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Improving patient-centered care: agenda-setting in occupational medicine
Carol S Kuhle1, Frances Truitt, Mark Steffen
1Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Objective:
To improve patient satisfaction with care at an occupational medicine clinic by promoting agenda-setting before the visit.
Methods:
We distributed agenda-setting form to 77 randomly selected patients attending an occupational health clinic and used another randomly selected sample of 36 patients as control group. Patients completed a survey regarding the acceptability of this procedure and whether they felt clinicians addressed their important concerns.
Results:
Most patients found the form helpful (73%) and wanted it offered in future visits (74%). There was no statistically significant difference in terms of the proportion of patients expressing greatest satisfaction by answering, "strongly agree" (intervention [86%], control [97%]; odds ratio, 0.17; 95% confidence interval, 0.02 to 1.38; P = 0.06).
Conclusion:
Agenda-setting can improve patient experience before occupational visits but does not improve postvisit satisfaction.
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