Physician-Patient Communication Project

医患沟通项目

基本信息

批准号：
8290076
负责人：
DERJUNG M TARN
金额：
$ 57.18万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-06-01 至 2014-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8290076
关键词：
Acculturation Address Adverse effects Affect American Attitude Behavior Caring Code Communication Complementary and alternative medicine Data Data Collection Development Diagnostic Disclosure Disease Management Effectiveness Ensure Frequencies Future Goals Health Health Personnel Herb-Drug Interactions Institute of Medicine (U.S.)Intention Intervention Interview Judgment Kidney Knowledge Language Liver Maintenance Measures Medical Medicine Minerals Office Visits Operative Surgical Procedures Outcome Outpatients Patient Care Patient Education Patients Perception Pharmaceutical Preparations Physician-Patient Relations Physicians Primary Care Physician Primary Health Care Process Provider Public Health Qualitative Methods Recommendation Recruitment Activity Regimen Reporting Research Risk Surveys Time Treatment Protocols United States Visit Vitamins Work compliance behavior conventional therapy dietary supplements effective therapy impression improved neglect patient population patient safety satisfaction treatment planning

项目摘要

DESCRIPTION (provided by applicant): Provider-patient communication is central to patient care. The manner in which diagnostic and treatment decisions are discussed may influence patient adherence to provider recommendations, and in turn, patient health outcomes. Studies have shown that patients who receive more information during an office visit are more satisfied with their care, recall more information, and are more adherent to treatment plans. Those who participate more when they interact with their providers have better health outcomes. However, a significant obstacle to the amount of information provided is the limited amount of time providers have for office visits, during which they must perform health maintenance and disease management tasks, address patient concerns, and provide patient education about patient medical conditions and treatments. Efficient yet effective communication is needed to navigate these visits, but optimal communication strategies for dealing with multiple competing demands during outpatient visits have not been well explored. The overall objective of this study is to identify effective and efficient provider-patient communication strategies during primary care outpatient visits. Qualitative analysis of existing audio recordings will be used to develop a coding system describing efficient and effective provider and patient communication. This analysis will inform the development of a measure of communication efficiency and effectiveness. Subsequently, primary care physicians and their patients will be recruited for the study, and have their office visits audio taped. Patients and providers will complete surveys to assess the relationship of their attitudes and values, and the physician-patient relationship on communication efficiency and effectiveness. The study also will explore the relationship between communication efficiency on patient intention to adhere to treatment recommendations, and patient and provider satisfaction with the visit. A subset of patients and providers will be interviewed concerning their impressions of the visit communication, and their understanding of what transpired during the visit. Findings will be used to develop physician- and patient-targeted interventions to promote efficient, effective communication during office visits that maximize patient understanding and satisfaction.

描述（由申请人提供）：提供者与患者的沟通是患者护理的核心。讨论诊断和治疗决策的方式可能会影响患者对提供者建议的遵守，进而影响患者的健康结果。研究表明，在就诊期间获得更多信息的患者对他们的护理更加满意，回忆起更多信息，并且更遵守治疗计划。那些在与提供者互动时更多地参与的人会获得更好的健康结果。然而，提供信息量的一个重大障碍是提供者进行办公室访问的时间有限，在此期间他们必须执行健康维护和疾病管理任务，解决患者的担忧，并向患者提供有关患者医疗状况和治疗的教育。需要高效而有效的沟通来引导这些就诊，但尚未充分探索在门诊就诊期间处理多种竞争需求的最佳沟通策略。本研究的总体目标是确定初级保健门诊患者就诊期间有效且高效的提供者与患者之间的沟通策略。对现有录音的定性分析将用于开发描述高效且有效的提供者和患者沟通的编码系统。该分析将为制定沟通效率和有效性的衡量标准提供信息。随后，初级保健医生及其患者将被招募参加该研究，并对他们的办公室就诊进行录音。患者和提供者将完成调查，以评估他们的态度和价值观的关系，以及医患关系在沟通效率和有效性方面的关系。该研究还将探讨沟通效率与患者遵守治疗建议的意愿以及患者和提供者对就诊满意度之间的关系。将采访一部分患者和提供者，了解他们对访问交流的印象以及他们对访问期间发生的事情的理解。研究结果将用于制定针对医生和患者的干预措施，以促进就诊期间高效、有效的沟通，从而最大限度地提高患者的理解和满意度。