title: A Scoping Review: Communication Between Emergency Physicians and Patients in the Emergency Department.
abstract: BACKGROUND
  Understanding the basic qualities of communication between emergency physicians and patients could improve communication in the emergency department.
  
  
  OBJECTIVE
  The objectives of this scoping review are to map the literature about the gaps in communication between emergency physicians and patients in the emergency department and make recommendations for further research.
  
  
  METHODS
  A scoping review of literature published since 1980 and written in English was undertaken using the following databases: Pubmed, Scopus, and SocINDEX. The articles were searched for using two-keyword combinations of the following keywords joined by "AND": "communication," "patient," "emergency physician," "emergency department/emergency room/accident," and "emergency room." Seventeen articles were included in the final review.
  
  
  RESULTS
  Five research issues were covered by the 17 papers: patient-centered communication, information sharing, bad news delivery, shared decision making, and physicians' perspectives on communication. Emergency physicians have several communication characteristics: doctor-driven decision making, focusing on efficient information gathering, immature communication techniques, and obstacles to overcoming miscommunication. Patients also have several communication characteristics: active participation in medical encounters, expectation of physician as a reliable guide, understanding physicians' difficulties, and factors that contribute to understanding.
  
  
  CONCLUSIONS
  Several conclusions about emergency department communication between patients and emergency physicians were drawn. Additional research is required to consider diverse patient needs in the emergency department. Furthermore, training programs for emergency physicians to improve the quality of communication should be developed and implemented in line with our research findings.
authors.affiliation: Department of Medical Education, Inje University College of Medicine, Busan, South Korea.
authors.forename: HyeRin
authors.initials: H
authors.lastname: Roh
authors.affiliation: Department of Emergency Medicine, Inje University College of Medicine, Busan, South Korea.
authors.forename: Kyung Hye
authors.initials: KH
authors.lastname: Park
mesh_terms: D003142:Communication; D003657:Decision Making; D004636:Emergency Service, Hospital / Q000458:organization & administration; D005239:Fear; D006801:Humans; D017060:Patient Satisfaction; D010817:Physician-Patient Relations
keywords: communication; emergency department; emergency physician