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Table 1 List of the domains, subdomains, the barriers to physician-patient communication, and the literature sources used in the construction of the questionnaires

From: Barriers to effective communication between family physicians and patients in walk-in centre setting in Dubai: a cross-sectional survey

Domain Subdomain Patient survey Source Physician survey Source
Q # Brief description First author, year of publication, [reference no.] Q # Brief description First author, year of publication, [reference no.]
Personal Characteristics and Attitudes Failure of rapport building 6 Physician’s lack of interest in the issues raised Lovell 2010 [9], Shapiro 2002 [10] 11 Difficulty establishing rapport Lovell 2010 [9], Shapiro 2002 [10]
10 Physician’s lack of empathy Lovell 2010 [9], Shapiro 2002 [10] 16 Patient’s lack of trust with physician Lovell 2010 [9], Shapiro 2002 [10]
13 Unsatisfactory physician manners Lovell 2010 [9], Shapiro 2002 [10] 13 Patient’s lack of interest in building a partnership with physician Lovell 2010 [9], Shapiro 2002 [10]
Communication of Information Lack of shared understanding pertaining to history and symptoms 11 Not addressing all the issues raised Lovell 2010 [9], Shapiro 2002 [10] 6 Presentation with multiple problems Lovell 2010 [9], Shapiro 2002 [10]
12 Difficulty understanding the problem Lovell 2010 [9], Shapiro 2002 [10] 7 Disorganised history by patient Lovell 2010 [9], Shapiro 2002 [10]
    9 Inconsistent information provided by patient Lovell 2010 [9], Shapiro 2002 [10]
Lack of shared understanding pertaining to diagnosis     3 Difficulty getting the patient to understand the diagnosis Lovell 2010 [9], Shapiro 2002 [10]
    4 Patient’s difficulty in understanding implications of diagnosis Lovell 2010 [9], Shapiro 2002 [10]
    12 Difficulty reconciling patient self-diagnosis with physician’s diagnosis Lovell 2010 [9], Shapiro 2002 [10]
Lack of shared decision-making and management 14 Pressurising patient on decision-making Lovell 2010 [9], Shapiro 2002 [10] 2 Patient not following through with treatment plan Lovell 2010 [9], Shapiro 2002 [10]
15 Lack of aid tools Turner 2009 [25] 8 Patient not buying into treatment plan Lovell 2010 [9], Shapiro 2002 [10]
    10 Patient’s lack of interest in self-care Lovell 2010 [9], Shapiro 2002 [10]
Lack of communication attributes 2 Amount of information provided by physician- large Lovell 2010 [9], Shapiro 2002 [10]    
7 Speech rapidity Lovell 2010 [9], Shapiro 2002 [10]    
8 Denying patient the opportunity to ask questions and talk Lovell 2010 [9], Shapiro 2002 [10]    
9 Not confirming understanding Lovell 2010 [9], Shapiro 2002 [10]    
Linguistic and Cultural Factors Use of medical jargon 3 Use of medical jargon Lovell 2010 [9], Shapiro 2002 [10]    
Lack of cultural competency 16 Difficulty understanding culture/health beliefs Lovell 2010 [9], Shapiro 2002 [10] 15 Cultural beliefs interference with diagnosis and management Lovell 2010 [9], Shapiro 2002 [10]
18 Physician’s culture/nationality Roter 2006 [3] 17 Unfamiliarity with cultural alternative therapies Lovell 2010 [9], Shapiro 2002 [10]
Difficulty with language use 4 Difficulty with language/dialect Mira 2012 [26], Shapiro 2002 [10] 18 Difficulty with dialect/language Mira 2012 [26], Shapiro 2002 [10]
    5 Inadequate translation by interpreter Lovell 2010 [9], Shapiro 2002 [10]
    14 Inappropriate interpreter Lovell 2010 [9], Shapiro 2002 [10]
Organisational Factors Time limitation 1 Consultation time limitation Lovell 2010 [9], Shapiro 2002 [10] 1 Consultation time limitation Lovell 2010 [9], Shapiro 2002 [10]
Medical records use 5 Preoccupation with computer/mobile phone Shachak 2009 [27] 19 Preoccupation with medical records Shachak 2009 [27]
Physical set up     20 Unsuitability of the physical set up Ajiboye 2015 [28]
Physician’s gender 17 Physician’s gender Roter 2006 [3]    
  1. Q # denotes the number of the barrier as it was asked in Section II of the corresponding questionnaire
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