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Published in: Irish Journal of Medical Science (1971 -) 1/2017

01-02-2017 | Original Article

Who accompanies patients to the chronic pain clinic?

Authors: D. Doltani, A. Imran, J. Saunders, D. Harmon

Published in: Irish Journal of Medical Science (1971 -) | Issue 1/2017

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Abstract

Background

Patients may be accompanied to the pain clinic consultation and these accompanying persons are relevant in the communication process.

Aims

We sought to characterize if patients were accompanied and by whom to the pain clinic. We also wished to determine the accompanying persons influence on the doctor–patient interaction. This has not been studied previously in this clinical setting.

Methods

Local ethics committee approval followed by written informed consent was obtained. Patients attending the pain clinic for the first time and review patients were included (n = 219).

Results

Twenty-one percent of patients (n = 46) were accompanied. Adult accompanied by spouse 19 (41.3 %) and adult child accompanied by parent 18 (39.1 %) were the most common dyads. The accompanying person’s role was most frequently described by doctors as an advocate for the patient 30/46 (65.2 %) [for an adult accompanied by spouse (63.1 %)]. The influence of the main accompanying person on the patient doctor encounter was described as positive [adult accompanied by spouse (78.9 %)] [(adult accompanied by parent (94.4 %)].

Conclusions

Patients are accompanied to the pain clinic with a typically positive influence on doctor patient relationship and communication. Awareness of these issues is important in good communication in the pain clinic.
Literature
1.
go back to reference Kirsch BM, Gozzi EK, Francis V (1968) Gaps in doctor–patient communication. I. Doctor–patient interaction and patient satisfaction. Pediatrics 42(5):855–871 Kirsch BM, Gozzi EK, Francis V (1968) Gaps in doctor–patient communication. I. Doctor–patient interaction and patient satisfaction. Pediatrics 42(5):855–871
2.
go back to reference Arborelius E, Bremberg S (1992) What can doctors do to achieve a successful consultation? Videotaped interviews analyzed by the ‘consultation map’ method. Fam Pract 9(1):61–66CrossRefPubMed Arborelius E, Bremberg S (1992) What can doctors do to achieve a successful consultation? Videotaped interviews analyzed by the ‘consultation map’ method. Fam Pract 9(1):61–66CrossRefPubMed
3.
go back to reference The Headache Study Group of The University of Western Ontario (1986) Predictors of outcomes in headache patients presenting to family physicians—a one year prospective study. Headache 26(6):285–294CrossRef The Headache Study Group of The University of Western Ontario (1986) Predictors of outcomes in headache patients presenting to family physicians—a one year prospective study. Headache 26(6):285–294CrossRef
4.
go back to reference Henbest RJ, Stewart M (1990) Patient-centredness in the consultation. Does it really make a difference? Fam Pract 7(1):28–33CrossRefPubMed Henbest RJ, Stewart M (1990) Patient-centredness in the consultation. Does it really make a difference? Fam Pract 7(1):28–33CrossRefPubMed
5.
go back to reference Orth JE, Stiles WB, Scherwitz L, Hennrikus D, Vallbona C (1987) Patient exposition and provider explanation in routine interviews and hypertensive patients’ blood pressure control. Health Psychol 6(1):29–42CrossRefPubMed Orth JE, Stiles WB, Scherwitz L, Hennrikus D, Vallbona C (1987) Patient exposition and provider explanation in routine interviews and hypertensive patients’ blood pressure control. Health Psychol 6(1):29–42CrossRefPubMed
6.
go back to reference McDaniel S, Campbell TL, Sea burn DB (1990) Family-oriented primary care. Springer, New YorkCrossRef McDaniel S, Campbell TL, Sea burn DB (1990) Family-oriented primary care. Springer, New YorkCrossRef
7.
go back to reference Kilpatrick AC, Holland TP (1995) Working with families: an integrative model by level of functioning. Alyn & Bacon, Boston Kilpatrick AC, Holland TP (1995) Working with families: an integrative model by level of functioning. Alyn & Bacon, Boston
8.
go back to reference Greenfield S, Kaplan SH, Ware JE Jr, Yano EM, Frank HJ (1988) Patients’ participation in medical care: effects on blood sugar and quality of life in diabetes. J Gen Intern Med 3(5):448–457CrossRefPubMed Greenfield S, Kaplan SH, Ware JE Jr, Yano EM, Frank HJ (1988) Patients’ participation in medical care: effects on blood sugar and quality of life in diabetes. J Gen Intern Med 3(5):448–457CrossRefPubMed
