Does physician centered communication attributes to assertive behavior,questions and directives,blocking,patronizing,power difference?
Since this is not my area of expertise, I searched Google under the key words "'physician centered communication'" to get these possible sources:
http://www.fhi.org/en/RH/Pubs/Network/v22_2/NWvol22-2methcont.htm
http://www.atmeda.org/conf/2008/Presentations/248.pdf
http://www.liebertonline.com/doi/abs/10.1089/tmj.2008.9979
http://books.google.com/books?id=fGj36SqtlWAC&pg=PA195&lpg=PA195&dq=%22physician+centered+communication%22&source=web&ots=k_SO4OwqCK&sig=Wh4mT3WXQMAGJ6cQsLTd1MNBHGQ&hl=en
In the future, you can find the information you desire more quickly, if you use appropriate key words to do your own search. Also see http://hanlib.sou.edu/searchtools/.
Here is another related article:
http://www.members.cox.net/dagershaw/lol/physician.decision.htm
I hope this helps. Thanks for asking.
Physician-centered communication can indeed contribute to assertive behavior, use of questions and directives, blocking, patronizing, and power differences between physicians and patients. Here's an explanation of each attribute and how it relates to physician-centered communication:
1. Assertive behavior: Physician-centered communication often leads to physicians being more assertive. This means they may dominate the conversation, interrupt or talk over the patient, or display a more dominant demeanor. Such behavior can stem from the traditional hierarchy that exists in healthcare, where physicians are seen as the authority figures.
2. Questions and directives: Physicians often use questions and directives to gather information or provide instructions. While these can be effective in certain situations, when used exclusively and without allowing space for patient engagement, it can be seen as a dominating communication style rather than a collaborative one.
3. Blocking: In physician-centered communication, a physician may be more prone to blocking or dismissing patients' concerns or contributions. This may be due to time constraints, lack of interest, or a belief that medical expertise trumps patient input. Blocking can hinder effective communication and diminish the patient's active participation in their own care.
4. Patronizing: In some cases, physician-centered communication can lead to a patronizing tone, where the physician may talk down to the patient or belittle their knowledge or concerns. This can result from a perceived power imbalance and a lack of respect for the patient's autonomy and perspectives.
5. Power difference: Physician-centered communication often exacerbates the power difference between physicians and patients. This power imbalance arises from the physician's expertise, training, and authoritative role in healthcare. It can lead to unequal decision-making, marginalization of the patient's voice, and less patient-centered care.
Recognizing these attributes and their impact on patient care is crucial for healthcare professionals. Efforts are being made to shift the paradigm towards more patient-centered communication, where physicians actively involve patients in their care, respect their autonomy and preferences, and foster shared decision-making.