Communication skills and the veterinarian-client-patient relationship
Notice bibliographique
Résumé
This thesis is an investigation of veterinarian-client-patient communication among companion animal veterinarians in Southern Ontario, using a cross-sectional study design. A random sample of 50 veterinarians was recruited and all clients that presented to the practice during the researcher's visit were invited to participate. A total of 300 appointments were videotaped, six appointments per veterinarian, including three wellness and three problem appointments. The Roter Interaction Analysis System (RIAS), a widely used quantitative coding system, was applied to veterinarian-client-patient communication. Veterinarians completed surveys to provide demographic characteristics and measures of self-esteem (Rosenberg Self-Esteem Scale), empathy (Interpersonal Reactivity Index) and visit satisfaction (Physician Satisfaction Scale). An exit interview was conducted to assess the impact of videotaping on veterinarian performance. In addition, surveys were administered to clients to obtain demographic characteristics and client satisfaction. Veterinarians utilized primarily closed-ended questions to gather data from clients and only a small amount of conversation was devoted to building rapport and establishing a partnership with the client. Two communication patterns were identified and pattern use was dependent on the type of appointment. Veterinarians primarily used the biolifestyle/social pattern (69%) in wellness appointments and the biomedical pattern (85%) in problem appointments. Communication dynamics differed in wellness and problem appointments. Wellness appointments were relationship-centered with a broad range of topics of discussion (lifestyle activities, social interactions, and anticipatory guidance topics). The emphasis was on rapport building and social conversation and reflected high levels of interaction with the pet in a relaxed atmosphere. Problem appointments were characterized as narrowly focused on biomedical information exchange in a tense emotional atmosphere. The majority of study veterinarians (74%) were highly satisfied with their appointments and veterinarians reported increased satisfaction with wellness appointments compared to problem appointments. Potential determinants of visit satisfaction differed for wellness and problem appointments. The findings of this study suggest that some veterinarians may not utilize all of the tools they need for effective communication. Based on evidence in human medicine, the clinical implications of these results is a lost potential to enhance client satisfaction and adherence, improve pet health, increase veterinarian satisfaction and reduce malpractice complaints.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,015 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».