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Physician and patient communication training in primary care: effects on participation and satisfaction.

Haskard, Kelly B; Williams, Summer L; DiMatteo, M Robin; Rosenthal, Robert; White, Maysel Kemp; Goldstein, Michael G.
Health Psychol ; 27(5): 513-22, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18823177

OBJECTIVE:

To assess the effects of a communication skills training program for physicians and patients.

DESIGN:

A randomized experiment to improve physician communication skills was assessed 1 and 6 months after a training intervention; patient training to be active participants was assessed after 1 month. Across three primary medical care settings, 156 physicians treating 2,196 patients were randomly assigned to control group or one of three conditions (physician, patient, or both trained). MAIN OUTCOME

MEASURES:

Patient satisfaction and perceptions of choice, decision-making, information, and lifestyle counseling; physicians' satisfaction and stress; and global ratings of the communication process.

RESULTS:

The following significant (p < .05) effects emerged physician training improved patients' satisfaction with information and overall care; increased willingness to recommend the physician; increased physicians' counseling (as reported by patients) about weight loss, exercise, and quitting smoking and alcohol; increased physician satisfaction with physical exam detail; increased independent ratings of physicians' sensitive, connected communication with their patients, and decreased physician satisfaction with interpersonal aspects of professional life. Patient training improved physicians' satisfaction with data collection; if only physician or patient was trained, physician stress increased and physician satisfaction decreased.

CONCLUSION:

Implications for improving physician-patient relationship outcomes through communication skills training are discussed.