TOPIC 1: CLINICAL INTERVIEWS 4
Topic1: Clinical Interviews
Topic1: Clinical Interviews
Theuse of data in clinical and research practices has enhanced theunderstanding of the way communication can affect health. Clinicalinterview, as a purposeful dialogue between practitioners andpatients, is important in the development of the diagnosis andtreatment plan (Hesson etal.,2012). The two major types of interview are the patient-centeredinterview and the clinician centered interview. Although both areeffective in the provision of health care, the patient-centered tendto yield more results that are positive especially when the patientscan describe his or her experience in details.
Thepatient-centered interview focuses on the patient’s experiencebased on their feelings about a disease, their understanding of thecauses, impacts of the problem and fears (Hesson etal.,2012). Consequently, practitioners can understand all the factorsunderlying the illness from patient’s point of view. The precedingpractices towards the wellbeing of the patient increase theirsatisfactions and bring the best outcomes (Elwyn etal.,2014). According to Jensen, Vedelø, and Lomborg (2013), however,although patient-centered interview uncovers the biopsychosocialfactors, it sometimes fails to provide sufficient information forsome medical conditions such as disease characteristic or familyhistory.
Cliniciancentered interview, on the other hand, is quite effective indiagnosis and treatment plans. Here, the physicians take the patientsthrough a series of questions about the symptoms, patient’s family,and medical history (Elwyn etal.,2014). In this case, physicians can approach the illness fromdifferent dimensions and may involve the use of some tools todetermine some measures of the illness. However, this kind ofinterview may be costly.
Whilethe patient’s centered interview yields information on thebiopsychosocial factors of the medical conditions (Jensen, Vedelø, &Lomborg, 2013), the clinician-centered interview enables discovery ofpatient’s medical history or other personal details important indiagnosis and treatment. In this case, integration of both approachescan yield the best results and increase the patient’s satisfaction(Elwyn etal.,2014). More importantly, integration will fill the gap between thetwo approaches such as genetic influence in some illness.
Inbrief, both approaches are equally effective in the treatment of anillness. However, in cases where only one interview is possible,patients centered can have the most important information direct tothe illness. Nonetheless, integration of both approaches isrecommended.
Elwyn,G., Dehlendorf, C., Epstein, R. M., Marrin, K., White, J., &Frosch, D. L. (2014). Shared Decision Making and MotivationalInterviewing: Achieving Patient-Centered Care across the Spectrum ofHealth Care Problems. Annalsof Family Medicine,12(3), 270-275. doi:10.1370/afm.1615
Hesson,A. M., Sarinopoulos, I., Frankel, R. M., & Smith, R. C. (2012). Alinguistic study of patient-centered interviewing: Emergentinteractional effects. PatientEducation & Counseling,88(3), 373-380. doi:10.1016/j.pec.2012.06.005
Jensen,A. L., Vedelø, T. W., & Lomborg, K. (2013). A patient-centeredapproach to assisted personal body care for patients hospitalizedwith chronic obstructive pulmonary disease. Journalof Clinical Nursing,22(7/8), 1005-1015. doi:10.1111/jocn.12050