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[Additional question ("is there anything else...?") in primary health care]
C Peláez Fernández1, M I Fernández Rodríguez, P Suárez Gil
1Centro de Salud de Natahoyo (Gijón), Unidad Docente de Medicina de Familia y Comunitaria de Asturias.
Atencion Primaria
|January 1, 1996
Summary
Asking patients "Was there anything else?" may increase additional requests during general medicine appointments. This simple intervention, along with patient demographics and consultation reason, significantly influences patient-reported needs.
Area of Science:
- General Medicine
- Health Services Research
- Patient Communication
Background:
- Effective patient communication is crucial in general medicine to address all patient concerns.
- Understanding factors influencing additional patient requests can improve consultation efficiency and patient satisfaction.
Purpose of the Study:
- To evaluate the impact of the question "Was there anything else?" on eliciting additional patient requests in general medicine clinics.
- To identify variables associated with patients raising new issues at the end of a consultation.
Main Methods:
- A quasi-experimental design was employed in two urban general medicine clinics over two months.
- Patients were divided into an intervention group (asked "Was there anything else?") and a control group (not asked).
- Data on patient demographics, consultation reason, and additional requests were collected and analyzed using bivariant and multiple logistic regression.
Main Results:
- A total of 2,657 patient attendances were analyzed.
- The intervention (asking "Was there anything else?") was a significant predictor of additional requests.
- Other significant predictors included patient list, age, gender, and reason for consultation (pathology/bureaucratic).
Conclusions:
- The simple act of asking "Was there anything else?" can prompt patients to voice additional concerns during general medicine visits.
- While this intervention may increase the identification of patient needs, its effect on overall consultation organization requires further investigation.
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