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Improving patient-doctor concordance: an intervention study in general practice
1Department of Public Health and Community Medicine, University of Melbourne, Carlton, Victoria, Australia.
Family Practice
|October 1, 1996
Summary
Providing doctors with feedback on patient-doctor concordance (PDC) significantly improved agreement on health problems and treatments. This intervention enhances patient-doctor communication, making PDC a valuable metric for effective care.
Area of Science:
- Primary Care Medicine
- Health Communication
- Health Services Research
Background:
- Effective patient-doctor communication is crucial for quality healthcare.
- Patient-doctor concordance (PDC) measures agreement on health issues and treatments.
- Improving PDC can enhance patient satisfaction and health outcomes.
Purpose of the Study:
- To evaluate the impact of providing feedback to doctors on patient-doctor concordance (PDC).
- To assess whether this feedback improves agreement on health problems and treatments.
- To explore the role of PDC as an indicator of effective communication.
Main Methods:
- A pre- and post-intervention study was conducted in a hospital-based primary care service.
- Doctors received a summary of existing PDC and were surveyed for feedback.
- Patient questionnaires collected data on complaints, health problems, treatments, expectations, and satisfaction.
Main Results:
- Post-intervention, PDC on health problems significantly improved from 31% to 63% (P=0.001).
- PDC at the body system level increased from 65% to 79% (P=0.02).
- PDC on treatments received also showed significant improvement (P=0.003).
Conclusions:
- Feedback on existing PDC levels is an effective intervention to improve patient-doctor communication.
- PDC is a practical and relevant indicator of effective patient-doctor communication.
- PDC should be routinely examined and reported in health studies.