Is Communication A Receipt For Doctors? The Relationship Between Communication Competence And Trust: A Research On Breast Patients
Year 2021,
Issue: 37, 92 - 108, 30.06.2021
Çiğdem Karakaya
,
Fulya Erendag Sumer
,
Zuhal Gök Demir
,
Emel Durmaz
Abstract
Although significant studies have been conducted in the field of health communication in terms of
communication competence, its role on trust in the radiology department needs further exploration.
The communication skills of radiologists are considered an important indicator of trust. Therefore,
the study aims to research the effect of communication competence on trust. With this aim the
current study seeks to contribute to health communication literature by researching the patients’
perceived communication competence of doctors as a determining factor that develop trust in the
radiology department. The research was carried out between December 2019 and March 2020 using a
questionnaire form with 321 breast patients in the radiology department in a public health institution in
Antalya, Turkey. The results of the study refer that communication competence as a whole concept has
a strong positive and statistically significant effect on trust. When the dimensions of communication competence are investigated, it is found that socioemotional communication is the only dimension that
has a strong effect on the formation of trust among communication competence.
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relationship: A literature review. Journal of Healthcare Commununication, 36 (3), 1-6, DOI:
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with health belief sand self-esteem, body perception and hopelessness. Asian Pacific Journal of
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Education and Counseling, 98(12), 1550-1557. DOI: 10.1016/j.pec.2015.06.019
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and patient perceptions and outcomes. Health Communication, 34(8), 881-891.
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organisations. Academy of Management Journal, 38(1), 24-59.
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competence in the primary care medical consultation, Journal of Applied Communication Research,
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Doktorlar İçin İletişim Bir Reçete midir? İletişim Yeterliliği ve Güven Arasındaki İlişki: Meme Hastaları Üzerine Bir Araştırma
Year 2021,
Issue: 37, 92 - 108, 30.06.2021
Çiğdem Karakaya
,
Fulya Erendag Sumer
,
Zuhal Gök Demir
,
Emel Durmaz
Abstract
Sağlık iletişimi alanında iletişim yeterliliği konusunda pek çok çalışma yapılmış olmasına rağmen,
radyoloji departmanında iletişim yeterliliğinin güven oluşumu üzerindeki rolünün daha fazla
araştırılması gerekmektedir. Radyologların iletişim becerileri önemli bir güven göstergesi olarak
kabul edilmektedir. Bu nedenle bu çalışma iletişim yeterliliğinin güven üzerindeki etkisini araştırmayı
amaçlamaktadır. Bu amaç doğrultusunda bu çalışma, radyoloji departmanında bulunan doktorların
iletişim yeterliliğini hastaların algılarına bağlı araştırarak sağlık iletişimi literatürüne iletişim
yeterliliğinin güven oluşumundaki belirleyici rolünü açıklayarak katkıda bulunmayı hedeflemektedir.
Araştırma, Aralık 2019-Mart 2020 tarihleri arasında Antalya’da bir kamu hastanesinin radyoloji
bölümünde 321 meme hastası ile anket formu kullanılarak gerçekleştirilmiştir. Çalışmanın sonuçları,
bir bütün olarak iletişim yeterliliğinin güven üzerinde güçlü ve istatistiksel olarak anlamlı bir etkiye
sahip olduğunu gösterirken, iletişim yeterliliği boyutları arasında güven oluşumunda güçlü etkiye sahip
tek boyutun sosyo-duygusal iletişim olduğu tespit edilmiştir.
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implications for communication training. Journal of Health Communication, 2:3, 169-194, DOI:
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medical communication competence scale. Health Communication, 10 (3), 261-288, DOI: 10.1207/
s15327027hc1003
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communication competence during a primary care medical interview. Health Communication, 8(1),
1-27.
- Chandra, S., Mohammadnezhad, M., & Ward, P. (2018). Trust and communication in a doctor-patient
relationship: A literature review. Journal of Healthcare Commununication, 36 (3), 1-6, DOI:
10.4172/2472-1654.100146
- Chougrad, H., Zouaki, H., & Alheyane, O. (2020). Multi-label transfer learning for the early diagnosis of
breast cancer. Neurocomputing, 392, 168-180.
- Çam, O. & Babacan Gümüş, A. (2009). Breast cancer screening behavior in Turkish women: relationships
with health belief sand self-esteem, body perception and hopelessness. Asian Pacific Journal of
Cancer Prevention, 10, 49-54.
- Demir, M. Ö., & Başaran, M. A. (2018). The factors affecting minorities’ satisfaction of health care service
utilizing fuzzy rule based systems. Hacettepe Sağlık İdaresi Dergisi, 21(4), 699-718.
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Quarterly, 46(2), 144-162.
- Frederikson, L. G. (1993). Development of an integrative model for medical consultation. Health
Communication, 5(3), 225-237.
- Fugelli, P. (2001). Trust - in general practice, British Journal of General Practice, 51(468), 575-579.
- Gabay, G. (2015). Perceived control over health, communication and patient–physician trust. Patient
Education and Counseling, 98(12), 1550-1557. DOI: 10.1016/j.pec.2015.06.019
- Gezergün, A., Şahin, B., Tengilimoğlu, D., Demir, C. & Bayer, E. (2006). Hastaların bakış açısıyla hekimhasta
ilişkisi ve iletişimi: Bir eğitim hastanesi örneği. Sosyal Bilimler Dergisi, 1, 129-144.
