Effective improvement of doctor-patient communication: a randomised controlled trial.
until further notice
SourceBritish Journal of General Practice, 56, 529, (2006), pp. 580-586
Article / Letter to editor
Display more detailsDisplay less details
Primary and Community Care
Centre for Quality of Care Research
British Journal of General Practice
SubjectEBP 4: Quality of Care; NCEBP 3: Implementation Science; NCEBP 4: Quality of hospital and integrated care
BACKGROUND: Doctor-patient communication is an essential component of general practice. Improvement of GPs' communication patterns is an important target of training programmes. Available studies have so far failed to provide conclusive evidence of the effectiveness of educational interventions to improve doctor-patient communication. AIM: To examine the effectiveness of a learner-centred approach that focuses on actual needs, to improve GPs' communication with patients. DESIGN OF STUDY: Randomised controlled trial. SETTING: One hundred volunteer GPs in the Netherlands. METHOD: The intervention identified individual GPs' deficiencies in communication skills by observing authentic consultations in their own surgery. This performance assessment was followed by structured activities in small group meetings, aimed at remedying the identified shortcomings. Outcomes were measured using videotaped consultations in the GPs' own surgery before and after the intervention. Communication skills were rated using the MAAS-Global, a validated checklist. RESULTS: The scores in the intervention group demonstrated a significant improvement compared with those of the control group (95% confidence interval = 0.04 to 0.75). The effect size was moderate to large (d-value = 0.66). The level of participation significantly contributed to the effectiveness. Largest improvement was found on patient-centred communication skills. CONCLUSION: The approach of structured individual improvement activities based on performance assessment is more effective in improving communication skills than current educational activities.
Upload full text
Use your RU credentials (u/z-number and password) to log in with SURFconext to upload a file for processing by the repository team.