctors’ self-evaluations and patients’ evaluations indicated that the scores of doctors in tertiary hospitals were higher than those in primary hospitals.ConclusionDoctors’ communication skills don’t match patients’ needs. Female doctors are more empathetic and patient than male doctors and consequently have better communication skills. Doctors in tertiary hospitals have better communication skills because tertiary hospitals provide more training opportunities in communication skills and have better medical services and management.Practice implicationsThis study confirms the applicability of the SEGUE Framework to doctors and patients in mainland China. The effectiveness of cultivating doctors’ communication skills should be evaluated through feedback from the perspective of both doctors and patients. Medical institutes need to prioritize patients’ needs and provide training in doctors’ communication skills to address the discrepancy in the perceptions of doctors and patients.
Keywords:Communication skills  Doctor-patient communication  SEGUE Framework  Doctors’ self-evaluation  Patients’ evaluation
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