Skip to main content
Article thumbnail
Location of Repository

Effect of patient completed agenda forms and doctors' education about the agenda on the outcome of consultations: randomised controlled trial

By J.F. Middleton, Robert K. McKinley and Clare Louise Gillies

Abstract

First published online on 17th May 2006. Also available from http://www.bmj.com/cgi/content/abstract/332/7552/1238, along with examples of the forms. The forms themselves are also archived here.Objective: To assess the effect of patient completed agenda forms for the consultation and doctors’ education on identifying patients’ agendas on the outcome of consultations.\ud \ud Design: Randomised controlled trial.\ud \ud Setting: General practices in Leicestershire and Nottinghamshire, United Kingdom.\ud \ud Participants: 46 general practitioners and 976 patients.\ud \ud Interventions: Education for general practitioners, with an embedded clustered randomised controlled trial of a patient\ud agenda form. \ud \ud Main outcome measures: Number of problems identified, time required to manage each problem, duration of consultations,\ud number of problems raised after the doctor considered the consultation finished (“by the way” questions), and patient\ud satisfaction.\ud \ud Results: Data were available from 45 doctors (98%) and 857 patients (88%). The number of problems identified in each\ud consultation increased by 0.2 (95% confidence interval 0.1 to 0.4) with the agenda form, by 0.3 (0.1 to 0.6) with education, and by 0.5 (0.3 to 0.7) with both interventions. The time required to manage each problem was not affected. The\ud duration of consultations with the agenda form was increased by 0.9 minutes (0.3 to1.5 minutes) and with the combined\ud intervention by 1.9 minutes (1.0 to 2.8 minutes). Patient satisfaction with the depth of the doctor-patient relationship\ud was increased with the agenda form. The occurrence of “by the way” presentations did not change.\ud \ud Conclusion: A patient completed agenda form before the consultation or general practitioner education about the agenda form, or both, enabled the identification of more problems in consultations even though consultations were longer

Publisher: BMJ Publishing Group
Year: 2006
OAI identifier: oai:lra.le.ac.uk:2381/240

Suggested articles

Citations

  1. (1998). Choosing among generalized linear models applied to medical data. doi
  2. Cost-effectiveness acceptability curves— facts, fallacies and frequently asked questions. Health Econ 2004;13: doi
  3. Cost-effectiveness of pressure-relieving devices for the prevention and treatment of pressure ulcers. doi
  4. Cost-effectiveness of simvastatin in people at different levels of vascular disease risk: economic analysis of a randomised trial in 20,536 individuals. doi
  5. (1990). Development of a questionnaire to assess patients’ satisfaction with consultations in general practice.
  6. (2006). doi 10.1136/bmj.38850.711435.7C What is already known on this topic
  7. (2004). for Health and Clinical Excellence. Technical guidance for manufacturers and sponsors on making a submission to a technology appraisal.
  8. Health promotion in the general practice consultation: a minute makes a difference. doi
  9. How should cost data in pragmatic randomised trials be analysed? doi
  10. (1992). Measuring patient satisfaction: a test of construct validity. doi
  11. (1999). Methods for evaluating area-wide and organisation-based interventions in health and healthcare: a systematic review.Health Technol Assess doi
  12. (1995). Morbidity statistics from general practice. Fourth national study 1991-1992. London: Royal College of General Practitioners, Office of Population Censuses and Surveys, and the Department of Health,
  13. Multiple regression of cost data: use of generalised linear models. doi
  14. Randomised, controlled trial of alternating pressure mattresses compared with alternating pressure overlays for the prevention of pressure ulcers: PRESSURE (pressure relieving support surfaces) trial. doi
  15. (2003). Risk factors for pressure ulcers among elderly hip fracture patients. Wound Repair doi
  16. Study of the effect of time availability on the consultation.
  17. The “five minute” consultation: effect of time constraint on clinical content and patient satisfaction. doi
  18. The irrelevance of inference: a decision-making approach to the stochastic evaluation of health care technologies. doi
  19. The relationship between consultation length, process and outcomes in general practice: a systematic review.
  20. their clinical skills. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.