Document Detail


Recall-promoting physician behaviors in primary care.
MedLine Citation:
PMID:  18548316     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Effective treatments can be rendered useless by poor patient recall of treatment instructions. Studies suggest that patients forget a great deal of important information and that recall can be increased through recall-promoting behaviors (RPBs) like repetition or summarization. OBJECTIVE: To assess how frequently RPBs are used in primary care, and to reveal how they might be applied more effectively. DESIGN: Recordings of 49 unannounced standardized patient (SP) visits were obtained using hidden audiorecorders. All SPs presented with typical gastroesophageal reflux disease symptoms. Transcripts were coded for treatment recommendations and RPBs. PARTICIPANTS: Forty-nine primary care physicians. RESULTS: Of 1,140 RPBs, 53.7% were repetitions, 28.2% were communication of the rationale for a treatment, 11.7% were categorizations of treatments (i.e., stating that a treatment could be placed into a treatment category, such as medication-related or lifestyle-related categories), and 3.8% were emphasis of a recommendation's importance. Physicians varied substantially in their use of most RPBs, although no physicians summarized or asked patients to restate recommendations. The number of RPBs was positively correlated with visit length. CONCLUSIONS: Primary care physicians apply most RPBs inconsistently, do not utilize several RPBs that are particularly helpful, and may use RPBs inefficiently. Simple principles guiding RPB use may help physicians apply these communication tools more effectively.
Authors:
Jordan Silberman; Aleksey Tentler; Rajeev Ramgopal; Ronald M Epstein
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.     Date:  2008-06-12
Journal Detail:
Title:  Journal of general internal medicine     Volume:  23     ISSN:  1525-1497     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-18     Completed Date:  2008-11-25     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1487-90     Citation Subset:  IM    
Affiliation:
Rochester Center to Improve Communication in Health Care, University of Rochester Medical Center, Rochester, NY 14610, USA. jordan_silberman@urmc.rochester.edu
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MeSH Terms
Descriptor/Qualifier:
Humans
Mental Recall*
Office Visits
Patient Education as Topic / methods*
Patient Simulation
Physician-Patient Relations
Primary Health Care / methods*
Verbal Behavior*
Grant Support
ID/Acronym/Agency:
R01-HS1610-01A1/HS/AHRQ HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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