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Face-to-face communication between patients and family physicians in Canada: A scoping review.

Abstract：

OBJECTIVE:Patient-provider communication is critical in primary care. Canada's unique health system, population distribution, and cultural context suggest there is value in addressing the topic in the Canadian context. We conducted a scoping review to synthesize recent Canadian literature to inform practice in primary care settings and identify research agendas for patient-provider communication in Canada. METHODS:Using Arksey and O'Malley's framework we searched four literature databases: Medline, Web of Science, CINAHL and EMBASE. We extracted 21,932 articles published between 2010 and 2017. A total of 108 articles met the inclusion criteria. The articles were analyzed qualitatively using thematic analysis to identify major themes. RESULTS:Four major themes were identified: information sharing, relationships, health system challenges, and development and use of communication tools. CONCLUSION:Our review identified a need for Canadian research regarding: communication in primary care with Aboriginal, immigrant, and rural populations; the impact of medical tourism on primary care; and how to improve communication to facilitate continuity of care. PRACTICE IMPLICATIONS:Challenges providers face in primary care in Canada include: communicating with linguistically and culturally diverse populations; addressing issues that emerge with the rise of medical tourism; a need for decision aids to improve communication with patients.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Armas A,Meyer SB,Corbett KK,Pearce AR

doi

10.1016/j.pec.2017.11.008

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

789-803

issue

5

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(17)30631-6

journal_volume

101

pub_type

杂志文章,评审

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