Implementing the H&P 360 in Three Medical Institutions: Usability Study.

Area of Science:

• Medical Education
• Clinical Practice
• Health Equity

Background:

• Traditional History and Physical (H&P) may miss crucial behavioral and social risk factors.
• The H&P 360, developed by the American Medical Association, enhances information gathering and patient rapport.
• It guides students through 7 domains, including psychosocial factors and social determinants of health.

Purpose of the Study:

• To evaluate the perceived usability of the H&P 360 tool in real-world clinical settings.
• To assess the tool's impact on student learning and patient care perception.

Main Methods:

• The H&P 360 was implemented across 3 institutions with 207 student participants.
• A survey with Likert-type and free-text items was administered 3-8 months post-implementation.
• Usability, impact on patient care, and student learning were assessed.

Main Results:

• A 29.5% response rate (61 students) was achieved.
• High mean usability ratings (4.03-4.24) were reported across all students.
• Students perceived the H&P 360 as valuable for a comprehensive patient understanding and supported its usability.

Conclusions:

• The H&P 360 demonstrates potential for improving information gathering, especially for chronic disease management and social drivers of health.
• The tool shows clinical usability for identifying and addressing health inequities.
• Further research is recommended to evaluate its impact on patient care and outcomes.