Document Detail


The Effect of Patient Feedback on Physicians' Consultation Skills: A Systematic Review.
MedLine Citation:
PMID:  21952067     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: The effect of patient feedback interventions as a method of improving physicians' consultation (i.e., communication, interpersonal) skills is equivocal; research is scarce, and methods and rigor vary. The authors conducted this systematic review to analyze the educational effect of feedback from real patients on physicians' consultation skills at the four Kirkpatrick levels. METHOD: The authors searched five databases (PubMed, EMBASE, Cochrane, PsycInfo, ERIC; April 2010). They included empirical studies of all designs (randomized controlled, quasi-experimental, cross-sectional, and qualitative) if the studies concerned physicians in general health care who received formal feedback regarding their consultation skills from real patients. The authors have briefly described aspects of the included studies, analyzed their quality, and examined their results by Kirkpatrick educational effect level. RESULTS: The authors identified 15 studies (10 studies in primary care; 5 in other specialties) in which physicians received feedback in various ways (e.g., aggregated patient reports or educator-mediated coaching sessions), conducted in the United States, the Netherlands, the United Kingdom, Australia, and Canada. All studies that assessed level 1 (valuation), level 2 (learning), and level 3 (intended behavior) demonstrated positive results; however, only four of the seven studies that assessed level 4 (change in actual performance or results) found a beneficial effect. CONCLUSIONS: Some evidence for the effectiveness of using feedback from real patients to improve knowledge and behavior exists; however, before implementing patient feedback into training programs, educators and policy makers should realize that the evidence for effecting actual improvement in physicians' consulting skills is rather limited.
Authors:
Marcel E Reinders; Bridget L Ryan; Annette H Blankenstein; Henriëtte E van der Horst; Moira A Stewart; Harm W J van Marwijk
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-26
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  -     ISSN:  1938-808X     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Dr. Reinders is family physician, epidemiologist, and postdoctoral fellow, EMGO (Extramuraal Geneeskundig Onderzoek) Institute of Health and Care Research, Department of General Practice, VU (Vrije Universiteit) University Medical Center, Amsterdam, The Netherlands. Dr. Ryan is postdoctoral fellow, Centre for Studies in Family Medicine, University of Western Ontario, London, Ontario, Canada. Dr. Blankenstein is family physician and senior researcher, EMGO (Extramuraal Geneeskundig Onderzoek) Institute of Health and Care Research, Department of General Practice, VU (Vrije Universiteit) University Medical Center, Amsterdam, The Netherlands. Professor van der Horst is family physician and head, Department of General Practice, EMGO (Extramuraal Geneeskundig Onderzoek) Institute of Health and Care Research, VU (Vrije Universiteit) University Medical Center, Amsterdam, The Netherlands. Professor Stewart is director, Centre for Studies in Family Medicine, University of Western Ontario, London, Ontario, Canada. Dr. van Marwijk is family physician and associate professor, EMGO (Extramuraal Geneeskundig Onderzoek) Institute of Health and Care Research, Department of General Practice, VU (Vrije Universiteit) University Medical Center, Amsterdam, The Netherlands.
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