Improving Communication in the Primary Care Setting: Perspectives of Patients with Speech Disabilities
Improving Communication in the Primary Care Setting: Perspectives of Patients with Speech Disabilities
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DOI：
10.1007/s40271-014-0067-y
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发表时间：
2014-12-01
影响因子：
3.6
通讯作者：
Clayman, Marla L.
中科院分区：
文献类型：
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作者：
Morris, Megan A.;Yorkston, Kathryn;Clayman, Marla L.
言语障碍患者在初级护理临床接触期间沟通时可能会遇到挑战。我们对严重言语障碍患者的医疗保健沟通经验知之甚少。12名参与者参加了开放式的面对面访谈。所有参与者都有获得性或发育性严重言语障碍，但不受认知和语言障碍的限制。一个多学科的团队进行了专题分析，其中包括阅读成绩单，然后通过共识开发和应用代码列表。参与者讨论了在临床遇到的影响通信提供者的行为。他们希望提供者通过直接与他们交谈并使用适合年龄的语言来承认他们的能力。此外，与会者赞赏时，提供者适应他们的沟通风格，保持眼神接触，问病人如何最好地与他们沟通，为病人提供时间进行沟通，不打断病人，并承认当他们不理解病人。初级保健提供者需要认识到沟通障碍患者的沟通需求。虽然需求可能与其他患者人群相似，但沟通障碍患者面临独特的挑战。有了这些便利设施，语言障碍患者可能会更多地参与他们的医疗保健对话。
Patients with speech disabilities can present with challenges when communicating during primary-care clinical encounters. Little is known about the healthcare communication experiences of patients with severe speech disabilities.Twelve participants took part in open-ended, in-person interviews. All participants had either acquired or developmental, severe speech disabilities but were not limited by cognitive and language disabilities. A multi-disciplinary team conducted a thematic analysis that included reading the transcripts and then developing and applying a list of codes through consensus.Participants discussed provider behaviors that affected communication during clinical encounters. They wanted providers to acknowledge their competence by speaking directly to them and using age-appropriate language. Additionally, participants appreciated when providers adapted to their communication style by maintaining eye contact, asking the patient how to best communicate with them, providing time for the patient to communicate, not interrupting the patient, and admitting when they do not understand the patient.Primary-care providers need to be cognizant of the communication needs of patients with communication disabilities. While the needs might be similar to other patient populations, patients with communication disabilities present with unique challenges. With accommodations, patients with speech disabilities can potentially be more engaged in their healthcare conversations.