Naama Neeman|Thomas Isaac|Suzanne G. Leveille|Clementina DiMonda|Jacob Y. Shin|Mark D. Aronson|Steven D. Freedman
Improving doctor-patient communication in the outpatient setting using a facilitation tool: a preliminary study
University of California, San Francisco|Beth Israel Deaconess Medical Center|Harvard University|Beth Israel Deaconess Medical Center|Harvard University|Beth Israel Deaconess Medical Center|Harvard University|Beth Israel Deaconess Medical Center|Harvard University|Harvard University|Beth Israel Deaconess Medical Center|Harvard University|Beth Israel Deaconess Medical Center
patients often fully understand medical information discussed office visits result lack adherence recommended treatment plans poorer health outcomes developed implemented program utilizing encounter form provides structure medical interaction facilitates bidirectional communication informed decisionmaking conducted prospective quality improvement intervention large tertiarycare academic medical center utilizing encounter form studied effect patient satisfaction understanding confidence communicating physicians intervention included 108 patients seen seven physicians five subspecialties ninetyeight percent patients extremely satisfied 77 somewhat satisfied 21 program ninetysix percent patients reported involved decisions care treatments well high levels understanding medical information discussed visit sixtynine percent patients reported shared encounter form families friends patients selfconfidence communicating doctors increased score 81 87 postintervention pvalue 00018 comparing pre postintervention experiences 38 patients felt problems questions adequately addressed physicians preintervention compared 94 postintervention introduced program enhance physicianpatient communication found patients highly satisfied informed actively involved care approach may easily generalizable approach improving physicianpatient communication outpatient visits