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Updated: Jul 13, 2026

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
What did the doctor say?
Summary
Patients often forget medical information. Providing written discharge letters significantly improves patient understanding and satisfaction, with minimal extra cost and workload.
Area of Science:
- Medical Communication
- Patient Information Delivery
- Healthcare Improvement
Background:
- Patients frequently forget or misinterpret clinical information provided by healthcare professionals.
- Written communication, such as doctor's letters, is recognized for enhancing patient satisfaction.
- National Health Service (NHS) initiatives recommend providing patients with copies of their medical correspondence.
Purpose of the Study:
- To evaluate patient satisfaction with receiving a copy of their discharge letter after day-case gynaecological surgery.
- To assess the helpfulness, informativeness, and emotional impact (reassuring, confusing, alarming) of these letters.
- To determine patient preference for future communication methods.
Main Methods:
- A postal questionnaire was distributed to 100 consecutive patients undergoing day-case gynaecological surgery.
- Patients were asked about their experience with the provided discharge letter and future communication preferences.
- A response rate of 78% was achieved, with 78 patients providing feedback.
Main Results:
- A significant majority (67 out of 78 respondents) found the discharge letter helpful and preferred this method for future communication.
- Most patients (62) reported the letter as reassuring.
- Only a small number of patients found the letter confusing (2) or alarming (1).
Conclusions:
- Providing patients with copies of their discharge letters is a well-received practice that enhances understanding and reassurance.
- This communication strategy is effective, minimally burdensome for clinicians, and cost-efficient.
- The findings support the wider implementation of patient-centered written communication in healthcare settings.
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