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








  • Following the clues: teaching medical students to explore patients' contexts.

    abstract:OBJECTIVE:Physicians often overlook important contextual clues that patients give during an encounter. The objective of our study was to increase medical students' knowledge and skills in identifying contextual issues. METHODS:Six consecutive learning experiences, including a standardized patient (SP) encounter and ac...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Thompson BM,Teal CR,Scott SM,Manning SN,Greenfield E,Shada R,Haidet P

    更新日期:2010-09-01 00:00:00

  • Patient-provider communication and perspectives on smoking cessation and relapse in the oncology setting.

    abstract:OBJECTIVE:To fill a gap in research by examining cancer patient-provider communication regarding tobacco use and patients' perspectives regarding their experiences with smoking cessation and relapse. METHODS:In-depth interviews were conducted with 20 lung and head and neck cancer patients and 11 health care providers....

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Simmons VN,Litvin EB,Patel RD,Jacobsen PB,McCaffrey JC,Bepler G,Quinn GP,Brandon TH

    更新日期:2009-12-01 00:00:00

  • Why bother educating the multi-disciplinary team and the patient--the example of prevention of lower extremity amputation in diabetes.

    abstract::Amongst all the long-term complications of diabetes it is believed that foot ulceration and amputation are the most preventable: small studies have suggested that more than 50% of amputations should be avoidable by screening and appropriate education. There is ample evidence that simple non-invasive screening tests ar...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Boulton AJ

    更新日期:1995-09-01 00:00:00

  • Varying the message source in computer-tailored nutrition education.

    abstract::The effect of message source on message recall and perceived credibility was examined in a randomized study comparing two different computer-tailored bulletins promoting fruit and vegetable consumption among rural African American church members. An expert oriented (EXP) bulletin was compared with a spiritual and past...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Campbell MK,Bernhardt JM,Waldmiller M,Jackson B,Potenziani D,Weathers B,Demissie S

    更新日期:1999-02-01 00:00:00

  • "It helps me see with my heart": how video informs patients' rationale for decisions about future care in advanced dementia.

    abstract:OBJECTIVE:To explore how a video of a patient with advanced dementia impacts the rationale for patients' decisions about future care. METHODS:Participants were read a verbal description of advanced dementia and asked their preferences for future care--either life-prolonging, limited, or comfort care--and the rationale...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Deep KS,Hunter A,Murphy K,Volandes A

    更新日期:2010-11-01 00:00:00

  • A community-based randomised controlled trial of three different educational resources for men about prostate cancer screening.

    abstract::Randomised evaluations of resources to facilitate informed decisions about prostate cancer screening are rarely conducted. In this study, 421 men recruited from the community were randomly allocated to receive a leaflet (n = 140) or one of two resources meeting criteria for a decision-aid: a video (n = 141) or an evid...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Gattellari M,Ward JE

    更新日期:2005-05-01 00:00:00

  • The importance of teaching clinicians when and how to work with interpreters.

    abstract:OBJECTIVE:To describe the importance of teaching clinicians when and how to overcome language barriers in clinical practice, provide an example of a curriculum for teaching on this topic, and outline the critical issues that must be addressed in this type of teaching. METHODS:We describe a 1.5h educational program for...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Jacobs EA,Diamond LC,Stevak L

    更新日期:2010-02-01 00:00:00

  • Healthcare providers' accuracy in assessing patients' pain: A systematic review.

    abstract:OBJECTIVE:Healthcare providers satisfy an important role in providing appropriate care in the prevention and management of acute and chronic pain, highlighting the importance of providers' abilities to accurately assess patients' pain. We systematically reviewed the literature on healthcare providers' pain assessment a...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Ruben MA,van Osch M,Blanch-Hartigan D

    更新日期:2015-10-01 00:00:00

  • Increasing patient activation through diabetes self-management education: Outcomes of DESMOND in regional Western Australia.

    abstract:OBJECTIVE:To evaluate the effects of the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) program on patient activation in adults living with type 2 diabetes (T2D). METHODS:233 individuals attended a DESMOND program in 26 locations across regional Western Australia. Individuals complete...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Miller VM,Davies MJ,Etherton-Beer C,McGough S,Schofield D,Jensen JF,Watson N

    更新日期:2020-04-01 00:00:00

  • Verbal behaviors and patterns exhibited by physicians during genetic counseling sessions.

    abstract::Research in interaction and interviewing behaviors usually has focused on the verbal behaviors exhibited by the interactants. These behaviors have been looked upon and analyzed in isolation, that is, as a single event. There is little or no information on physician-patient interactions that analyzes verbal behaviors a...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Mendez A,Shymansky JA

    更新日期:1984-01-01 00:00:00

  • Effectiveness of a communication skills training program for medical students to identify patients communicative clues.

    abstract:OBJECTIVE:This study explores whether an Experiential Training Programme (ETP) in communication skills (CS) improves students' ability to identify patients clues compared to those who follow a non-experiential training throughout their medical studies. METHOD:Intervention Group (IG): 85 4th-year medical students who r...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Moral RR,Andrade-Rosa C,Martín JDM,Barba EC,de Torres LP,Martín DM

