The Current State of Doctors' Communication Skills in Mainland China from the Perspective of Doctors' Self-evaluation and Patients' Evaluation: A Cross-Sectional Study.


OBJECTIVE:To assess doctors' communication skills in mainland China using the SEGUE Framework. METHODS:A survey on doctors' communication skills with doctors (n = 1361) and patients (n = 1757) from 14 provinces in eastern, central and western China was conducted. RESULTS:The doctors' self-evaluation scores were higher than patients' evaluations (p < .001). The scores of female doctors were higher than males (p = .022). Both doctors' self-evaluations and patients' evaluations indicated that the scores of doctors in tertiary hospitals were higher than those in primary hospitals. CONCLUSION:Doctors' communication skills don't match patients' needs. Female doctors are more empathetic and patient than male doctors and consequently have better communication skills. Doctors in tertiary hospitals have better communication skills because tertiary hospitals provide more training opportunities in communication skills and have better medical services and management. PRACTICE IMPLICATIONS:This study confirms the applicability of the SEGUE Framework to doctors and patients in mainland China. The effectiveness of cultivating doctors' communication skills should be evaluated through feedback from the perspective of both doctors and patients. Medical institutes need to prioritize patients' needs and provide training in doctors' communication skills to address the discrepancy in the perceptions of doctors and patients.


Patient Educ Couns


Guo A,Wang P




Has Abstract


2020-12-23 00:00:00








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    abstract:OBJECTIVE:To study the influence of the presentation of results of a preventive medical examination on risk perception and willingness to seek help for work-related fatigue or being overweight. METHODS:A factorial design experiment was conducted, presenting workers (n = 82) with vignettes including eight scenarios of ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Nieuwenhuijsen K,Hulshof CT,Sluiter JK

    更新日期:2018-07-01 00:00:00

  • Predictors of fecal occult blood screening among older socioeconomically disadvantaged Americans: a replication study.

    abstract::Socioeconomically disadvantaged elderly are less likely to participate in fecal occult blood testing (FOBT). A quasi-experimental design was used in this operational replication study to determine predictors at baseline of subsequent participation in FOBT. Sixty-five percent of the 211 participants in the replication ...

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    pub_type: 杂志文章


    authors: Weinrich SP,Weinrich MC,Atwood J,Boyd M,Greene F

    更新日期:1998-06-01 00:00:00

  • "User-testing" as a method for testing the fitness-for-purpose of written medicine information.

    abstract:OBJECTIVE:Written medicine information is essential to support spoken information from pharmacists, but must be fit-for-purpose. This study applied "user testing" to the booklet supplied to UK patients taking anticoagulant medicines. METHODS:"User testing" uses mixed-methods, applied iteratively, to assess document pe...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Raynor DK,Knapp P,Silcock J,Parkinson B,Feeney K

    更新日期:2011-06-01 00:00:00

  • The content of diet and physical activity consultations with older adults in primary care.

    abstract:OBJECTIVE:Despite numerous benefits of consuming a healthy diet and receiving regular physical activity, engagement in these behaviors is suboptimal. Since primary care visits are influential in promoting healthy behaviors, we sought to describe whether and how diet and physical activity are discussed during older adul...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Bardach SH,Schoenberg NE

    更新日期:2014-06-01 00:00:00

  • Autism genetic testing information needs among parents of affected children: A qualitative study.

    abstract:OBJECTIVE:Leading health agencies recommend physicians to provide information regarding genetic testing for autism spectrum disorders (ASD) to parents of affected children. How to effectively provide this information, however, is unclear for physicians. This qualitative study examined the information needs regarding AS...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Li M,Amuta A,Xu L,Dhar SU,Talwar D,Jung E,Chen LS

    更新日期:2016-06-01 00:00:00

  • Effective or ineffective: attribute framing and the human papillomavirus (HPV) vaccine.

    abstract:OBJECTIVE:To experimentally test whether presenting logically equivalent, but differently valenced effectiveness information (i.e. attribute framing) affects perceived effectiveness of the human papillomavirus (HPV) vaccine, vaccine-related intentions and policy opinions. METHODS:A survey-based experiment (N=334) was ...

