A multicenter study of physician mindfulness and health care quality
| Autor: | Beach, MC, Roter, D, Korthuis, PT, Epstein, RM, Sharp, V, Ratanawongsa, N, Cohn, J, Eggly, S, Sankar, A, Moore, RD, Saha, S |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Time Factors mindfulness Office Visits HIV Infections Medical and Health Sciences patient-physician communication Physicians General & Internal Medicine Humans Nurse Practitioners Quality of Health Care Physician-Patient Relations Communication HIV acquired immunodeficiency syndrome Middle Aged Cross-Sectional Studies Physician Assistants Studies in Human Society Patient Satisfaction Tape Recording Female Self Report patient-physician relations |
| Zdroj: | Annals of family medicine, vol 11, iss 5 Beach, MC; Roter, D; Korthuis, PT; Epstein, RM; Sharp, V; Ratanawongsa, N; et al.(2013). A multicenter study of physician mindfulness and health care quality. Annals of Family Medicine, 11(5), 421-428. doi: 10.1370/afm.1507. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/70x3r2xc |
| DOI: | 10.1370/afm.1507. |
| Popis: | Purpose Mindfulness (ie, purposeful and nonjudgmental attentiveness to one's own experience, thoughts, and feelings) is associated with physician well-being. We sought to assess whether clinician self-rated mindfulness is associated with the quality of patient care. Methods We conducted an observational study of 45 clinicians (34 physicians, 8 nurse practitioners, and 3 physician assistants) caring for patients infected with the human immunodeficiency virus (HIV) who completed the Mindful Attention Awareness Scale and 437 HIV-infected patients at 4 HIV specialty clinic sites across the United States. We measured patient-clinician communication quality with audio-recorded encounters coded using the Roter Interaction Analysis System (RIAS) and patient ratings of care. Results: In adjusted analyses comparing clinicians with highest and lowest tertile mindfulness scores, patient visits with high-mindfulness clinicians were more likely to be characterized by a patient-centered pattern of communication (adjusted odds ratio of a patient-centered visit was 4.14; 95% CI, 1.58-10.86), in which both patients and clinicians engaged in more rapport building and discussion of psychosocial issues. Clinicians with high-mindfulness scores also displayed more positive emotional tone with patients (adjusted β = 1.17; 95% CI, 0.46- 1.9). Patients were more likely to give high ratings on clinician communication (adjusted prevalence ratio [APR] = 1.48; 95% CI, 1.17-1.86) and to report high overall satisfaction (APR = 1.45; 95 CI, 1.15-1.84) with high-mindfulness clinicians. There was no association between clinician mindfulness and the amount of conversation about biomedical issues. Conclusions: Clinicians rating themselves as more mindful engage in more patient-centered communication and have more satisfied patients. Interventions should determine whether improving clinician mindfulness can also improve patient health outcomes. |
| Databáze: | OpenAIRE |
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