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Published on: August 1, 2019
The effect of a relationship-centered communication program on patient experience and provider wellness
Jonathan Altamirano1, Merisa Kline2, Rachel Schwartz2
1Office of Faculty Development and Diversity, Stanford University School of Medicine, Stanford, CA, USA.
Objectives:
Despite evidence of the central importance of communication to patient experience, health outcomes, and provider wellness, communication training for clinicians is not a standard part of clinical education. The study explores the impact of an 8-hour relationship-centered communication (RCC) training program on patient experience and provider wellness.
Methods:
636 healthcare providers participated in 48 workshops conducted January-August 2018. 481 (76%) agreed to participate in research. Participants completed a pre/post assessment that included a wellness survey, the Professional Fulfillment Index (PFI). We conducted chi-squared analyses comparing wellness data immediately prior to the course to 3 months following course participation. Patient experience, assessed using Press Ganey likelihood to recommend care provider (PG-LTR CP) scores, were examined prior to an individual's course participation and following participation up to September 2019.
Results:
104 participants completed the three-month PFI (22% response rate). Participants demonstrated marked improvements in professional wellness after 3 months. In bivariate analyses, PG-LTR CP significantly increased and persisted more than 7 months following program completion.
Conclusions:
The RCC training program, a low-cost communication intervention, led to significant, beneficial changes in provider wellness and patient experience.
Practice Implications:
Implementing a RCC course for providers may improve patient experience and provider wellness.
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