9.
go back to reference Kaplan SH, Greenfield S, Ware JE Jr (1989) Assessing the effects of physician–patient interactions on the outcomes of chronic disease. Med Care 27(3 Suppl):S110–S127CrossRefPubMed Kaplan SH, Greenfield S, Ware JE Jr (1989) Assessing the effects of physician–patient interactions on the outcomes of chronic disease. Med Care 27(3 Suppl):S110–S127CrossRefPubMed
10.
go back to reference Meyer DL, Schneid JA, Craigie FC Jr (1989) Family conferences: reasons, levels of involvement and perceived usefulness. J Fam Pract 29(4):401–405PubMed Meyer DL, Schneid JA, Craigie FC Jr (1989) Family conferences: reasons, levels of involvement and perceived usefulness. J Fam Pract 29(4):401–405PubMed
11.
go back to reference Furst A, Knishkowy B (1991) Adults who accompany their children to the family physician in Israel: parents and patients. Isr J Med Sci 27(4):224–227PubMed Furst A, Knishkowy B (1991) Adults who accompany their children to the family physician in Israel: parents and patients. Isr J Med Sci 27(4):224–227PubMed
12.
go back to reference Labrecque MS, Blanchard CG, Ruckdeschel JC, Blanchard EB (1991) The impact of family presence on the physician–cancer patient interaction. Soc Sci Med 33:1253–1261CrossRefPubMed Labrecque MS, Blanchard CG, Ruckdeschel JC, Blanchard EB (1991) The impact of family presence on the physician–cancer patient interaction. Soc Sci Med 33:1253–1261CrossRefPubMed
13.
go back to reference Street RL (1992) Communicative styles and adaptations in physician–parent consultations. Soc Sci Med 34(10):1155–1163CrossRefPubMed Street RL (1992) Communicative styles and adaptations in physician–parent consultations. Soc Sci Med 34(10):1155–1163CrossRefPubMed
14.
go back to reference Kenny DT (2004) Constructions of chronic pain in doctor–patient relationships: bridging the communication chasm. Patient Educ Couns 52(3):297–305CrossRefPubMed Kenny DT (2004) Constructions of chronic pain in doctor–patient relationships: bridging the communication chasm. Patient Educ Couns 52(3):297–305CrossRefPubMed
15.
go back to reference Greene MG, Majerovitz SD, Adelman RD, Rizzo C (1994) The effects of the presence of a third person on the physician–older patient medical interview. J Am Geriatr Soc 42(4):413–419CrossRefPubMed Greene MG, Majerovitz SD, Adelman RD, Rizzo C (1994) The effects of the presence of a third person on the physician–older patient medical interview. J Am Geriatr Soc 42(4):413–419CrossRefPubMed
16.
go back to reference Brown JB, Brett P, Stewart M, Marshall JN (1998) Roles and influence of people who accompany patients on visits to the doctor. Can Fam Physician 44:1644–1650PubMedPubMedCentral Brown JB, Brett P, Stewart M, Marshall JN (1998) Roles and influence of people who accompany patients on visits to the doctor. Can Fam Physician 44:1644–1650PubMedPubMedCentral
17.
go back to reference Hulley SB, Cummings SR (1998) Designing clinical research: an epidemiologic approach. Williams & Wilkins, Baltimore Hulley SB, Cummings SR (1998) Designing clinical research: an epidemiologic approach. Williams & Wilkins, Baltimore
18.
go back to reference Knishkowy B, Furst A, Fassberg Y, Anor E, Matthews S, Paz Y (1991) Multiple family member visits to family physicians. Terminology, classification, and implications. J Fam Pract 32(1):57–64PubMed Knishkowy B, Furst A, Fassberg Y, Anor E, Matthews S, Paz Y (1991) Multiple family member visits to family physicians. Terminology, classification, and implications. J Fam Pract 32(1):57–64PubMed
19.
go back to reference Ishikawa H, Roter DL, Yamazaki Y, Takayama T (2005) Physician–elderly patient–companion communication and roles of companions in Japanese geriatric encounters. Soc Sci Med 60(10):2307–2320CrossRefPubMed Ishikawa H, Roter DL, Yamazaki Y, Takayama T (2005) Physician–elderly patient–companion communication and roles of companions in Japanese geriatric encounters. Soc Sci Med 60(10):2307–2320CrossRefPubMed
Metadata
Title
Who accompanies patients to the chronic pain clinic?
Authors
D. Doltani
A. Imran
J. Saunders
D. Harmon
Publication date
01-02-2017
Publisher
Springer London
Published in
Irish Journal of Medical Science (1971 -) / Issue 1/2017
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-016-1494-7

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