    journal_title:Patient education and counseling

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    authors: Bigman CA,Cappella JN,Hornik RC

    更新日期:2010-12-01 00:00:00

  • Family-oriented care during pediatric inter-hospital transport.

    abstract::We evaluated the family-oriented care and counseling provided by the BC Children's Hospital Transport Team paramedies. One hundred families were asked to rate: (1) how they would like paramedies to communicate with them under ideal conditions; and (2) what they actually experienced during their child's transport. Ther...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


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    更新日期:1999-03-01 00:00:00

  • Analogue patients' self-reported engagement and psychophysiological arousal in a video-vignettes design: Patients versus disease-naïve individuals.

    abstract:OBJECTIVES:The ecological validity of video-vignettes design investigating patient-provider communication hinges on the engagement of analogue patients (APs) with the vignette. The present study aimed to compare engagement in two commonly utilized groups of APs, patients and disease-naïve individuals. Engagement was as...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Visser LN,Tollenaar MS,Bosch JA,van Doornen LJ,de Haes HC,Smets EM

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  • Minding the gap: Interprofessional communication during inpatient and post discharge chasm care.

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    更新日期:2015-07-01 00:00:00

  • Development of a questionnaire to measure heart disease risk knowledge in people with diabetes: the Heart Disease Fact Questionnaire.

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    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Wagner J,Lacey K,Chyun D,Abbott G

    更新日期:2005-07-01 00:00:00

  • Conceptualizations of patient empowerment among individuals seeking treatment for diabetes mellitus in an urban, public-sector clinic.

    abstract:OBJECTIVE:The patient empowerment paradigm has been promoted as a critical component of diabetes care. The present study explores how patients in an urban, public-sector clinic perceive patient empowerment as it applies to their treatment, interactions with clinicians, and self-care behaviors. METHODS:Semi-structured ...

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    authors: Ramsay Wan C,Vo L,Barnes CS

    更新日期:2012-06-01 00:00:00

  • Perceived organizational affiliation and its effects on patient trust: Role modeling with embodied conversational agents.

    abstract:OBJECTIVE:Verbal and non-verbal behaviors, which are known as "relational contextualization cues", relay information about relationships and how they are structured. We developed a computer-simulated provider conducting an informed consent process for clinical research to investigate the effects of a provider's alignme...

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    pub_type: 杂志文章


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    更新日期:2017-09-01 00:00:00

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    更新日期:2021-02-01 00:00:00

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    更新日期:2015-11-01 00:00:00

  • Education in patient-physician communication: how to improve effectiveness?

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    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Wouda JC,van de Wiel HB

    更新日期:2013-01-01 00:00:00

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    authors: Spees LP,Roberts MC,Freedman AN,Butler EN,Klein WMP,Prabhu Das I,de Moor JS

    更新日期:2021-01-01 00:00:00

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    更新日期:2011-06-01 00:00:00

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    更新日期:2013-06-01 00:00:00

  • Promoting men's knowledge of cancer risk reduction: A systematic review of interventions.

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    authors: Reidy M,Saab MM,Hegarty J,Von Wagner C,O'Mahony M,Murphy M,Drummond FJ

    更新日期:2018-08-01 00:00:00

  • Multidimensional analysis of treatment adherence in patients with multiple chronic conditions. A cross-sectional study in a tertiary hospital.

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    journal_title:Patient education and counseling

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    authors: Jansà M,Hernández C,Vidal M,Nuñez M,Bertran MJ,Sanz S,Castell C,Sanz G

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  • The reliability of a modified Kalamazoo Consensus Statement Checklist for assessing the communication skills of multidisciplinary clinicians in the simulated environment.

    abstract:OBJECTIVE:With increased recognition of the importance of sound communication skills and communication skills education, reliable assessment tools are essential. This study reports on the psychometric properties of an assessment tool based on the Kalamazoo Consensus Statement Essential Elements Communication Checklist....

    journal_title:Patient education and counseling

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    authors: Peterson EB,Calhoun AW,Rider EA

