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Preferences of patients for patient centred approach to consultation in primary care : observational study.

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Preferences of patients for patient centred approach to consultation in primary care : observational study. / Little, Paul; Everitt, Hazel; Williamson, Ian et al.
In: BMJ, Vol. 322, 2001, p. 468-472.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Little, P, Everitt, H, Williamson, I, Warne, G, Moore, M, Gould, C, Ferrier, K & Payne, S 2001, 'Preferences of patients for patient centred approach to consultation in primary care : observational study.', BMJ, vol. 322, pp. 468-472. https://doi.org/10.1136/bmj.322.7284.468

APA

Little, P., Everitt, H., Williamson, I., Warne, G., Moore, M., Gould, C., Ferrier, K., & Payne, S. (2001). Preferences of patients for patient centred approach to consultation in primary care : observational study. BMJ, 322, 468-472. https://doi.org/10.1136/bmj.322.7284.468

Vancouver

Little P, Everitt H, Williamson I, Warne G, Moore M, Gould C et al. Preferences of patients for patient centred approach to consultation in primary care : observational study. BMJ. 2001;322:468-472. doi: 10.1136/bmj.322.7284.468

Author

Little, Paul ; Everitt, Hazel ; Williamson, Ian et al. / Preferences of patients for patient centred approach to consultation in primary care : observational study. In: BMJ. 2001 ; Vol. 322. pp. 468-472.

Bibtex

@article{402b68b2d9d2407f831719385cd50d35,
title = "Preferences of patients for patient centred approach to consultation in primary care : observational study.",
abstract = "Objective: To identify patient's preferences for patient centred consultation in general practice. Design: Questionnaire study. Setting: Consecutive patients in the waiting room of three doctors' surgeries. Main outcome measures: Key domains of patient centredness from the patient perspective. Predictors of preferences for patient centredness, a prescription, and examination. Results: 865 patients participated: 824 (95%) returned the pre-consultation questionnaire and were similar in demographic characteristic to national samples. Factor analysis identified three domains of patient preferences: communication (agreed with by 88-99%), partnership (77-87%), and health promotion (85-89%). Fewer wanted an examination (63%), and only a quarter wanted a prescription. As desire for a prescription was modestly associated with desire for good communication (odds ratio 1.20; 95% confidence interval 0.85 to 1.69), partnership (1.46; 1.01 to 2.09), and health promotion (1.61; 1.12 to 2.31) this study may have underestimated preferences for patient centredness compared with populations with stronger preferences for a prescription. Patients who strongly wanted good communication were more likely to feel unwell (very, moderately, and slightly unwell; odds ratios 1, 0.56, 0.39 respectively, z trend P<0.001), be high attenders (1.70; 1.18 to 2.44), and have no paid work (1.84; 1.21 to 2.79). Strongly wanting partnership was also related to feeling unwell, worrying about the problem, high attendance, and no paid work; and health promotion to high attendance and worry. Conclusion: Patients in primary care strongly want a patient centred approach, with communication, partnership, and health promotion. Doctors should be sensitive to patients who have a strong preference for patient centrednessthose vulnerable either psychosocially or because they are feeling unwell.",
author = "Paul Little and Hazel Everitt and Ian Williamson and Greg Warne and Michael Moore and Clare Gould and Kate Ferrier and Sheila Payne",
year = "2001",
doi = "10.1136/bmj.322.7284.468",
language = "English",
volume = "322",
pages = "468--472",
journal = "BMJ",
issn = "0959-8138",
publisher = "British Medical Association",

}

RIS

TY - JOUR

T1 - Preferences of patients for patient centred approach to consultation in primary care : observational study.

AU - Little, Paul

AU - Everitt, Hazel

AU - Williamson, Ian

AU - Warne, Greg

AU - Moore, Michael

AU - Gould, Clare

AU - Ferrier, Kate

AU - Payne, Sheila

PY - 2001

Y1 - 2001

N2 - Objective: To identify patient's preferences for patient centred consultation in general practice. Design: Questionnaire study. Setting: Consecutive patients in the waiting room of three doctors' surgeries. Main outcome measures: Key domains of patient centredness from the patient perspective. Predictors of preferences for patient centredness, a prescription, and examination. Results: 865 patients participated: 824 (95%) returned the pre-consultation questionnaire and were similar in demographic characteristic to national samples. Factor analysis identified three domains of patient preferences: communication (agreed with by 88-99%), partnership (77-87%), and health promotion (85-89%). Fewer wanted an examination (63%), and only a quarter wanted a prescription. As desire for a prescription was modestly associated with desire for good communication (odds ratio 1.20; 95% confidence interval 0.85 to 1.69), partnership (1.46; 1.01 to 2.09), and health promotion (1.61; 1.12 to 2.31) this study may have underestimated preferences for patient centredness compared with populations with stronger preferences for a prescription. Patients who strongly wanted good communication were more likely to feel unwell (very, moderately, and slightly unwell; odds ratios 1, 0.56, 0.39 respectively, z trend P<0.001), be high attenders (1.70; 1.18 to 2.44), and have no paid work (1.84; 1.21 to 2.79). Strongly wanting partnership was also related to feeling unwell, worrying about the problem, high attendance, and no paid work; and health promotion to high attendance and worry. Conclusion: Patients in primary care strongly want a patient centred approach, with communication, partnership, and health promotion. Doctors should be sensitive to patients who have a strong preference for patient centrednessthose vulnerable either psychosocially or because they are feeling unwell.

AB - Objective: To identify patient's preferences for patient centred consultation in general practice. Design: Questionnaire study. Setting: Consecutive patients in the waiting room of three doctors' surgeries. Main outcome measures: Key domains of patient centredness from the patient perspective. Predictors of preferences for patient centredness, a prescription, and examination. Results: 865 patients participated: 824 (95%) returned the pre-consultation questionnaire and were similar in demographic characteristic to national samples. Factor analysis identified three domains of patient preferences: communication (agreed with by 88-99%), partnership (77-87%), and health promotion (85-89%). Fewer wanted an examination (63%), and only a quarter wanted a prescription. As desire for a prescription was modestly associated with desire for good communication (odds ratio 1.20; 95% confidence interval 0.85 to 1.69), partnership (1.46; 1.01 to 2.09), and health promotion (1.61; 1.12 to 2.31) this study may have underestimated preferences for patient centredness compared with populations with stronger preferences for a prescription. Patients who strongly wanted good communication were more likely to feel unwell (very, moderately, and slightly unwell; odds ratios 1, 0.56, 0.39 respectively, z trend P<0.001), be high attenders (1.70; 1.18 to 2.44), and have no paid work (1.84; 1.21 to 2.79). Strongly wanting partnership was also related to feeling unwell, worrying about the problem, high attendance, and no paid work; and health promotion to high attendance and worry. Conclusion: Patients in primary care strongly want a patient centred approach, with communication, partnership, and health promotion. Doctors should be sensitive to patients who have a strong preference for patient centrednessthose vulnerable either psychosocially or because they are feeling unwell.

U2 - 10.1136/bmj.322.7284.468

DO - 10.1136/bmj.322.7284.468

M3 - Journal article

VL - 322

SP - 468

EP - 472

JO - BMJ

JF - BMJ

SN - 0959-8138

ER -