    更新日期:2020-11-01 00:00:00

  • Does cultural competency training matter? A national study of anti-gay bias among cancer care professionals.

    abstract:PURPOSE:This study examined whether higher levels of self-reported cultural competency training were associated with less anti-gay bias among a cancer healthcare provider sample (n = 404) recruited in January 2017. METHODS:A factorial analysis of variance (ANOVA) was performed to examine anti-gay bias across professio...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Pratt-Chapman ML

    更新日期:2020-12-25 00:00:00

  • Belief in numbers: When and why women disbelieve tailored breast cancer risk statistics.

    abstract:OBJECTIVE:To examine when and why women disbelieve tailored information about their risk of developing breast cancer. METHODS:690 women participated in an online program to learn about medications that can reduce the risk of breast cancer. The program presented tailored information about each woman's personal breast c...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Scherer LD,Ubel PA,McClure J,Greene SM,Alford SH,Holtzman L,Exe N,Fagerlin A

    更新日期:2013-08-01 00:00:00

  • Data-to-text summarisation of patient records: using computer-generated summaries to access patient histories.

    abstract:OBJECTIVE:We assess the efficacy and utility of automatically generated textual summaries of patients' medical histories at the point of care. METHOD:Twenty-one clinicians were presented with information about two cancer patients and asked to answer key questions. For each clinician, the information on one of the pati...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Scott D,Hallett C,Fettiplace R

    更新日期:2013-08-01 00:00:00

  • Patient-physician social concordance, medical visit communication and patients' perceptions of health care quality.

    abstract:UNLABELLED:Social characteristics (e.g. race, gender, age, education) are associated with health care disparities. We introduce social concordance, a composite measure of shared social characteristics between patients and physicians. OBJECTIVE:To determine whether social concordance predicts differences in medical vis...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Thornton RL,Powe NR,Roter D,Cooper LA

    更新日期:2011-12-01 00:00:00

  • A self-referral preventive intervention for burnout among Norwegian nurses: one-year follow-up study.

    abstract:OBJECTIVE:Burnout among nurses is an issue of concern, and preventive interventions are important to implement and evaluate. This study investigated levels and predictors of change in burnout dimensions after an intervention for help-seeking nurses. METHODS:Nurses participating in a self-referral, counseling intervent...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Isaksson Rø KE,Gude T,Tyssen R,Aasland OG

    更新日期:2010-02-01 00:00:00

  • Disseminating effective clinician communication techniques: Engaging clinicians to want to learn how to engage patients.

    abstract::Patient-clinician communication that promotes patient engagement enhances health care quality. Yet, disseminating effective communication interventions to practicing clinicians remains challenging. Current methods do not have large and sustainable effects. In this paper, we argue that both top-down approaches (mandate...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Pollak KI,Back AL,Tulsky JA

    更新日期:2017-10-01 00:00:00

  • Evaluation of a face-to-face psychosocial screening intervention for cancer patients: acceptance and effects on quality of life.

    abstract:OBJECTIVE:This study evaluated a psychosocial screening intervention that offers cancer patients counselling. The assumption underlying the intervention was that barriers are often present that hamper patients' awareness of and active request for psychosocial care. An active yet unobtrusive approach was hypothesized to...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章


    authors: Bramsen I,van der Linden MH,Eskens FJ,Bijvank EM,van Groeningen CJ,Kaufman HJ,Aaronson NK

    更新日期:2008-01-01 00:00:00

  • A method to determine the impact of patient-centered care interventions in primary care.

    abstract:OBJECTIVE:The implementation of patient-centered care (PCC) innovations continues to be poorly understood. We used the implementation effectiveness framework to pilot a method for measuring the impact of a PCC innovation in primary care practices. METHODS:We analyzed data from a prior study that assessed the implement...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Daaleman TP,Shea CM,Halladay J,Reed D

    更新日期:2014-12-01 00:00:00

  • TTM-based motivational counselling does not increase physical activity of low back pain patients in a primary care setting--A cluster-randomized controlled trial.

    abstract:OBJECTIVE:To investigate the effectiveness of a TTM-based motivational counselling approach by trained practice nurses to promote physical activity of low back pain patients in a German primary care setting. METHODS:Data were collected in a cluster-randomized controlled trial with three study arms via questionnaires a...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Leonhardt C,Keller S,Chenot JF,Luckmann J,Basler HD,Wegscheider K,Baum E,Donner-Banzhoff N,Pfingsten M,Hildebrandt J,Kochen MM,Becker A

    更新日期:2008-01-01 00:00:00

  • Complicated grief: Knowledge, attitudes, skills and training of mental health professionals: A systematic review.

