Back to Search
Start Over
Evaluating provider communication in pediatric chronic kidney disease care using a global coding system
- Source :
- Patient Educ Couns
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Objective Among adolescents and young adults (AYAs) with chronic illness, effective provider communication is essential for patient-centered care during a sensitive developmental period. However, communication in chronic illness care for AYAs is not well studied. Our objectives were to describe the provider communication skills in pediatric chronic kidney disease (CKD) care visits; and determine if communication skills differ by AYA characteristics. Methods We adapted a global consultation rating system for pediatric subspecialty care using audiotaped clinic encounters of 18 pediatric nephrologists with 99 AYAs (age M(SD) = 14.9(2.6)) with CKD stages 1–5 and 96 caregivers. We hypothesized that provider communication skills would differ by AYA characteristics (age, gender, and race). Results The strongest provider skills included initiating the session and developing rapport; lowest rated skills were asking patient’s perspective and checking understanding. Communication scores did not consistently differ by AYA age or race, but were rated higher with female AYAs in several domains (ps Conclusions Pediatric providers generally had adequate or good communication scores with AYAs, but improvement in certain skills, particularly with male AYAs, may further support patient-centered care. Practice implications To achieve consistent, patient-centered communication with AYAs, an observation-based global assessment may identify areas for provider improvement.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Subspecialty
Article
Young Adult
03 medical and health sciences
0302 clinical medicine
Patient-Centered Care
medicine
Humans
030212 general & internal medicine
Rating system
Renal Insufficiency, Chronic
Young adult
Child
business.industry
Communication
030503 health policy & services
General Medicine
medicine.disease
humanities
Coding system
Caregivers
Tape Recording
Family medicine
Female
Communication skills
0305 other medical science
business
Patient centered
Kidney disease
Subjects
Details
- ISSN :
- 07383991
- Volume :
- 103
- Database :
- OpenAIRE
- Journal :
- Patient Education and Counseling
- Accession number :
- edsair.doi.dedup.....62624b1c7f3251a8ee9f6988b3bfb160