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Table 2 The family physicians’ knowledge and practice towards doctor- patient communication

From: Doctor-patient communication skills: a survey on knowledge and practice of Iranian family physicians

Knowledge Questions Strongly agree Agree Neutral Disagree Strongly disagree
1-When initiating a visit, the physician should greet the patient 310 (77.5) 88 (22.0) 0 (0.0) 0 (0.0) 2 (0.5)
2-In baseline visit, the physician should introduce himself/herself to the patient 279 (69.8) 114 (28.5) 7 (1.8) 0 (0.0) 0 (0.0)
3- At the start of interview, asking open-ended, non-directive questions, encourages patient to tell the story of the problem(s) 271 (67.8) 126 (31.5) 2 (0.5) 1 (0.3) 0 (0.0)
4- Physician should actively listen to and avoid interrupting patients before they could express their concerns 246 (61.5) 147 (36.8) 6 (1.5) 1 (0.3) 0 (0.0)
5- Maintaining consistent eye contact with the patient shows that the doctor is attentive towards his/her patient 143 (35.8) 235 (58.8) 18 (4.5) 4 (1.0) 0 (0.0)
6- Physician should acquiesce to patient request for unnecessary tests when the patient is not convinced by a rational argumentation (reverse question) 19 (4.8) 65 (16.3) 64 (16.0) 177 (44.3) 75 (18.8)
7-Physician is usually unable to resolve patient's emotional, family and social problems and therefore should not deal with such issues (reverse question) 0(0.0) 3(0.8) 109(27.3) 216(54.0) 72(18.0)
8-The physician should encourage patients to express their expectations, so that they could comfortably address their information needs 41(10.3) 241(60.3) 112(28.0) 5(1.3) 1(0.3)
9-Physician should display emotional reactions to the patient's intense feelings such as sadness or stress and express regret over the patient's problems. (reverse question) 1(0.3) 6(1.5) 147(36.8) 216(54.0) 30(7.5)
10-Physician should enable the patient to actively participate in the decision-making process 32 (8.0) 207 (51.7) 140 (35.0) 21(5.3) 0 (0.0)
Practice questions Always Often Occasionally Seldom Never
1- When I meet a patient, I'll try to greet him/her first 289 (72.3) 108 (27.0) 3 (0.8) 0 (0.0) 0 (0.0)
2- When I meet patients for the first time, I'll introduce myself 292 (73.0) 79 (19.8) 26 (6.5) 3 (0.8) 0 (0.0)
3- When starting a visit, I prefer to ask open-ended questions rather than closed ones 287 (71.8) 107 (26.8) 4 (1.0) 0 (0.0) 2 (0.5)
4- I’ll interrupt a talkative patient who is wasting my time. (reverse question) 21 (5.3) 37 (9.3) 150 (37.5) 111(27.8) 81 (20.3)
5-I maintain eye contact with the patient throughout the interview 208(52.0) 173(43.3) 16(4.0) 1(0.3) 2(0.5)
6- When patients ask for unnecessary test(s), I'll negotiate to understand and resolve their concerns and try to discourage them by explaining that the requested test(s) yields little or no value 67 (16.8) 268 (67.0) 58 (14.5) 6 (1.5) 1 (0.3)
7- I will not deal with the patient's emotional and family problems, because I am not able to resolve such problems. (reverse question) 70(17.5) 130(32.5) 109(27.3) 76(19.0) 15(3.8)
8-I am too busy and don’t have time to offer a detailed explanation to patient about his/her potential problems (reverse question) 15(3.8) 60(15.0) 51(12.8) 160(40.0) 114(28.5)
9-I react to patient's intense feelings such as sadness and express my emotions. (reverse question) 37(9.3) 131(32.8) 151(37.8) 74(18.5) 7(1.8)
10-I ask my patient to actively participate in making any decision or care plan 32(8.0) 214(53.5) 144(36.0) 10(2.5) 0(0.0)