    abstract:OBJECTIVE:A systematic review and qualitative synthesis was undertaken to deduce the knowledge, attitudes, skills and training of mental health professionals regarding complicated grief (CG). METHODS:PsychInfo, Embase, Medline, CINAHL, PBSC, Web of Science and ERIC databases were used to identify relevant literature. ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Dodd A,Guerin S,Delaney S,Dodd P

    更新日期:2017-08-01 00:00:00

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

    abstract:OBJECTIVE:Determine treatment adherence in patients with multiple chronic conditions (MCC). METHODS:A random patient sample ≥ 15 years, discharged from hospital with ≥1 chronic conditions (CC) was interviewed after 6-12 months. Analysis included variables in 5 dimensions (WHO): socio-demographics, disease, treatment, ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


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

    更新日期:2010-11-01 00:00:00

  • With whom did you have sex? Evaluation of a partner notification training for STI professionals using motivational interviewing.

    abstract:OBJECTIVE:To enhance partner notification (PN) practices in Dutch STI clinics, a PN training using motivational interviewing as core strategy was offered to STI professionals and evaluated. METHODS:The effectiveness of PN training on professionals' attitude, self-efficacy, skills and behavior toward PN, was examined u...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Op de Coul EL,Spijker R,van Aar F,van Weert Y,de Bruin M,Partner Notification Group.

    更新日期:2013-12-01 00:00:00

  • Biomarker feedback intervention for smoking cessation among Alaska Native pregnant women: Randomized pilot study.

    abstract:OBJECTIVE:There is some evidence for biomarker feedback when combined with cessation counseling for reducing smoking in pregnancy. This randomized controlled pilot study evaluated feasibility and potential efficacy of a social-cognitive theory (SCT)-based biomarker feedback intervention among pregnant Alaska Native (AN...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验


    authors: Patten CA,Koller KR,Flanagan CA,Hiratsuka VY,Hughes CA,Wolfe AW,Decker PA,Fruth K,Brockman TA,Korpela M,Gamez D,Bronars C,Murphy NJ,Hatsukami D,Benowitz NL,Thomas TK

    更新日期:2019-03-01 00:00:00

  • Cost-benefit analysis of patient education.

    abstract::As the growth of healthcare continues to outpace inflation, health policy makers are increasingly concerned with cost containment. This article summarizes studies of the cost-benefit of patient education studies in managed care and other settings, including comprehensive approaches to healthcare delivery that emphasiz...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Bartlett EE

    更新日期:1995-09-01 00:00:00

  • Knowledge displays: Soliciting clients to fill knowledge gaps and to reconcile knowledge discrepancies in therapeutic interaction.

    abstract:OBJECTIVE:To examine knowledge displays (KDs), a practice by which Therapeutic Community (TC) professionals exhibit previous knowledge about their clients' circumstances and experiences. METHODS:Conversation analysis is used to examine 12 staff-led meetings recorded in Italy (8 in a drug addiction TC; 4 in a mental he...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Pino M

    更新日期:2016-06-01 00:00:00

  • Deciding on breast cancer risk reduction: The role of counseling in individual decision-making - A qualitative study.

    abstract:OBJECTIVES:The presentation of risks and benefits in clinical practice is common particularly in situations in which treatment recommendations involve trade-offs. The treatment of breast cancer risk with selective estrogen receptor modulators (SERMs) is such a decision. We investigated the influence of health care prov...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Blakeslee SB,McCaskill-Stevens W,Parker PA,Gunn CM,Bandos H,Bevers TB,Battaglia TA,Fagerlin A,Müller-Nordhorn J,Holmberg C

    更新日期:2017-12-01 00:00:00

  • Interventions to promote the use of advance directives: an overview of systematic reviews.

    abstract:OBJECTIVE:To identify, appraise and synthesise the results of systematic reviews of the literature (SRLs) that examines the effectiveness of interventions to increase advance directive (AD) completion rate. METHODS:Narrative review of the literature-an overview of SRLs focused on interventions to improve patients' AD ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Tamayo-Velázquez MI,Simón-Lorda P,Villegas-Portero R,Higueras-Callejón C,García-Gutiérrez JF,Martínez-Pecino F,Barrio-Cantalejo IM

    更新日期:2010-07-01 00:00:00

  • Why should patients do what we ask them to do?

    abstract::Many factors contribute to patients' self-management success. In the main these are attitudes, beliefs or perceptions of the patients rather than demographic characteristics. Patients do need not only to acquire knowledge and self-management abilities, but also the desire to apply them on a life-long basis. They requi...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Day JL

    更新日期:1995-09-01 00:00:00

  • Provider communication effects medication adherence in hypertensive African Americans.

    abstract:OBJECTIVE:To evaluate the effect of patients' perceptions of providers' communication on medication adherence in hypertensive African Americans. METHODS:Cross-sectional study of 439 patients with poorly controlled hypertension followed in community-based healthcare practices in the New York metropolitan area. Patients...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Schoenthaler A,Chaplin WF,Allegrante JP,Fernandez S,Diaz-Gloster M,Tobin JN,Ogedegbe G

    更新日期:2009-05-01 00:00:00