Developing a new line of patter: can doctors change their consultations for sore throat?
BACKGROUND AND OBJECTIVES: Doctors report pressure from peers to reduce prescribing of antibiotics for minor respiratory illnesses, and from patients to do the opposite. It has been suggested that doctors adopt a more patient-centred consulting style in order to encourage patient satisfaction and s...
| Main Authors: | , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2002
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| _version_ | 1797061012799619072 |
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| author | Rollnick, S Seale, C Kinnersley, P Rees, M Butler, C Hood, K |
| author_facet | Rollnick, S Seale, C Kinnersley, P Rees, M Butler, C Hood, K |
| author_sort | Rollnick, S |
| collection | OXFORD |
| description | BACKGROUND AND OBJECTIVES: Doctors report pressure from peers to reduce prescribing of antibiotics for minor respiratory illnesses, and from patients to do the opposite. It has been suggested that doctors adopt a more patient-centred consulting style in order to encourage patient satisfaction and shared decision-making. No evidence exists that such changes are achievable. We developed a new, on-site method for training postgraduates and used this for teaching patient-centred intervention. Here, we examine whether this training method is associated with changes in consulting patterns in consultations for sore throat with children, among doctors from a single group practice. METHODS: Audiotaped consultations (simulated and real) conducted before and after training were analysed and interviews were carried out with participants about the impact of training. SETTING: A general practice in South Wales. PARTICIPANTS: Four general practitioners who consulted with 25 real and simulated patients participated in the study. MAIN OUTCOME MEASURES: Four patient-centred skills used by doctors and 2 patient behaviours measured before and after training were identified. RESULTS: Three out of 4 practitioners produced clear evidence of changes in patient-centred consulting skills. These changes were evident in simulated and real consultations 2 and 4 weeks later, respectively. Prior to training the doctors produced only five examples of patient-centred skills in 10 consultations. After training they produced 39 examples in 15 consultations. CONCLUSIONS: Evidence from both consultations and interviews indicated that the intervention and training were well received and had been put into practice. |
| first_indexed | 2024-03-06T20:25:01Z |
| format | Journal article |
| id | oxford-uuid:2f1b84c7-5f28-4950-9c7f-8bd0ea434ef5 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T20:25:01Z |
| publishDate | 2002 |
| record_format | dspace |
| spelling | oxford-uuid:2f1b84c7-5f28-4950-9c7f-8bd0ea434ef52022-03-26T12:53:14ZDeveloping a new line of patter: can doctors change their consultations for sore throat?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2f1b84c7-5f28-4950-9c7f-8bd0ea434ef5EnglishSymplectic Elements at Oxford2002Rollnick, SSeale, CKinnersley, PRees, MButler, CHood, K BACKGROUND AND OBJECTIVES: Doctors report pressure from peers to reduce prescribing of antibiotics for minor respiratory illnesses, and from patients to do the opposite. It has been suggested that doctors adopt a more patient-centred consulting style in order to encourage patient satisfaction and shared decision-making. No evidence exists that such changes are achievable. We developed a new, on-site method for training postgraduates and used this for teaching patient-centred intervention. Here, we examine whether this training method is associated with changes in consulting patterns in consultations for sore throat with children, among doctors from a single group practice. METHODS: Audiotaped consultations (simulated and real) conducted before and after training were analysed and interviews were carried out with participants about the impact of training. SETTING: A general practice in South Wales. PARTICIPANTS: Four general practitioners who consulted with 25 real and simulated patients participated in the study. MAIN OUTCOME MEASURES: Four patient-centred skills used by doctors and 2 patient behaviours measured before and after training were identified. RESULTS: Three out of 4 practitioners produced clear evidence of changes in patient-centred consulting skills. These changes were evident in simulated and real consultations 2 and 4 weeks later, respectively. Prior to training the doctors produced only five examples of patient-centred skills in 10 consultations. After training they produced 39 examples in 15 consultations. CONCLUSIONS: Evidence from both consultations and interviews indicated that the intervention and training were well received and had been put into practice. |
| spellingShingle | Rollnick, S Seale, C Kinnersley, P Rees, M Butler, C Hood, K Developing a new line of patter: can doctors change their consultations for sore throat? |
| title | Developing a new line of patter: can doctors change their consultations for sore throat? |
| title_full | Developing a new line of patter: can doctors change their consultations for sore throat? |
| title_fullStr | Developing a new line of patter: can doctors change their consultations for sore throat? |
| title_full_unstemmed | Developing a new line of patter: can doctors change their consultations for sore throat? |
| title_short | Developing a new line of patter: can doctors change their consultations for sore throat? |
| title_sort | developing a new line of patter can doctors change their consultations for sore throat |
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