Improving patient-centered communication: Results of a randomized controlled trial
| Autor: | Carmen Weiss, Wolf Langewitz, Barbara Maatouk-Bürmann, Jobst-Hendrik Schultz, Nadja Ringel, Jana Jünger, Urs Riemann, Andreas Möltner, Jochen Spang |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Program evaluation
education law.invention 03 medical and health sciences 0302 clinical medicine Patient satisfaction Nursing Randomized controlled trial law Patient-Centered Care Physicians Medicine Humans 030212 general & internal medicine Patient participation Quality of Health Care Physician-Patient Relations business.industry Communication General Medicine Therapeutic relationship Patient Simulation Outcome and Process Assessment Health Care Education Medical Graduate Patient Satisfaction 030220 oncology & carcinogenesis Needs assessment Doctor–patient relationship Education Medical Continuing Female Faculty development Patient Participation business Program Evaluation |
| Zdroj: | Patient education and counseling. 99(1) |
| ISSN: | 1873-5134 |
| Popis: | Objective Patient-centered communication is a key element for improving the quality of care in terms of therapeutic relationship, patient participation, and treatment process. Postgraduate trainings provide an essential way of promoting patient centeredness on the job where learning opportunities are often limited by time, patient volume, and economic pressure. In the present study, changes in patient centeredness during clinical routines of postgraduate physicians (internal medicine) after a three-day communication training were assessed. Methods A randomized controlled trial was conducted in a primary care clinic. The intervention consisted of a communication training that aimed to enhance patient centeredness in postgraduate physicians. The training was based on a need assessment and the principles of deliberate practice. Workplace-based assessment of physicians' communication behavior was obtained using the Roter Interaction Analysis System. Results Three months after the intervention, trained physicians showed significantly increased patient centeredness ( F =5.36, p =.04; d =0.42). Conclusion The communication training significantly improved patient centeredness during routine clinical practice. Thus, this training provides a structured and theory-based concept to foster patient centeredness. Practice implications The results support the implementation of communication trainings as a part of faculty development and medical specialization training. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect