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When, why, and how osteopaths and physicians communicate: Lessons learned from the results of a mixed methods study

Journal: International Journal of Osteopathic Medicine Date: 2017/12, 26Pages: 3-9. doi: Subito , type of study: mixed methods study

Full text    (https://www.sciencedirect.com/science/article/pii/S1746068917300494)

Keywords:

communication [72]
interprofessional collaboration [3]
osteopaths [138]
osteopathy [460]
pediatric [452]
physicians [252]
professional relationship [1]
mixed method study [52]

Abstract:

Background Communication between osteopaths and conventional practitioners is an important pillar of efficient interprofessional collaboration. This study aimed to explore empirically when, why, and how osteopaths and physicians involved with pediatric patients communicate in order to identify key challenges and formulate recommendations to improve the communication process. Methods Using an explanatory sequential mixed methods design, we first surveyed osteopaths and physicians working with pediatric patients in Quebec, Canada. Some survey participants were then purposively selected for an in-depth interview about interprofessional communication processes, methods, and practices. Results A total of 274 physicians (response rate 14%) and 297 osteopaths (42%) completed the survey and a subset of physicians (n = 10) and osteopaths (n = 11) participated in individual interviews. Communication, including when professional interactions are desired, is often one-way and occurs in the context of referrals. Written reports are the preferred communication method, and many professionals' intentions can motivate interactions, including learning from each other and developing professional relationships. Using patients as a hub for communication can lead to misinterpretation. Lack of feedback and interactions, as well as language issues, are the main challenges to improving interprofessional communication. Conclusions There is some communication between osteopaths and physicians involved with pediatric patients but it is not yet optimal. Initiatives to improve osteopaths' and physicians' communication skills and interactions should be explored and evaluated, particularly during training.


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