The Establishing Focus protocol: Training for collaborative agenda setting and time management in the medical interview.

LB Mauksch, L Hillenburg, L Robins - Families, Systems, & Health, 2001 - psycnet.apa.org
LB Mauksch, L Hillenburg, L Robins
Families, Systems, & Health, 2001psycnet.apa.org
Time management concerns may inhibit primary care physicians from regularly eliciting a
complete list of patient concerns. An educational intervention integrating time management
skills with full elicitation of patient concerns to reach mutual agreement on the interview
focus was piloted and evaluated. Ten family medicine residents and 7 faculty were randomly
assigned to control and experimental (EF) groups. EF physicians read the protocol and
watched an educational video. Data came from 162 patient encounters. The results showed …
Abstract
Time management concerns may inhibit primary care physicians from regularly eliciting a complete list of patient concerns. An educational intervention integrating time management skills with full elicitation of patient concerns to reach mutual agreement on the interview focus was piloted and evaluated. Ten family medicine residents and 7 faculty were randomly assigned to control and experimental (EF) groups. EF physicians read the protocol and watched an educational video. Data came from 162 patient encounters. The results showed that EF physicians charted more problems and more follow-up requests but did not use more of their appointment times. EF providers rated their patients as more satisfied and were as satisfied as controls. Patients of EF providers were more satisfied, perceived more complete problem elicitation and collaborative prioritization. These promising pilot data indicate a need to do an expanded study of the EF protocol. Ideas for research and training are discussed.(PsycINFO Database Record (c) 2016 APA, all rights reserved)
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