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Observational study of patient-centeredness and 'positive' approach on outcomes of general practice consultations.

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Observational study of patient-centeredness and 'positive' approach on outcomes of general practice consultations. / Little, Paul; Everitt, Hazel; Williamson, Ian; Warner, Greg; Moore, Michael; Gould, Clare; Ferrier, Kate; Payne, Sheila.

In: BMJ, Vol. 323, No. 7318, 20.10.2001, p. 908-911.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Little, P, Everitt, H, Williamson, I, Warner, G, Moore, M, Gould, C, Ferrier, K & Payne, S 2001, 'Observational study of patient-centeredness and 'positive' approach on outcomes of general practice consultations.', BMJ, vol. 323, no. 7318, pp. 908-911. https://doi.org/10.1136/bmj.323.7318.908

APA

Little, P., Everitt, H., Williamson, I., Warner, G., Moore, M., Gould, C., Ferrier, K., & Payne, S. (2001). Observational study of patient-centeredness and 'positive' approach on outcomes of general practice consultations. BMJ, 323(7318), 908-911. https://doi.org/10.1136/bmj.323.7318.908

Vancouver

Little P, Everitt H, Williamson I, Warner G, Moore M, Gould C et al. Observational study of patient-centeredness and 'positive' approach on outcomes of general practice consultations. BMJ. 2001 Oct 20;323(7318):908-911. https://doi.org/10.1136/bmj.323.7318.908

Author

Little, Paul ; Everitt, Hazel ; Williamson, Ian ; Warner, Greg ; Moore, Michael ; Gould, Clare ; Ferrier, Kate ; Payne, Sheila. / Observational study of patient-centeredness and 'positive' approach on outcomes of general practice consultations. In: BMJ. 2001 ; Vol. 323, No. 7318. pp. 908-911.

Bibtex

@article{feb25418b4824b6691cf438cabbf83a8,
title = "Observational study of patient-centeredness and 'positive' approach on outcomes of general practice consultations.",
abstract = "Objective: To measure patients' perceptions of patient centredness and the relation of these perceptions to outcomes. Design: Observational study using questionnaires. Setting: Three general practices. Participants: 865 consecutive patients attending the practices. Main outcome measures: Patients' enablement, satisfaction, and burden of symptoms. Results: Factor analysis identified five components. These were communication and partnership (a sympathetic doctor interested in patients' worries and expectations and who discusses and agrees the problem and treatment, Cronbach's =0.96); personal relationship (a doctor who knows the patient and their emotional needs, =0.89); health promotion (=0.87); positive approach (being definite about the problem and when it would settle, =0.84); and interest in effect on patient's life (=0.89). Satisfaction was related to communication and partnership (adjusted =19.1; 95% confidence interval 17.7 to 20.7) and a positive approach (4.28; 2.96 to 5.60). Enablement was greater with interest in the effect on life (0.55; 0.25 to 0.86), health promotion (0.57; 0.30 to 0.85), and a positive approach (0.82; 0.52 to 1.11). A positive approach was also associated with reduced symptom burden at one month (=0.25; 0.41 to 0.10). Referrals were fewer if patients felt they had a personal relationship with their doctor (odds ratio 0.70; 0.54 to 0.90). Conclusions: Components of patients' perceptions can be measured reliably and predict different outcomes. If doctors don't provide a positive, patient centred approach patients will be less satisfied, less enabled, and may have greater symptom burden and higher rates of referral.",
author = "Paul Little and Hazel Everitt and Ian Williamson and Greg Warner and Michael Moore and Clare Gould and Kate Ferrier and Sheila Payne",
year = "2001",
month = oct,
day = "20",
doi = "10.1136/bmj.323.7318.908",
language = "English",
volume = "323",
pages = "908--911",
journal = "BMJ",
issn = "0959-8138",
publisher = "British Medical Association",
number = "7318",

}

RIS

TY - JOUR

T1 - Observational study of patient-centeredness and 'positive' approach on outcomes of general practice consultations.

AU - Little, Paul

AU - Everitt, Hazel

AU - Williamson, Ian

AU - Warner, Greg

AU - Moore, Michael

AU - Gould, Clare

AU - Ferrier, Kate

AU - Payne, Sheila

PY - 2001/10/20

Y1 - 2001/10/20

N2 - Objective: To measure patients' perceptions of patient centredness and the relation of these perceptions to outcomes. Design: Observational study using questionnaires. Setting: Three general practices. Participants: 865 consecutive patients attending the practices. Main outcome measures: Patients' enablement, satisfaction, and burden of symptoms. Results: Factor analysis identified five components. These were communication and partnership (a sympathetic doctor interested in patients' worries and expectations and who discusses and agrees the problem and treatment, Cronbach's =0.96); personal relationship (a doctor who knows the patient and their emotional needs, =0.89); health promotion (=0.87); positive approach (being definite about the problem and when it would settle, =0.84); and interest in effect on patient's life (=0.89). Satisfaction was related to communication and partnership (adjusted =19.1; 95% confidence interval 17.7 to 20.7) and a positive approach (4.28; 2.96 to 5.60). Enablement was greater with interest in the effect on life (0.55; 0.25 to 0.86), health promotion (0.57; 0.30 to 0.85), and a positive approach (0.82; 0.52 to 1.11). A positive approach was also associated with reduced symptom burden at one month (=0.25; 0.41 to 0.10). Referrals were fewer if patients felt they had a personal relationship with their doctor (odds ratio 0.70; 0.54 to 0.90). Conclusions: Components of patients' perceptions can be measured reliably and predict different outcomes. If doctors don't provide a positive, patient centred approach patients will be less satisfied, less enabled, and may have greater symptom burden and higher rates of referral.

AB - Objective: To measure patients' perceptions of patient centredness and the relation of these perceptions to outcomes. Design: Observational study using questionnaires. Setting: Three general practices. Participants: 865 consecutive patients attending the practices. Main outcome measures: Patients' enablement, satisfaction, and burden of symptoms. Results: Factor analysis identified five components. These were communication and partnership (a sympathetic doctor interested in patients' worries and expectations and who discusses and agrees the problem and treatment, Cronbach's =0.96); personal relationship (a doctor who knows the patient and their emotional needs, =0.89); health promotion (=0.87); positive approach (being definite about the problem and when it would settle, =0.84); and interest in effect on patient's life (=0.89). Satisfaction was related to communication and partnership (adjusted =19.1; 95% confidence interval 17.7 to 20.7) and a positive approach (4.28; 2.96 to 5.60). Enablement was greater with interest in the effect on life (0.55; 0.25 to 0.86), health promotion (0.57; 0.30 to 0.85), and a positive approach (0.82; 0.52 to 1.11). A positive approach was also associated with reduced symptom burden at one month (=0.25; 0.41 to 0.10). Referrals were fewer if patients felt they had a personal relationship with their doctor (odds ratio 0.70; 0.54 to 0.90). Conclusions: Components of patients' perceptions can be measured reliably and predict different outcomes. If doctors don't provide a positive, patient centred approach patients will be less satisfied, less enabled, and may have greater symptom burden and higher rates of referral.

U2 - 10.1136/bmj.323.7318.908

DO - 10.1136/bmj.323.7318.908

M3 - Journal article

VL - 323

SP - 908

EP - 911

JO - BMJ

JF - BMJ

SN - 0959-8138

IS - 7318

ER -