Opportunities for effective communication in musculoskeletal care

Effective communication, based on patient engagement and trust, facilitates patient-physician decision-making and leads to more satisfied patients, better treatment adherence, alleviated symptoms and concerns, and faster recovery from illness. When done right, patients in musculoskeletal care often need just one consultation. Misperceptions of symptoms of disease, and lower patient health literacy present opportunities for effective communication, which faciliates patient-physician decision-making. This thesis describes (1) effective communication opportunities involved with certain patient behaviour, thoughts, and emotions (2) level and perspectives of effective patient-physician communication, and (3) the value of digital health technologies in contributing to effective communication and patient involvement.

Effective communication thrives by taking a genuine interest in what makes each person unique (perceptive for disparities), anticipating misconceptions and concerns, and guiding rather than directing. The goal is to establish a trusting relationship that empowers patients to make better health dicisions based on preferences that matches their values. It requires active listening, breaking old habits, and some efficiency. When expertise is delivered in a brief, scripted manner health-care providers should not be too concerned about running behing on schedule. Physicians and researchers should focus on training programs that teach to adapt communication to patient values and needs. Health technologies, like patient portals, have potential to assist in this goal by enhancing care delivery, and improving patient autonomy and engagement.