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Related Experiment Videos

Changing family physicians' visit structuring behavior: a pilot study.

Leonard J Haas1, John Houchins, Jennifer Paul Leiser

  • 1Department of Family and Preventive Medicine, University of Utah, Salt Lake City 84132, USA. Leonard.Haas@hsc.utah.edu

Family Medicine
|November 7, 2003
PubMed
Summary
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A brief workshop improved how family physicians structure medical visits, leading to more patient concerns being addressed and higher physician satisfaction. This enhanced patient-centered communication in family medicine.

Area of Science:

  • Medical Education
  • Family Medicine
  • Communication in Healthcare

Background:

  • Effective patient-physician communication is crucial for quality healthcare.
  • Structuring medical visits to elicit patient agendas can improve satisfaction and care.
  • Physician training may enhance visit-structuring behaviors.

Purpose of the Study:

  • To evaluate the impact of a brief workshop on family physicians' visit-structuring skills.
  • To assess the relationship between visit-structuring behaviors and patient concerns/satisfaction.
  • To determine if physician training can modify agenda-setting and negotiation.

Main Methods:

  • Analysis of 65 audiotaped family physician-patient visits (36 pre-workshop, 29 post-workshop).
  • Inclusion of three experienced family physicians.

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  • Collection of patient and physician satisfaction ratings via questionnaires.
  • Main Results:

    • Explicit elicitation of patient concerns increased from 64% to 90% post-workshop.
    • Agenda setting improved from 14% to 52%, and agenda negotiation from 0% to 38%.
    • Physician satisfaction with visits significantly increased after the workshop.

    Conclusions:

    • A concise continuing medical education intervention effectively enhanced family physicians' ability to structure outpatient visits.
    • Improved visit structuring correlates with better patient concern acknowledgment and physician satisfaction.
    • Targeted training can positively impact physician communication strategies.