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Table 5 Family physicians’ perceived level of risk posed by the barriers to effective communication, ranked in descending order of pentiles and grouped by domains (n = 170)

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

Domain Subdomain Pentile ranking Barriers to communication Level of risk
Moderate- Very high Very low- Low
Frequency Percent Frequency Percent
Organisational Factors Time limitation 1 Consultation time limitation 86 50.6% 84 49.4%
Medical record use 2 Preoccupation with medical records 59 34.7% 111 65.3%
Physical set up 5 Unsuitability of the physical set up 10 5.9% 160 94.1%
Communication of Information Lack of shared understanding of history 1 Presentation with multiple problems 87 51.2% 83 48.8%
Lack of shared management 2 Patient not following through with treatment plan 61 35.9% 109 64.1%
Lack of shared understanding of history 3 Disorganised history by patient 49 28.8% 121 71.2%
Lack of shared management 4 Patient’s lack of interest in self-care 30 17.7% 140 82.4%
Lack of shared understanding of history 4 Inconsistent information provided by patient 29 17.1% 141 82.9%
Lack of shared management 4 Patient not buying into treatment plan 26 15.3% 144 84.7%
Lack of shared understanding of diagnosis 4 Patient’s difficulty understanding implications of diagnosis 23 13.5% 147 86.5%
Lack of shared understanding of diagnosis 5 Difficulty reconciling patient self-diagnosis with physician’s diagnosis 13 7.7% 157 92.4%
Lack of shared understanding of diagnosis 5 Difficulty getting patient to understand the diagnosis 8 4.7% 162 95.3%
Linguistic and Cultural Factors Difficulty with language use 4 Inadequate translation by interpreter 26 15.3% 144 84.7%
Lack of cultural competency 4 Cultural beliefs interference with diagnosis and management 26 15.3% 144 84.7%
Lack of cultural competency 5 Unfamiliarity with cultural alternative therapies 21 12.4% 149 87.7%
Difficulty with language use 5 Difficulty with dialect/language 10 5.9% 160 94.1%
Difficulty with language use 5 Inappropriate interpreter 9 5.3% 161 94.7%
Personal Characteristics and Attitudes Failure of rapport building 5 Patient’s lack of interest in building a partnership with physician 11 6.5% 159 93.5%
Failure of rapport building 5 Patient’s lack of trust with physician 8 4.7% 162 95.3%
Failure of rapport building 5 Difficulty establishing rapport 7 4.1% 163 95.9%
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