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A gap between knowledge and practice on patient-doctor communication: Results from a multi-center survey
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  • Sherief Ghozy,
  • Hoang Thi Nam Giang,
  • Aliaa Hassanin,
  • Tung Duy Nguyen,
  • Linh Tran Thi Thuy ,
  • Hosni Salem,
  • Maha Nasr,
  • Mohamed Ahmed Mansour,
  • Ahmed Kamal Sayed,
  • Ahmed Abdou Mohamed,
  • Le Huu Nhat Minh,
  • Shekh Abdullah Mukit,
  • Shagufta Afrin,
  • Islam Ashraf Mohyeldin,
  • Mohammad Rashidul Hashan,
  • Kenji Hirayama,
  • Nguyen Tien Huy
Sherief Ghozy
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Hoang Thi Nam Giang
The University of Danang
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Aliaa Hassanin
Alexandria University Faculty of Medicine
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Tung Duy Nguyen
Vietnam Military Medical University
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Linh Tran Thi Thuy
Duy Tan University
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Hosni Salem
Cairo University
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Maha Nasr
Tanta University Faculty of Medicine
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Mohamed Ahmed Mansour
Alexandria University Faculty of Medicine
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Ahmed Kamal Sayed
Minia University Faculty of Medicine
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Ahmed Abdou Mohamed
Minia University Faculty of Medicine
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Le Huu Nhat Minh
Ho Chi Minh City University of Medicine and Pharmacy
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Shekh Abdullah Mukit
Shaheed Suhrawardy Medical College and Hospital
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Shagufta Afrin
Bangladesh Medical College and Hospital
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Islam Ashraf Mohyeldin
Al-Ahrar Teaching Hospital
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Mohammad Rashidul Hashan
International Centre for Diarrhoeal Disease Research Bangladesh
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Kenji Hirayama
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Nguyen Tien Huy
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Abstract

Rationale, aims and objectives
Patient-physician communication is the mainstay of successful medical practice. To assess knowledge, attitude, and practice of surgeons and Intensive Care Unit (ICU) physicians about key elements of informed decision-making communication.
Methods
A multicenter, cross-sectional survey among surgeons, ICU physicians, patients and patient’s relatives in Bangladesh, Egypt, Iraq, and Vietnam was conducted using convenience sampling. Two self-completed questionnaires were dedicated to the survey members.
Results
While doctors acquire a good level of knowledge and have a positive attitude toward informed decision-making communication, the applying practice level is low although the correlations between knowledge, attitude and practice are strong. The fulfillment of patients’ expectation was lower among those who did not meet their doctors before and after treatment/surgery, had to pay for their treatments or had high education level.
Conclusions
The gap between knowledge and practice in doctor-patient communication is highlighted. The patient’s experience toward communication with doctor varies among different groups of age, chance to meet with doctor, and payment required.