Ali Khawaja Ranish Deedar, Akhtar Waseem, Khawaja Ali, Irfan Hira, Naeem Mohammad, Memon Mukhtiar
Medical Student, The Aga Khan University, Karachi.
J Coll Physicians Surg Pak. 2013 Oct;23(10):761-3. doi: 10.2013/JCPSP.761763.
Breaking bad news can be an intimidating task for any physician. The aim of this study was to record the practices of breaking bad news to the patients by Pakistani radiologists and trainees. The radiologists and trainees attending the 26th National Radiological Conference in October 2010 in Karachi, Pakistan, were surveyed. The response rate was 76%. The respondents included residents (51%), private practicing radiologists (28%), academic radiologists (13%), and other trainees (8%). Most of the academic radiologists communicated with their patients. The daily frequency of breaking bad news by residents was noted, which was highest in the public teaching hospitals (71%). For severe abnormalities such as malignancy, 50% residents, 55% of the academic radiologists and 74% of the private practicing radiologists were very uncomfortable in disclosure of results. Differences in frequency of communication with patients were noticed with both different training levels, and different settings of practice in a developing country.
对任何医生来说，传达坏消息都是一项艰巨的任务。本研究的目的是记录巴基斯坦放射科医生和实习生向患者传达坏消息的做法。对参加2010年10月在巴基斯坦卡拉奇举行的第26届全国放射学会议的放射科医生和实习生进行了调查。回复率为76%。受访者包括住院医师（51%）、私人执业放射科医生（28%）、学术放射科医生（13%）和其他实习生（8%）。大多数学术放射科医生会与患者沟通。记录了住院医师传达坏消息的每日频率，在公立教学医院这一频率最高（71%）。对于诸如恶性肿瘤等严重异常情况，50%的住院医师、55%的学术放射科医生和74%的私人执业放射科医生在披露结果时非常不自在。在一个发展中国家，不同培训水平和不同执业环境的医生在与患者沟通频率上存在差异。
