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Related Experiment Videos

Strengthening patient-provider relationships.

Connie Rasmussen Wilkinson1, Marjory Williams

  • 1Southern Arizona Veterans Affairs Health Care System, Tucson 84723, USA. Connie.Wilkinson@med.VA.GOV

Lippincott'S Case Management : Managing the Process of Patient Care
|June 6, 2002
PubMed
Summary

A patient guidebook did not significantly improve perceptions of primary care visit effectiveness for veterans. However, it increased uptake of preventive health services like vaccinations and cancer screenings.

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Area of Science:

  • Health Services Research
  • Patient Engagement
  • Preventive Care

Background:

  • The Veterans Health Administration (VHA) aims to enhance shared decision-making between healthcare providers and patients.
  • Patient participation in healthcare visits is crucial for effective care delivery.
  • A patient appointment guidebook was developed to support patient involvement in healthcare encounters.

Purpose of the Study:

  • To investigate the impact of a patient appointment guidebook on patient perceptions of primary care visit effectiveness.
  • To assess whether the guidebook influences patient participation in healthcare decision-making.
  • To evaluate the guidebook's effect on the utilization of preventive health services.

Main Methods:

  • A randomized controlled trial involving 277 patients was conducted.

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  • Patients were assigned to either an intervention group (guidebook + reminder) or a control group (reminder only).
  • Patient perceptions of visit effectiveness were measured via questionnaire; preventive service uptake was also recorded.

    • Main Results:

    • No significant differences were found in patient perceptions of primary care visit effectiveness between the groups.
    • The intervention group showed significantly higher rates of influenza vaccination, pneumococcal vaccination, and cancer screenings.
    • Positive comments about the guidebook were provided by 37% of the intervention group, versus 7% negative comments.

    Conclusions:

    • While the guidebook did not enhance perceived visit effectiveness, it positively influenced the uptake of crucial preventive health interventions among veterans.
    • The guidebook may assist veterans in preparing for appointments, though further research is needed.
    • High baseline patient satisfaction may have influenced the lack of significant differences in perceived visit effectiveness.