Patient perception and the barriers to practicing patient-centered communication: A survey and in-depth interview of Chinese patients and physicians

Patient Education and Counseling
Xu TingTian Mi

Abstract

To investigate patient perceptions of patient-centered communication (PCC) in doctor-patient consultations and explore barriers to PCC implementation in China. This study was conducted in public teaching hospital in Guiyang, Guizhou, China. In Phase 1, patient attitudes to PCC were quantitatively assessed in 317 outpatients using modified Patient-Practitioner Orientation Scale (PPOS). In Phase 2, we conducted in-depth interviews with 20 outpatients to explore their views on PCC and expose potential barriers to PCC implementation. Participants communicated "patient-centered" preferences, particularly with regard to their doctors' empathy, communication skills, time and information sharing. Patients were more concerned about doctors exhibiting caring perspective than power sharing. Younger and highly educated patients were more likely to prefer PCC and highly educated patients paid more attention to power sharing. Several factors including inadequate time for PCC resulting from doctors' high patient-load, doctor-patient communication difficulties and excessive treatment due to inappropriate medical payment system affected PCC implementation in China. Patients expressed moderate enthusiasm for PCC in China. They expressed strong p...Continue Reading

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Citations

Apr 9, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jiong TuYu Cheng
Aug 6, 2020·Health Promotion International·Shaohai Jiang, Y Alicia Hong
Jul 28, 2020·Journal of Health Communication·Qiwei L Wu, Richard L Street
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Jul 2, 2020·Journal of the National Medical Association·Chien-Ching LiTingqing Wu
May 8, 2021·Patient Education and Counseling·Gábor BányaiKlára Bíró

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