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. 2011 Jun 3;11:28. doi: 10.1186/1472-6920-11-28

Table 1.

Summary of the main research findings from the matrices for the translation into programme objectives

Main research findings Programme objectives
1 - Social insurance physicians (SIPs) have little awareness
of the effects of claimant (CL) behaviour on their own
communication behaviour, and vice versa.

- SIPs are often unable to accurately assess CLs' opinions

about the communication.

- SIPs assume that CLs' opinions are more positive than
those opinions actually are.

- Barriers that SIPs may experience in interaction with
CLs, may influence the communication.

- When the behaviour of SIPs is too self-assured, this may
hinder the communication.
Physicians are aware of
the influences of their
own feelings and
assumptions about
claimants on their
behaviour when
communicating with
those claimants, and they
minimise negative
influences.

2 - SIPs should communicate clearly.

- SIPs should respond empathically to CLs (affective,
emotion-oriented communication), in addition to
focussing on the content (instrumental, task-oriented
communication).

- The former applies especially to CLs who SIPs assume
to have little functional capacity.

- CLs have a more positive opinion about the
communication when the physician pays more attention
to them (e.g. is transparent, provides clear explanations,
discusses their work and personal situation).

- The introduction of the interview is important, because it
provides the basis for the rest of the interview.

- In interviews with CLs with a lower level of education,
with little self-reported communication skills, and with
little social support from family, friends, and
acquaintances, SIPs need to pay special attention to the
exchange of information and their listening behaviour.
Physicians communicate
efficiently, clearly, and
empathically, attuned to
claimants.

3 - When SIPs are transparent and clear, providing
information about findings and conclusions, this may
prevent unpleasant reactions from CLs that SIPs fear.

- Although most SIPs reported that they explained their
conclusions to the CLs, many CLs reported that this did
not happen.

- CLs often find the SIP's conclusion unclear or difficult
to understand.
Physicians meet
claimants' needs for
information and empathy
in their communication
behaviour when they
discuss their findings
without compromising the
assessment.