The Hawthorne effect in direct observation research with physicians and patients
Autor: | Kurt C. Stange, Benjamin F. Crabtree, Stephen J. Zyzanski, Elaine A. Borawski, Meredith A. Goodwin, Susan A. Flocke |
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Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty Pediatrics Time Factors Office Visits Health Status Office visits Observation Medical Records Article Practice-based research network 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Humans Medicine 030212 general & internal medicine Medical History Taking Quality of Health Care Physician-Patient Relations business.industry 030503 health policy & services Health Policy Hawthorne effect Medical record Public Health Environmental and Occupational Health Direct observation Health services research Multiple data Socioeconomic Factors Family medicine Female Health Services Research Family Practice 0305 other medical science business |
Zdroj: | Journal of Evaluation in Clinical Practice. 23:1322-1328 |
ISSN: | 1365-2753 1356-1294 |
Popis: | Rationale, aims, and objectives This study examines the degree to which a “Hawthorne effect” alters outpatient-visit content. Methods Trained research nurses directly observed 4454 visits to 138 family physicians. Multiple data sources were used to examine the Hawthorne effect including differences in medical record documentation for observed visits and the prior visit by the same patient, time use during visits on the first versus the second observation day of each physician, and report by the patient, physician, and observer of the effect of observation. Results Visits on the first versus the second observation day were longer by an average of 1 minute (P |
Databáze: | OpenAIRE |
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