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The uncertain consultation and patient satisfaction: the impact of patients' illness perceptions and a randomized controlled trial on the training of physicians' communication skills.

https://arctichealth.org/en/permalink/ahliterature70486
Source
Psychosom Med. 2005 Nov-Dec;67(6):897-905
Publication Type
Article
Author
Lisbeth Frostholm
Per Fink
Eva Oernboel
Kaj S Christensen
Tomas Toft
Frede Olesen
John Weinman
Author Affiliation
Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Aarhus N, Denmark.
Source
Psychosom Med. 2005 Nov-Dec;67(6):897-905
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Attitude to Health
Communication
Comparative Study
Family Practice - education - methods - standards
Female
Follow-Up Studies
Health Services Research
Health status
Humans
Male
Middle Aged
Multivariate Analysis
Patient satisfaction
Personality Inventory
Physicians - psychology - standards
Prognosis
Psychiatric Status Rating Scales
Questionnaires
Referral and Consultation - standards
Regression Analysis
Research Support, Non-U.S. Gov't
Somatoform Disorders - diagnosis - psychology - therapy
Teaching
Abstract
OBJECTIVE: To identify predictors of patient satisfaction among a range of patient and practitioner variables. In particular, to focus on patients' illness perceptions and the impact of a randomized controlled trial on the training of physicians in general communication skills and how to treat patients presenting with poorly defined illness. METHODS: A randomized controlled follow-up study conducted in 28 general practices in Aarhus County, Denmark. Half of the physicians were randomized into an educational program on treatment of patients presenting with medically unexplained symptoms (somatization). One thousand seven hundred eighty-five general practice attenders presenting a new health problem completed questionnaires on illness perceptions, physical functioning, and mental distress before the consultation. After the consultation, a questionnaire including relational and communicative domains of patient satisfaction with the current consultation was completed. The physicians completed a questionnaire for each patient on diagnostics and prognostics. Predictors of patient satisfaction were determined by logistic regression. RESULTS: A large number of patient and practitioner variables predicted satisfaction in univariate logistic regression models. Results from a multivariate logistic model showed that the illness perceptions "uncertainty" (patient not knowing what is wrong) and "emotional representations" (the complaint making the patient feel worried, depressed, helpless, afraid, hopeless) predicted dissatisfaction at OR (CI) = 1.8 (1.3-2.4), p
PubMed ID
16314594 View in PubMed
Less detail

[A cognitive approach to overutilization of health services].

https://arctichealth.org/en/permalink/ahliterature192488
Source
Lakartidningen. 2001 Oct 24;98(43):4745-6
Publication Type
Article
Date
Oct-24-2001