Meeting in the Middle: Improving Communication in Primary Health Care Consultations with People with an Intellectual Disability

Autor/inn/en	Ziviani, Jenny; Lennox, Nicholas; Allison, Heather; Lyons, Michael; Del Mar, Chris
Titel	Meeting in the Middle: Improving Communication in Primary Health Care Consultations with People with an Intellectual Disability
Quelle	In: Journal of Intellectual and Developmental Disability, 29 (2004) 3, S.211-225 (15 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1366-8250
Schlagwörter	Foreign Countries; Primary Health Care; Mental Retardation; Interviews; Physician Patient Relationship; Communication Problems; Communication Strategies; Caregivers + Suchen Sie Ihr Suchwort? Ausland; Gesundheitsvorsorge; Geistige Behinderung; Interviewing; Interviewtechnik; Arzt-Patient-Beziehung; Kommunikationsbarriere; Kommunikationsstrategie; Caregiver; Carer; Betreuungsperson; Pfleger
Abstract	The increased presence and participation in Australian society of people with an intellectual disability provides challenges for the provision of primary health care. General practitioners (GPs) identify themselves as ill equipped to provide for this heterogeneous population. A major obstacle to the provision of appropriate health care is seen as inadequate communication between the GP and the person with an intellectual disability, who may or may not be accompanied by a carer or advocate. This qualitative study in **which five GPs, three people with intellectual disability, seven carers and two advocates (parent and friend) were interviewed was conducted in Brisbane, Australia. The aim was to better understand the factors that have an impact upon the success of communication in a medical consultation. Findings suggested that GPs were concerned with the aspects of communication difficulties which influenced their ability to adequately diagnose, manage and inform patients. Implications for practice management were also identified. People with intellectual disability reported frustration when they felt that they could not communicate adequately with the GP and annoyance when they were not included in the communication exchange. Carers were strong advocates for the person with intellectual disability, but indicated insufficient skill and knowledge to provide the level of assistance required in the consultation. The outcome was a model of cooperation that outlined the responsibilities of all players in the medical encounter, prior to, during and after the event. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10