Semin Hear 2012; 33(01): 024-034
DOI: 10.1055/s-0032-1304725
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Encounter Model and Audiological Clinical Encounters

Deborah von Hapsburg
1   Department of Audiology & Speech Pathology, The University of Tennessee, Health Science Center, Knoxville, Tennessee.
,
Tine Tjørnhøj-Thomsen
2   National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
› Author Affiliations
Further Information

Publication History

Publication Date:
20 March 2012 (online)

Abstract

The encounter between patient and clinician can often result in a mismatch in perspectives. These differences in perspective may result in differing definitions of hearing loss by the client and clinician and may ultimately lead to unsuccessful outcomes for patients. The Ida Institute has espoused the use of the Encounter Model to help audiologists reflect on the patient perspective, communication partner perspective, and their own perspectives as well. This model is a heuristic that encourages audiologists to reflect on the patients' own characterization, explanation, and ideas about how best to cope with hearing loss in their lives. By better understanding the role of the various personal, professional, and cultural factors that define each patient's unique experience of hearing loss, the audiologist can gain an understanding of the patient's true level of motivation for addressing his or her hearing loss. By using the model to communicate and explore beyond the traditional clinical approach, audiologists can begin to establish more productive relationships with their patients and increase the potential for patient satisfaction and successful outcomes. The Encounter Model also affords clinicians valuable insight that will enable them to reflect on their clinical encounters and adapt their practice to achieve a patient-centered focus.

 
  • References

  • 1 Tjørnhøj-Thomsen T. Framing the clinical encounter for greater understanding, empathy, and success. The Hearing Journal 2009; 62: 38-43
  • 2 Kleinman A. Patients and Healers in the Context of Culture. An Exploration of the Borderland Between Anthropology, Medicine, and Psychiatry. Berkeley, CA: University of California Press; 1980
  • 3 Eisenberg L. Disease and illness. Distinctions between professional and popular ideas of sickness. Cult Med Psychiatry 1977; 1: 9-23
  • 4 Green AR, Carrillo JE, Betancourt JR. Why the disease-based model of medicine fails our patients. West J Med 2002; 176: 141-143
  • 5 Helman CG. Disease versus illness in general practice. J R Coll Gen Pract 1981; 31: 548-552
  • 6 Fiscella K, Meldrum S, Franks P , et al. Patient trust: is it related to patient-centered behavior of primary care physicians?. Med Care 2004; 42: 1049-1055
  • 7 Hétu R. The stigma attached to hearing impairment. Scand Audiol Suppl 1996; 43: 12-24
  • 8 Cruz M, Pincus HA. Research on the influence that communication in psychiatric encounters has on treatment. Psychiatr Serv 2002; 53: 1253-1265
  • 9 Wartman SA, Morlock LL, Malitz FE, Palm EA. Patient understanding and satisfaction as predictors of compliance. Med Care 1983; 21: 886-891
  • 10 Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract 2002; 15: 25-38
  • 11 Zinn J. The biographical approach: a better way to understand behaviour in health and illness. Health Risk Soc 2005; 7: 1-9
  • 12 English K. Get ready for the next big thing in audiologic counseling. The Hearing Journal 2005; 58: 10-15
  • 13 English K, Mendel LL, Rojeski T, Hornak J. Counseling in audiology, or learning to listen: pre- and post-measures from an audiology counseling course. Am J Audiol 1999; 8: 34-39
  • 14 Margolis R. In one ear and out the other: What patients remember. 2004. Available at: http://www.speechpathology.com/articles/article_detail.asp?article_id=54 . Accessed February 9, 2012
  • 15 Martin F, Krueger J, Bernstein M. Diagnostic information transfer to hearing-impaired adults. Texas J of Aud Speech Path 1990; 16: 29-32
  • 16 Erdman SA. Audiologic counseling: a biopsychosocial approach. In: Montano J, Spitzer JB, eds. Audiologic Rehabilitation. San Diego, CA: Plural Publishing; 2009: 171-215
  • 17 Whyte SR, van der Geest S, Hardon A. Social Lives of Medicine. Cambridge, UK: Cambridge University Press; 2002
  • 18 Donaldson N, Worall L, Hickson L. Older people with hearing impairment: A literature review of the spouse's perspective. Aust N Z J Audiol 2004; 26: 30-39
  • 19 Hallam R, Ashton P, Sherbourne K, Gailey L. Persons with acquired profound hearing loss (APHL): how do they and their families adapt to the challenge? Health: Interdisc J Soc Stud Health. Illness Med 2008; 12: 369-388
  • 20 Gagné JP, Jennings MB, Southall K. The International Classification of Functioning: implications and applications to audiologic rehabilitation. In: Montano J, Spitzer JB, eds. Audiologic Rehabilitation. San Diego, CA: Plural Publishing; 2009: 37-77
  • 21 Scarinci N, Worrall L, Hickson L. The ICF and third-party disability: its application to spouses of older people with hearing impairment. Disabil Rehabil 2009; 31: 2088-2100
  • 22 Hickson L, Scarinci N. Older adults with acquired hearing impairment: applying the ICF in rehabilitation. Semin Spe Lang 2007; 28: 283-290
  • 23 World Health Organization. Toward a Common Language for Functioning, Ability and Health (ICF). Geneva, Switzerland: WHO Geneva; 2002
  • 24 Erdman SA. Self-assessment in audiology: the clinical rationale. Semin Hear 1993; 14: 303-313