- Gopichandran, V. & Chetlapalli, S. K. (2015). Trust in the physician-patient relationship in developing
healthcare settings: a quantitative exploration. Indian Journal of Med Ethics, 12(3), 141-148, DOI:
10.20529/IJME.2015.043
- Gülcemal, E., & Keklik, B. (2016). Hastaların hekimlere duydukları güveni etkileyen faktörlerin incelenmesine
yönelik bir araştırma: Isparta ili örneği. Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü
Dergisi, 8(14), 64-87.
- Gürbüz, S., & Şahin, F. (2016). Sosyal Bilimlerde Araştırma Yöntemleri. Ankara: Seçkin Yayınları.
- Harvey, J. A., Cohen, M. A., Brenin, D. R., Nicholson, B. T., & Adams, R. B. (2007). Breaking bad news: a
primer for radiologists in breast imaging. Journal of the American College of Radiology, 4(11), 800-
808.
- Hesse, C., & Rauscher, E. A. (2019). The relationships between doctor-patient affectionate communication
and patient perceptions and outcomes. Health Communication, 34(8), 881-891.
- Kapoor,P. & Prasad, S. V. A. V. (2010). Image processing for early diagnosis of breast cancer using infrared
images. The 2nd International Conference on Computer and Automation Engineering (ICCAE),
Singapore, 26-28 Feb. 2010, pp. 564-566, DOI:10.1109/ICCAE.2010.5451827.
- Karadeniz Çakmak, G., Emiroğlu, S., Sezer, A., Canturk, N. Z., Yeniay, L., Kuru, B., . . . Sakman, G. (2020).
Surgical trends in breast cancer in Turkey: An increase in breast-conserving surgery. JCO Global
Oncology, 6, 285-292.
- Karakaya Ç. & Gök Demir Z. (2016). The Role of corporate reputation on trust and behavioral intentions:
A study on a private health institution in Turkey. in A. Okay (Eds.), Trust in Communication
Management, (pp.131-156), Frankfurt: Peter Lang.
- Karsavuran, S., Sıdıka, K., & Akturan, S. (2011). Hasta-hekim iletişiminde güven: bir genel cerrahi polikliniği
örneği. Hacettepe Sağlık İdaresi Dergisi, 14(2), 185-212.
- Kreps, G. L. (1988). Relational communication in healthcare. Southern Speech Communication Journal, 53,
344–359.
- Krot, K. & Rudawska, I. (2016), The role of trust in doctor-patient relationship: Qualitative evaluation of
online feedback from polish patients. Economics and Sociology, 9(3), 76-88, DOI: 10.14254/2071-
789X.2016/9-3/7
- Lerman, C., Daly, M., Walsh, W. P., Resch, N., Seay, J., Barsevick, A., . . . Birenbaum, L. (1993). Communication
between patients with breast cancer and health care providers determinants and implications.
Cancer, 72(9), 2612-2620.
- Lohr, K. N. (1988). Outcome measurement: concepts and questions. Inquiry, 37-50.
- Luhmann, N. (1979). Trust and Power. NewYork: Wiley.
- McAllister, D. J. (1995). Affect-and cognition- based trust as foundations for interpersonal cooperation in
organisations. Academy of Management Journal, 38(1), 24-59.
- McGee, D. S. & Cegala, D. J (1998) Patient communication skills raining for improved communication
competence in the primary care medical consultation, Journal of Applied Communication Research,
26(4), 412-430, DOI: 10.1080/00909889809365517
- McNeilis, K. S. (2001). Analyzing communication competence in medical consultations. Health
Communication, 13 (1), 5-18, DOI: 10.1207/S15327027HC1301_02
- Miller, L. S., Shelby, R. A., Balmadrid, M. H., Yoon, S., Baker, J. A., Wildermann, L., & Soo, M. S. (2013).
Patient anxiety before and immediately after imaging-guided breast biopsy procedures: impact of
radiologist-patient communication. Journal of the American College of Radiology, 10(6), 423-431.
- Morgan, R. M. & Hunt, S. D. (1994). The commitment – trust theory of relationship marketing. The Journal
of Marketing, 58(3), 20-38, DOI: 10.2307/1252308
- Murray, B., & McCrone, S. (2015). An integrative review of promoting trust in the patient–primary care
provider relationship. Journal of Advanced Nursing, 71(1), 3-23.
- Nørgaard, B., Ammentorp, J., Ohm Kyvik, K., & Kofoed, P. E. (2012). Communication skills training
increases self‐efficacy of health care professionals. Journal of Continuing Education in the Health
Professions, 32(2), 90-97.
- Obermiller, C. & Spangenberg, E. (1998). Development of a scale to measure consumer skepticism toward
advertising. Journal of Consumer Psychology,7, 159 - 186.
- Okay, A. (2012). Sağlık İletişimi. İstanbul: Derin Yayınları.
- Ong, L. M., De Haes, J. C., Hoos, A. M., & Lammes, F. B. (1995). Doctor-patient communication: a review
of the literature. Social Science & Medicine, 40(7), 903-918.
- Prades, J., Ferro, T., Gil, F., & Borras, J. M. (2014). Core communication components along the cancer care
process: The perspective of breast cancer patients. The Breast, 23(5), 617-622.
- Query Jr, J. L., & Kreps, G. L. (1996). Testing a relational model for health communication competence
among caregivers for individuals with Alzheimer’s disease. Journal of Health Psychology, 1(3), 335-
351.
- Query, J. L., Parry, D., & Flint, L. J. (1992). The relationship among social support, communication competence,
and cognitive depression for non-traditional students. Journal of Applied Communication Research,
20(1), 78-94.
- Roter, D., & Hall, J. A. (2006). Doctors talking with patients/patients talking with doctors: improving
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