Effects of a focused patient-centered care curriculum on the experiences of internal medicine residents and their patients.
J Gen Intern Med
; 27(4): 473-7, 2012 Apr.
Article
em En
| MEDLINE
| ID: mdl-21948228
ABSTRACT
BACKGROUND:
Traditional residency training may not promote competencies in patient-centered care.AIM:
To improve residents' competencies in delivering patient-centered care. SETTING/PARTICIPANTS:
Internal medicine residents at a university-based teaching hospital in Baltimore, Maryland. PROGRAM DESCRIPTION One inpatient team admitted half the usual census and was exposed to a multi-modal patient-centered care curriculum to promote knowledge of patients as individuals, improve patient transitions of care, and reduce barriers to medication adherence. PROGRAM EVALUATION Annual resident surveys (N = 40) revealed that the intervention was judged as professionally valuable (90%) and important to their training (90%) and offered experiences not available during other rotations (88%). Compared to standard inpatient rotation evaluations (n = 163), intervention rotation evaluations (n = 51) showed no differences in ratings for traditional medical learning, but higher ratings for improving how housestaff address patient medication adherence, communicate with patients about post-hospital transition of care, and know their patients as people (all p < 0.01). On post-discharge surveys, patients from the intervention team (N = 177, score 90.4, percentile ranking 97%) reported greater satisfaction with physicians than patients on standard teams (N = 924, score 86.1, percentile ranking 47%) p < 0.01).DISCUSSION:
A patient-centered inpatient curriculum was associated with higher satisfaction ratings in patient-centered domains by internal medicine residents and with higher satisfaction ratings of their physicians by patients. Future research will explore the intervention's impact on clinical outcomes.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
/
Competência Clínica
/
Comunicação
/
Assistência Centrada no Paciente
/
Currículo
/
Medicina Interna
Tipo de estudo:
Evaluation_studies
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Gen Intern Med
Assunto da revista:
MEDICINA INTERNA
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos