TITLE

Patient Expectations from Consultation with Family Physician

AUTHOR(S)
Tähepőld, Heli; Van den Brink-Muinen, Atie; Maaroos, Heidi-Ingrid
PUB. DATE
February 2006
SOURCE
Croatian Medical Journal;2006, Vol. 47 Issue 1, p148
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Aim To assess patient expectations from a consultation with a family physician and determine the level and area of patient involvement in the communication process. Method We videotaped 403 consecutive patient-physician consultations in the offices of 27 Estonian family physicians. All videotaped patients completed a questionnaire about their expectations before and after the consultation. Patient assessment of expected and obtained psychosocial support and biomedical information during the consultation with physician were compared. Two investigators independently assessed patient involvement in the consultation process on the basis of videotaped consultations, using a 5-point scale. Results Receiving an explanation of biomedical information and discussing psychosocial aspects was assessed as important by 57.4-66.8% and 17.8-36.1% patients, respectively. The physicians did not meet patient expectations in the case of three biomedical aspects of consultation: cause of symptoms, severity of symptoms, and test results. Younger patients evaluated the importance of discussing psychological problems higher than older patients. The involvement of the patients was high in the problem defining process, in the physicians' overall responsiveness to the patients, and in their picking up of the patient's cues. The patients were involved less in the decision making process. Conclusion Discussing biomedical issues was more important for the patients than discussing psychological issues. The patients wanted to hear more about the cause and seriousness of their symptoms and about test results. The family physicians provided more psychosocial care than the patients had expected. Considering high patient involvement in the consultation process and the overall responsiveness of the family physicians to the patients during the consultation, Estonian physicians provide patient-centered consultations.
ACCESSION #
20026142

 

Related Articles

  • your first Flatterer patient. Wynne-Jones, Melanie // Pulse;1/22/2005, Vol. 65 Issue 3, p58 

    Focuses on the importance of the recognizing a grateful patients from a manipulative flatterer patient during a consultation. Responsibiliy of patient on an adult-adult basis; Significance of recognizing the role of parent in order to detect the patient's possible modus operandi with other...

  • Consider fee for service approach. Phipps, Gaeline // New Zealand Doctor;7/16/2008, p20 

    The article offers tips on how clinicians can properly compensate themselves for the time they spent on talking to their patients. When a patient asks to discuss the materials he or she got from the Internet, a practitioner can either go through the material with the patient or make further...

  • Do you give patients what they ask for?  // Contemporary OB/GYN;Oct2003, Vol. 48 Issue 10, p24 

    Discusses research being done on direct request made by patients for certain clinical services. Reference to a study published in the July 28, 2003 issue of the "Archives of Internal Medicine"; Reaction of physicians to patients' request; Findings of the study.

  • Patient Communication: Getting what you need. Weiss, Gail Garfinkel // Medical Economics;10/6/2006, Vol. 83 Issue 19, p34 

    The article offers information for doctors on how to handle physician-patient communication during consultations and medical examinations. The first impressions of the patients have a great impact which can foster or impede the connection, thus, all clinic staff should make them feel...

  • Telephone consultation. Jamir, Tanvil // Pulse;5/5/2003, Vol. 63 Issue 18, p70 

    Provides tips for telephone consultation between patients and physicians. Rules to follow to ensure the efficiency of telephone consultation; Advantages and disadvantages of telephone consultation; Benefits to patients.

  • The Doctor Is OUT. Adams, Tonya // Heart & Soul;Nov2002, Vol. 9 Issue 9, p86 

    Provides the views of physicians and patients about the type of treatment delivered from a routine visit. Performance of patient interview regarding of health history; Testing for age-specific disorders; Inclusion of a complete ocular test in vision test.

  • Office visit. Lipman, Marvin M. // Consumer Reports on Health;Apr99, Vol. 11 Issue 4, p11 

    Advises patients on what to tell their doctors during an office visit. Includes discussion of major complaint; Presentation of problems in a focused manner; List of drugs taken; Names of dietary supplements takes.

  • Doctor, can we talk?  // Consumer Reports on Health;Jul2001, Vol. 13 Issue 7, p8 

    Discusses ways to develop a good relationship with a new physician. Patient's responsibility for supplying crucial background information; Preparation of a list of questions and concerns in advance; Importance of the efficient transfer of medical records; Asking for and giving feedback. INSET:...

  • 7 ways to take charge of your health. M.E.S. // Shape;Jul2002, Vol. 21 Issue 11, p74 

    Presents several approaches of patients toward their physicians. Preparation of questions and a journal of symptoms; Support from a friend on the inquiry of medical information; Advantage of conversation with nurse and assistants.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics