ABSTRACT

This exploratory study aimed to identify communication trends typical of pharmacists’ clinical communication in the context of hospital consultations. A cross-sectional design was used to investigate the pharmacist-patient exchange, applying the Roter Interaction Analysis System (RIAS). Communication variables and RIAS composites were assessed, including therapeutic information complexity, estimated through the ad-hoc score CTICS (Cancer Therapy Information Complexity Score). The study comprised 13 consultations of cancer patients with one female pharmacist, of which 6 included a patient family member, lasting on average 22.74 minutes and presenting repeated or overlapping consultation phases. The pharmacist’s talk dominance reached 53.49%, slightly higher in dyadic consultations (U = 6.0, p = .032), and with an overall predominance of closed-ended questioning (W = 81.0, p = .013). Patients’ questioning on biomedical issues was higher in dyadic consultations. The level of the pharmacist’s rapport-building with the relative was higher when the patient’s age was ≥80 years. Several strong correlations, both positive and negative, were found between composites, including between patient positive rapport-building and relative lifestyle/psychosocial information giving (Rho = −0.971, p = .001). Pharmaceutical consultations seem to be lengthier than other hospital practitioners’ interviews, indicating a lack of clear organization and flow, thus challenging their efficiency regarding therapy management. Still, several positive communication features were found regarding the pharmaceutical care of older cancer patients. Further studies are needed, involving larger samples and other hospital consultation settings.

摘要

这项探索性研究旨在确定药剂师在医院咨询中临床交流的典型交流趋势。横断面设计用于调查药剂师与患者的交流，应用 Roter 交互分析系统 (RIAS)。评估了通信变量和 RIAS 复合材料，包括治疗信息复杂性，通过临时评分 CTICS（癌症治疗信息复杂性评分）进行估计。该研究包括 13 位癌症患者与一位女性药剂师的咨询，其中 6 位包括一位患者家属，平均持续 22.74 分钟，并呈现重复或重叠的咨询阶段。药剂师的谈话主导度达到 53.49%，在二元会诊中略高（U = 6.0，p= .032），并且封闭式提问总体上占优势（W = 81.0，p = .013）。在二元咨询中，患者对生物医学问题的提问更高。当患者年龄≥80岁时，药师与亲属建立融洽关系的水平较高。在复合材料之间发现了几种强烈的正相关和负相关，包括患者积极的融洽关系建立与相关生活方式/社会心理信息提供之间（Rho = −0.971，p=.001）。药物咨询似乎比其他医院从业者的面谈时间更长，表明缺乏清晰的组织和流程，从而挑战了他们在治疗管理方面的效率。尽管如此，还是发现了一些关于老年癌症患者药学服务的积极交流特征。需要进一步研究，涉及更大的样本和其他医院咨询环境。