Table 3 Comparison of patient and provider identified communication strategies to improve chronic pain discussions
Top 10 patient factors | Top 10 providers factors |
|---|---|
The clinician takes me seriously and respects my input | Past work-up and outcomes of the presenting problem/ source of pain |
Be told about all options and side- effects | Having a clear timeline of the pain |
The clinician is knowledgeable about my particular condition | Hearing how they believe their pain has impacted their daily lives, outlook, & relationships |
Ask how I want to manage it/ accept that I am in charge of my health/ I am involved as an integral part of my treatment team | Listen to their story, allow them to vent |
Take the time needed, not rush | Hear the patient's expectations about their pain |
Talk to me not the computer/ make eye contact/ read the medical file before, not during, the appointment | A clear history of past treatments tried and whether they helped or not |
Let me know that he’s communicated with other docs taking care of me | Have enough time with the patient (>30 minutes) |
To have an encouraging doctor/ never leave me feeling utterly helpless, hopeless, or written off | Knowing of any adverse childhood experiences |
Have a trusting relationship with my provider | Better use of behavioral and mental health |
No judgment/ not look at me as if I’m faking it/ feel like doctors aren't stigmatizing me for my pain or way of life | Clarify common misunderstandings about pain* Assess patient’s support system* |