Humor During Clinical Practice: Analysis of Recorded Clinical Encounters

Objective: Little is known about humor’s use in clinical encounters, despite its many potential benefits. We aimed to describe humor during clinical encounters. Design: We analyzed 112 recorded clinical encounters. Two reviewers working independently identified instances of humor, as well as informati...

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Autores principales: Phillips, Kari A., Singh Ospina, Naykky, Rodríguez Gutiérrez, René, Castaneda Guarderas, Ana, Gionfriddo, Michael R., Branda, Megan, Montori, Victor M.
Formato: Artículo
Lenguaje:inglés
Publicado: 2018
Acceso en línea:http://eprints.uanl.mx/16324/1/169.pdf
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author Phillips, Kari A.
Singh Ospina, Naykky
Rodríguez Gutiérrez, René
Castaneda Guarderas, Ana
Gionfriddo, Michael R.
Branda, Megan
Montori, Victor M.
author_facet Phillips, Kari A.
Singh Ospina, Naykky
Rodríguez Gutiérrez, René
Castaneda Guarderas, Ana
Gionfriddo, Michael R.
Branda, Megan
Montori, Victor M.
author_sort Phillips, Kari A.
collection Repositorio Institucional
description Objective: Little is known about humor’s use in clinical encounters, despite its many potential benefits. We aimed to describe humor during clinical encounters. Design: We analyzed 112 recorded clinical encounters. Two reviewers working independently identified instances of humor, as well as information surrounding the logistics of its use. Results: Of the 112 encounters, 66 (59%) contained 131 instances of humor. Humor was similarly frequent in primary care (36/61, 59%) and in specialty care (30/51, 59%), was more common in gender-concordant interactions (43/63, 68%), and was most common during counseling (81/112, 62%). Patients and clinicians introduced humor similarly (63 vs 66 instances). Typically, humor was about the patient’s medical condition (40/131, 31%). Discussion and Conclusion: Humor is used commonly during counseling to discuss the patient’s medical condition and to relate to general life events bringing warmth to the medical encounter. The timing and topic of humor and its use by all parties suggests humor plays a role in the social connection between patients and physicians and allows easier discussion of difficult topics. Further research is necessary to establish its impact on clinicians, patients, and outcomes. (J Am Board Fam Med 2018;31: 270–278.) Keywords: Humor, Patient-Centered Care, Primary Health Care, Physician-Patient Relations, Patient-Physician Communication
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spelling eprints-163242019-08-29T17:00:12Z http://eprints.uanl.mx/16324/ Humor During Clinical Practice: Analysis of Recorded Clinical Encounters Phillips, Kari A. Singh Ospina, Naykky Rodríguez Gutiérrez, René Castaneda Guarderas, Ana Gionfriddo, Michael R. Branda, Megan Montori, Victor M. Objective: Little is known about humor’s use in clinical encounters, despite its many potential benefits. We aimed to describe humor during clinical encounters. Design: We analyzed 112 recorded clinical encounters. Two reviewers working independently identified instances of humor, as well as information surrounding the logistics of its use. Results: Of the 112 encounters, 66 (59%) contained 131 instances of humor. Humor was similarly frequent in primary care (36/61, 59%) and in specialty care (30/51, 59%), was more common in gender-concordant interactions (43/63, 68%), and was most common during counseling (81/112, 62%). Patients and clinicians introduced humor similarly (63 vs 66 instances). Typically, humor was about the patient’s medical condition (40/131, 31%). Discussion and Conclusion: Humor is used commonly during counseling to discuss the patient’s medical condition and to relate to general life events bringing warmth to the medical encounter. The timing and topic of humor and its use by all parties suggests humor plays a role in the social connection between patients and physicians and allows easier discussion of difficult topics. Further research is necessary to establish its impact on clinicians, patients, and outcomes. (J Am Board Fam Med 2018;31: 270–278.) Keywords: Humor, Patient-Centered Care, Primary Health Care, Physician-Patient Relations, Patient-Physician Communication 2018-03 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/16324/1/169.pdf http://eprints.uanl.mx/16324/1.haspreviewThumbnailVersion/169.pdf Phillips, Kari A. y Singh Ospina, Naykky y Rodríguez Gutiérrez, René y Castaneda Guarderas, Ana y Gionfriddo, Michael R. y Branda, Megan y Montori, Victor M. (2018) Humor During Clinical Practice: Analysis of Recorded Clinical Encounters. The Journal of the American Board of Family Medicine, 31 (2). pp. 270-278. ISSN 1557-2625 http://doi.org/10.3122/jabfm.2018.02.170313 doi:10.3122/jabfm.2018.02.170313
spellingShingle Phillips, Kari A.
Singh Ospina, Naykky
Rodríguez Gutiérrez, René
Castaneda Guarderas, Ana
Gionfriddo, Michael R.
Branda, Megan
Montori, Victor M.
Humor During Clinical Practice: Analysis of Recorded Clinical Encounters
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Humor During Clinical Practice: Analysis of Recorded Clinical Encounters
title_full Humor During Clinical Practice: Analysis of Recorded Clinical Encounters
title_fullStr Humor During Clinical Practice: Analysis of Recorded Clinical Encounters
title_full_unstemmed Humor During Clinical Practice: Analysis of Recorded Clinical Encounters
title_short Humor During Clinical Practice: Analysis of Recorded Clinical Encounters
title_sort humor during clinical practice analysis of recorded clinical encounters
url http://eprints.uanl.mx/16324/1/169.pdf
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