TITLE

Does dictating the letter to the GP in front of a follow-up patient improve satisfaction with the consult? A randomised controlled trial

AUTHOR(S)
Ahmed, Jahangir; Roy, Amit; Abed, Tarik; Kotecha, Bhik
PUB. DATE
April 2010
SOURCE
European Archives of Oto-Rhino-Laryngology;Apr2010, Vol. 267 Issue 4, p619
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Various studies have shown that receiving a copy of the letter to the General Practitioner (GP) improves patient satisfaction with the consult. We aimed to establish whether dictating the letter to the GP in front of a listening patient does likewise. Follow-up patients have shorter allotted consultation times. This may contribute to dissatisfaction, hence the choice of our target group. One hundred consecutive follow-up patients who met the eligibility criteria were randomised to listen to the GP letter or not. Immediately after the consult, they were asked to fill in a questionnaire which, in addition to enquiring about various aspects of the consult asked them to quantify their overall satisfaction by means of a ten-point graded visual analogue score. Forty-nine patients received dictation. The mean age and sex distribution of the two groups were matched. The median overall satisfaction in the dictation and non-dictation groups were ten and eight, respectively, this was statistically significant. There was no significant difference between patients’ rating of whether the consult had addressed their ailment adequately, explanation(s) given or the length of consult. Sixty-one percent of patients in the non-dictation group would like to have listened to the dictation, whilst all patients in the dictation group found it useful. This study is the first of its kind in the ENT population. Dictating a letter to the GP in front of a listening patient led to a statistically significant improvement in satisfaction independent of possible confounding aspects of the consult.
ACCESSION #
48156731

 

Related Articles

  • Independent Nurse: Opinion - Emma Bower - NPs bring distinct skills to consultations. Bower, Emma // GP: General Practitioner;12/9/2005, p96 

    This article focuses on a study comparing nurse practitioner (NP) and GP consultations published in this month's "British Journal of General Practice." The study found that NPs spend twice as long discussing treatments and are more likely to address social and emotional issues than GPs. The...

  • 'Do asthma reviews by phone'  // Pulse;1/29/2005, Vol. 65 Issue 4, p14 

    Reports on the benefits gained by general practitioners in carrying out asthma consultations through telephone in Great Britain. Possibility for physicians to meet quality targets for reviewing their patients annually; Performance of cost analysis on telephone consultation; Expression of patient...

  • High Satisfaction with an Individualised Stroke Care Programme after Hospitalisation of Patients with a TIA or Minor Stroke: A Pilot Study. Arts, Mark L. J.; Kwa, Vincent I. H.; Dahmen, Rutger // Cerebrovascular Diseases;Jun2008, Vol. 25 Issue 6, p566 

    Background: Many hospitalised patients with a transient ischaemic attack (TIA) or minor stroke develop subtle cognitive disorders and emotional problems a few weeks after discharge, and are dissatisfied with the care they have received, even with specialised stroke care programmes. Therefore, an...

  • Using Consumer Perceptions and a Contingency Approach to Improve Health Care Delivery. Friedman, Margaret L.; Churchill Jr., Gilbert A. // Journal of Consumer Research;Mar87, Vol. 13 Issue 4, p492 

    This study investigates insights provided influence research might enhance physician effectiveness in patient encounters. Specifically, this article considers how to use of social power behaviors, which are particularly relevant to the maximum effectiveness, as judged by patients. We hypothesize...

  • Developing and evaluating interventions for primary care- a focus on consultations in general practice. Jiwa M; O'Shea C; McKinley RK; Mitchell G; Girgis A; Sibritt D; Burridge L; Smith, Marthe; Chan She Ping Delfos W; Halkett G // Australasian Medical Journal;Jul2010, Vol. 3 Issue 7, p3 

    The deployment of decision support aids, electronic referral tools or other novel processes to improve diagnostic or therapeutic performance may also disrupt the flow of the consultation in general practice. Therefore 'innovations' or interventions that may result in changes to the structure of...

  • Let's give a little for our common purpose. Pollard, Tom // British Journal of Community Nursing;Aug2002, Vol. 7 Issue 8, p392 

    Editorial. Comments on the participation of general practitioners (GP) during the clinical trials. Accounts on the offering of payments to participants in clinical trials; Factors influencing the decision of GP to participate in surveys; Impact of the payments on the occurrence of response bias.

  • GPs urged to talk before removing.  // Pulse;6/30/2003, Vol. 63 Issue 26, p4 

    Reports on the efforts of the Health Service Ombudsman to urge general practitioners to give patients proper consultation before removing them of the in-patient service list in Great Britain.

  • Phone consultations 'well liked but may be less safe'.  // Pulse;5/12/2010, Vol. 70 Issue 16, p11 

    The article reports that telephonic consultation is preferred by general practitioner and patients but was found unsafe compared to direct consultation, according to researchers from Scotland.

  • Fit notes 'increase GP workload'. Iacobucci, Gareth // Pulse;4/13/2011, Vol. 71 Issue 13, p12 

    The article discusses the study which shows that general practitioners send more people back to work after the introduction of fit notes but the new system is believed to prolong the consultation times in Great Britain.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

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

Try another library?
Sign out of this library

Other Topics