Table 1.
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. |