BACKGROUND: Communication between patient and physician remains a central step of interaction. PATIENTS AND METHODS: 15 min after receiving the results of their coronary angiography via a standard verbal report, a total of 288 patients were asked the following questions: (1) Were the results of coronary angiography explained to you? (2) Who performed your procedure? (3) Were there any narrowings in your coronary arteries? (4) Was your left ventricular ejection fraction normal? (5) What kind of therapy was recommended to you? RESULTS: 98.6% of the patients were informed about the results of their coronary angiography. 31.2% were able to recall the name of the interventionalist. 52.8% knew about their coronary arteries, 36.8% knew their left ventricular function, and 92.7% were able to recall the recommendations for therapy (mean 53.4% correct answers). In 14.6%, the causes of incorrect answers were related to the patient, in 85.4% to the doctor. The number of incorrect answers increased significantly in patients with complex angiographic results, cultural discordance between physician and patient, and presentation of the results by noncardiologists (p < 0.001 for all). CONCLUSION: Communication of coronary angiography results to patients via standard verbal reports leads to frequent misunderstanding. To resolve communication problems in the cathlab as effective as possible, communication skills of physicians should be improved.
BACKGROUND: Communication between patient and physician remains a central step of interaction. PATIENTS AND METHODS: 15 min after receiving the results of their coronary angiography via a standard verbal report, a total of 288 patients were asked the following questions: (1) Were the results of coronary angiography explained to you? (2) Who performed your procedure? (3) Were there any narrowings in your coronary arteries? (4) Was your left ventricular ejection fraction normal? (5) What kind of therapy was recommended to you? RESULTS: 98.6% of the patients were informed about the results of their coronary angiography. 31.2% were able to recall the name of the interventionalist. 52.8% knew about their coronary arteries, 36.8% knew their left ventricular function, and 92.7% were able to recall the recommendations for therapy (mean 53.4% correct answers). In 14.6%, the causes of incorrect answers were related to the patient, in 85.4% to the doctor. The number of incorrect answers increased significantly in patients with complex angiographic results, cultural discordance between physician and patient, and presentation of the results by noncardiologists (p < 0.001 for all). CONCLUSION: Communication of coronary angiography results to patients via standard verbal reports leads to frequent misunderstanding. To resolve communication problems in the cathlab as effective as possible, communication skills of physicians should be improved.
Authors: A van den Brink-Muinen; P F M Verhaak; J M Bensing; O Bahrs; M Deveugele; L Gask; N Mead; F Leiva-Fernandez; A Perez; V Messerli; L Oppizzi; M Peltenburg Journal: Fam Pract Date: 2003-08 Impact factor: 2.267
Authors: Dean Schillinger; John Piette; Kevin Grumbach; Frances Wang; Clifford Wilson; Carolyn Daher; Krishelle Leong-Grotz; Cesar Castro; Andrew B Bindman Journal: Arch Intern Med Date: 2003-01-13
Authors: Alexander Bischoff; Thomas V Perneger; Patrick A Bovier; Louis Loutan; Hans Stalder Journal: Br J Gen Pract Date: 2003-07 Impact factor: 5.386