The impact of bad news on neurological diseases: the challenge in doctor-patient communication
DOI:
https://doi.org/10.31157/an.v29i1.623Keywords:
diseases neurodegenerative, Bad news, Communication, Physician-Patient Relation, Medical educationAbstract
Objective: In the context of neurological diseases, bad news is often reported. We describe how bad news is given/received in the doctor-patient relationship.
Material and Methods: Descriptive cross-sectional study by means of a survey, 50 neurologists and 145 patients with neurological disease participated. An Ad hoc questionnaire was developed to assess the communication/reception of bad news.
Results: Only 11% of doctors always report them. Regarding training, 56% learned by seeing other specialists. For patients, notification of diagnosis is the most frequent bad news (53.4%). While neurologists mentioned that they communicate verbally (85.5%), patients reported 36.0%. In emotional expression: 52% of doctors allow it to the patients, who report this possibility in 4.8%.
Conclusion: Doctors do not receive training in the subject. These results suggest that adaptations should be made in the training of neurologists that include tools that favor dialogical communication.
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September 2022-present © Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez. Open access articles under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) license, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. No commercial re-use is allowed.
January-September 2022 © The authors. Open access articles under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) license, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. No commercial re-use is allowed.
January 2014-December 2021 © Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez. Open access articles under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) license, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