    更新日期:2014-09-01 00:00:00

  • Infertility in the Gambia: traditional and modern health care.

    abstract::In order to understand the problems of unwanted infertility in a country--the Gambia--where the desire for children and the fertility is very high, a population-based survey was undertaken. All infertile women in 24 randomly selected enumeration areas were assessed. The study included a review of the problems faced an...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Sundby J

    更新日期:1997-05-01 00:00:00

  • An experimental evaluation of patient decision aid design to communicate the effects of medications on the rate of progression of structural joint damage in rheumatoid arthritis.

    abstract:OBJECTIVE:To explore how effectively information presentation formats used in a patient decision aid communicated the ability of a disease modifying anti-rheumatic drug to slow the rate of progression of rheumatoid arthritis related structural joint damage (SJD). METHODS:91 first year psychology students and 91 RA pat...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验


    authors: Martin RW,Brower ME,Geralds A,Gallagher PJ,Tellinghuisen DJ

    更新日期:2012-03-01 00:00:00

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    abstract:OBJECTIVE:To develop an observational coding instrument for evaluating the fidelity and quality of brief behavioral change interventions based on the behavioral theories of the 5 A's, Stages of Change and Motivational Interviewing. METHODS:Content and face validity were assessed prior to an intervention where psychome...

    journal_title:Patient education and counseling

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    authors: Strayer SM,Martindale JR,Pelletier SL,Rais S,Powell J,Schorling JB

    更新日期:2011-04-01 00:00:00

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    abstract::Females, especially older women, historically have been excluded from coronary heart disease (CHD) studies. The PrimeTime program was a randomized clinical trial designed to study the effects of a comprehensive lifestyle management program (very low-fat vegetarian diet, smoking cessation, stress-management training, m...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Toobert DJ,Glasgow RE,Nettekoven LA,Brown JE

    更新日期:1998-11-01 00:00:00

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    abstract:OBJECTIVE:The objectives of this study were to identify nutrition communication styles of Dutch GPs, their strategies regarding nutrition communication and nutrition information seeking behaviours. Another aim is to provide a hypothetical model for nutrition communication style, including psycho-social and socio-demogr...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: van Dillen SM,Hiddink GJ,Koelen MA,de Graaf C,van Woerkum CM

    更新日期:2006-10-01 00:00:00

  • The influence of limited English proficiency on outcome in patients treated with radiotherapy for head and neck cancer.

    abstract:OBJECTIVE:To evaluate how limited English proficiency affects treatment outcome in head and neck cancer (HNC) patients treated with curative intent radiation therapy (RT). METHODS:From 2004 to 2010, 131 patients with HNC underwent RT. Patient's self-reported primary language and race/ethnicity were obtained at hospita...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Qureshi MM,Romesser PB,Jalisi S,Zaner KS,Cooley TP,Grillone G,Kachnic LA,Truong MT

    更新日期:2014-11-01 00:00:00

  • Teaching medical interviewing to patients: the other side of the encounter.

    abstract:OBJECTIVES:This paper describes the development and pilot testing of a communication skills curriculum based on medical student curriculum and modified for use with patients. METHODS:Six key concepts from our introductory medical education communication skills curriculum were identified. The core knowledge and skills ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Dwamena FC,Mavis B,Holmes-Rovner M,Walsh KB,Loyson AC

    更新日期:2009-09-01 00:00:00

  • Expectant parents' preferences for mode of delivery and trade-offs of outcomes for breech presentation.

    abstract:OBJECTIVE:To assess patients' preferences and trade-offs for mode of delivery in case of breech presentation at term. METHODS:Eighty women (40 with a foetus in breech presentation and 40 with a foetus in cephalic presentation) with a gestational age from 36 weeks onwards were offered scenarios of vaginal and caesarean...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Kok M,Gravendeel L,Opmeer BC,van der Post JA,Mol BW

    更新日期:2008-08-01 00:00:00

  • Patient empowerment: myths and misconceptions.

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    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Anderson RM,Funnell MM

    更新日期:2010-06-01 00:00:00