Lathia T, Chittem M, Chawak S, Katdare P, Jayaram S, Selvan C. Experiences and expectations of physician communication: A focus group discussion with Indian patients with type 2 diabetes mellitus.
Chronic Illn 2023:17423953231200683. [PMID:
37710965 DOI:
10.1177/17423953231200683]
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Abstract
OBJECTIVES
This pilot study aimed to: (a) understand the experiences of Indian patients with type 2 diabetes mellitus and their expectations of their physicians during a medical consultation, (b) serve as a preliminary study to inform the development of a larger project exploring and improving patients' communication experiences, and (c) assess whether the pilot study findings indicate the viability of using the Relationship: Establishment, Development, and Engagement model of communication as the conceptual framework for the larger project.
METHODS
Using convenience sampling, 11 patients participated in a focus group discussion. Conventional content analysis was used.
RESULTS
Two themes were generated: (a) A plethora of negative feelings: experiences of the physician's verbal and nonverbal communication styles, and (b) 'I know what I want': Expectations of communication by patients from their physician.
CONCLUSIONS
The medical encounter with the physician elicited a range of negative experiences and clear expectations from the patients with type 2 diabetes mellitus. This pilot points to the need for (a) a mixed methods approach to comprehensively examine the communication needs of patients with type 2 diabetes mellitus from their physician, (b) understand physicians' communication practices, and (c) using these findings, culturally adapt and test the Relationship: Establishment, Development, and Engagement to improve physicians' communication skills in India.
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