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Journal of General Internal Medicine

, Volume 33, Issue 4, pp 404–405 | Cite as

A Randomized Trial to Improve Communication between Patients and Providers in a Primary Care Walk-In Clinic

  • Jeffrey L. Jackson
Concise Research Reports

INTRODUCTION

Effective communication is essential to high-quality care.1 In a previous pre-post trial among 500 adults presenting to a primary care walk-in clinic with a physical symptom, we provided pre-visit feedback to providers on patients’ serious illness worry and visit expectations and the presence of any comorbid mental illness.2 Intervention patients had fewer unmet expectations and were less likely to be perceived as difficult by their physician. We found that unmet expectations were strong predictors of satisfaction,3,4 and worry correlated with psychiatric illness.5 The purpose of this trial was to replicate these findings using a more rigorous study design.

METHODS

We randomized adults presenting to a primary care walk-in clinic with a physical symptom (excluding upper respiratory illness, n = 187) to two groups: usual care versus providers who received pre-visit information on patient serious illness worry, patient expectations for the visit (testing, counseling,...

Notes

Funding

No funding was received for this project.

Compliance with Ethical Standards

Conflict of Interest

The author declares that he does not have a conflict of interest.

References

  1. 1.
    Stewart MA, McWhinney JR, Buck CW. The doctor/patient relationship and its effect upon outcomes. J R Coll Gen Pract. 1979;29:77–81.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Jackson, JL, Kroenke, K, Chamberlin J. Effects of physician awareness of symptom-related expectations and mental disorders. a controlled trial. Arch Fam Med. 1999;8(2):135–42.CrossRefPubMedGoogle Scholar
  3. 3.
    Jackson JL, Chamberlin J, Kroenke K. Predictors of satisfaction. Soc Sci Med. 2001;52(4):609–20.Google Scholar
  4. 4.
    Jackson, JL, O’Malley PG, Kroenke K. Clinical predictors of mental disorders among medical outpatients, validation of the S4 model. Psychosomatics. 1998;39:431–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Jackson JL, Kroenke K. The effect of unmet expectations among adults presenting with physical symptoms. Ann Intern Med. 2001;134:889–97CrossRefPubMedGoogle Scholar
  6. 6.
    Griffin SJ, Kinmonth AL, Veltman MWM, Gillard S, Grant J, Stewart M. Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials. Ann Fam Med. 2004;2(6):595–608.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Society of General Internal Medicine (outsided the USA) 2018

Authors and Affiliations

  1. 1.C, GIM Section, Zablocki VAMC, Medicine Medical College of WisconsinMilwaukeeUSA

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