How physicians experience patient consultations at an orthopaedic out-patient clinic: a qualitative study |
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Authors: | Fossum Bjöörn Arborelius Elisabeth Theorell Töres |
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Affiliation: | Unit of Social Medicine, Stockholm Centre of Public Health, Stockholm, Sweden. bjoorn.fossum@smd.sll.se |
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Abstract: | The aim of this study is to describe physicians' experiences in their encounters with patients by allowing the physicians to observe and comment on their own video-recorded medical consultations. Eighteen orthopaedic surgeons took part in the study; they were informed that we were interested in studying what actually takes place during a consultation, the quality of communication between doctor and patient, and how the physicians themselves experience the consultation. Each time the physician wished to make a comment, the video film was stopped and the comments were taped on audiocassette. The results showed that when the physicians watched the video-recorded consultations they commented spontaneously on issues regarding, among others: (1) how they try to adapt their communication to the patient's situation; (2) the need to explain things to the patient; (3) perceptions of working under unfavourable conditions; (4) difficulties in helping certain patients. |
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