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Turn analysis and patient‐centredness in paediatric otolaryngology surgical consultations

Objectives Physician and patient/parent communication is of utmost importance in consultations to improve the shared decision‐making (SDM) processes. This study investigated SDM‐related outcomes through turn analysis and an assessment of patient‐centred dialogue. Design Multi‐centre prospective coho...

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Bibliographic Details
Published in:Clinical otolaryngology 2020-09, Vol.45 (5), p.725-731
Main Authors: Forner, David, Ungar, Gilanders, Chorney, Jill, Meier, Jeremy, Hong, Paul
Format: Article
Language:English
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Summary:Objectives Physician and patient/parent communication is of utmost importance in consultations to improve the shared decision‐making (SDM) processes. This study investigated SDM‐related outcomes through turn analysis and an assessment of patient‐centred dialogue. Design Multi‐centre prospective cohort study analysing audio‐ and video‐recorded patient/parent‐physician interactions. Setting Two tertiary paediatric hospitals in Halifax, Nova Scotia and Salt Lake City, Utah. Participants Paediatric otolaryngologists, patients and parents during consultation for adenotonsillectomy. Main outcome measures Medical dialogue measures (turn analysis, patient‐centredness scores via the Roter Interaction Analysis System) and SDM questionnaires (SDM‐Q‐9). Results Turn density was significantly higher for physicians than patients/parents (P 
ISSN:1749-4478
1749-4486
DOI:10.1111/coa.13564