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Table 2 Systematic reviews on communication in healthcare

From: Scoping review of patient-centered care approaches in healthcare

Systematic review Clinical context PCC focus # Studies reviewed Key findings
Beck, Daughtridge & Sloane [29] Primary Care Yes 22 • Physician behavior linked with positive patient outcomes, adherence, and patient satisfaction
Chan et al. [30] Pre-operative Care Yes 11 • Sharing information, family involvement, autonomy, and professionalism are key
• Knowledgeable clinicians with positive attitudes enhance patient “journey”
Davis et al. [31] Oncology Yes 21 • Complementary and alternative medicine use in patients with cancer must be discussed using effective communication skills in order to avoid patients failing to disclose use with clinician
Edwards et al. [32] Genetics Yes 28 • Clinician provision of support and sharing emotion proven to be more beneficial to patients than sharing information
Edwards et al. [33] Primary Care Yes 96 • Including patients in risk estimates during discussion between patients and clinicians regarding genetic screening results is productive
Egan et al. [34] Alzheimer’s Disease Not Clear 13 • Employing memory aids and specific caregiver training programs enhances verbal communication, specifically information uptake with patients with Alzheimer’s Disease
Eggenberger, Heimerl & Bennett [35] Dementia Yes 12 • Enhancing communication skills of professionals working with dementia patients results in improvements of patient quality of life, positive interactions with peers, and organization of care
Fawole et al. [36] Palliative Care Yes 20 • Improving palliative care communication with patients includes improving healthcare utilization and patient/family consultations
Finke, Light & Kitko [37] Nursing Not Clear 12 • Improving communication between nurses and non-verbal patients is necessary to reduce patient frustration
Hancock et al. [38] Palliative Care Not Clear 51 • Patients’ perceptions of shared information are inconsistent with healthcare professional’s perceptions of the information provided
• Healthcare professionals “underestimate” patient need for information and “overestimate” patient understanding of illness
Harrington, Noble & Newman [39] Primary Care Yes 25 • Improvements in perceptions of autonomy impacts information recall, adherence, attendance, and clinical outcomes following intervention studies aimed to augment patient participation in medical interactions
Henry et al. [40] Primary Care Yes 26 • Increased patient satisfaction was correlated with positive/warm clinician interactions with active listening
Janssen & Largo-Janssen [41] Gynecology Yes 9 • Patient-centered communication styles increase patient satisfaction
Laidsaar-Powell et al. [42] Primary Care Yes 52 • Triadic communication (patient-clinician-family member) involves: encouraging family involvement in care, re-enforcing positive family contributions, identifying roles of patients and family members
Oliveira et al. [43] Primary Care Yes 27 • Communication indicating valuing patient autonomy is correlated with high patient satisfaction
Parker et al. [44] Palliative Care Not Clear 123 • At end-of-life, patients want less information sharing and caregivers want more information sharing
• Patients value empathic and honest clinicians who encourage questions and facilitate discussions
Pinto et al. [45] Rehabilitation Yes 12 • The “therapeutic alliance” is enhanced by emotional support provision and patient participation during consultation
Rodin et al. [46] Oncology Yes 21 • Patients have varying communication needs and may prefer professional-centric communication over patient-centered communication, therefore clinicians are encouraged to individualize their communication styles to patient needs
Scheunemann et al. [47] Intensive Care Yes 2841 • Printed communication aids, structured communication from the healthcare team, and ethics consultations improve emotional outcomes for families in the ICU
Slort et al. [48] Palliative Care Yes 15 • Clinician availability and openness to facilitating discussions about end-of-life care, including reflection on poor outcomes, facilitates patient-clinician communication
Tay, Hegney & Ang [49] Nursing Not Clear 8 • While patient and clinician characteristics are found to influence communication, the role of the environment in effective communication between these two parties is not well documented
• Reception to patient cues and effective information sharing builds relationships with patients and maintains open communication
Thompson & McCabe [50] Psychiatry Not Clear 23 • A strong clinician-patient relationship that involves effective communication is correlated with adherence
• Clinicians wishing to promote patient-clinician collaboration must attempt to find common ground with patients and share decision making roles
Uitterhoeve et al. [51] Oncology Not Clear 7 • No correlation was found between effective communication training and patient distress outcomes
Vasse et al. [52] Dementia Not Clear 19 • Improving communication with patients with dementia can improve daily care activities and intervention outcomes; however, has little impact on neuropsychiatric symptoms
Wanyonyi & Themessl-Huber [53] Primary Care Yes 6 • Clinicians should allocate time to “discover their patients’ psycho-social characteristics” in order to achieve health promotion