Communication Skills Training: A Means to Promote Time-Efficient Patient-Centered Communication in Clinical Practice

被引:20
作者
Iversen, Else Dalsgaard [1 ,2 ,3 ]
Wolderslund, Maiken [1 ,2 ]
Kofoed, Poul-Erik [4 ]
Gulbrandsen, Pal [5 ,6 ]
Poulsen, Helle [7 ]
Cold, Soren [8 ]
Ammentorp, Jette [1 ,2 ]
机构
[1] Univ Hosp Southern Denmark, Lillebaelt Hosp, Hlth Serv Res Unit, Vejle, Denmark
[2] Univ Southern Denmark, Inst Reg Hlth Res, Odense, Denmark
[3] Odense Univ Hosp, Odense Patient Data Explorat Network OPEN, Odense, Denmark
[4] Univ Hosp Southern Denmark, Lillebaelt Hosp, Dept Paediat & Adolescent Med, Vejle, Denmark
[5] Univ Oslo, Inst Clin Med, Campus Ahus, Oslo, Norway
[6] Akershus Univ Hosp, Hlth Serv Res Unit, Lorenskog, Norway
[7] Univ Hosp Southern Denmark, Lillebaelt Hosp, Dept Gastrointestinal Surg, Vejle, Denmark
[8] Odense Univ Hosp, Dept Oncol, Odense, Denmark
关键词
communication skills training; audio recordings; Calgary-Cambridge Guide; Observation Scheme-12; patient centered care; PHYSICIANS; CARE; EFFICACY; ONCOLOGY;
D O I
10.17294/2330-0698.1782
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose We hypothesized that health care providers would behave in a more patient-centered manner after the implementation of communication skills training, without causing the consultation to last longer. Methods This study was part of the large-scale implementation of a communication skills training program called "Clear-Cut Communication With Patients" at Lillebaelt Hospital in Denmark. Audio recordings from real-life consultations were collected in a pre-post design, with health care providers' participation in communication skills training as the intervention. The training was based on the Calgary-Cambridge Guide, and audio recordings were rated using the Observation Scheme-12. Results Health care providers improved their communication behavior in favor of being more patient-centered. Results were tested using a mixed-effect model and showed significant differences between pre- and postintervention assessments, with a coefficient of 1.3 (95% CI: 0.35-2.3; P=0.01) for the overall score. The consultations did not last longer after the training. Conclusions Health care providers improved their communication in patient consultations after the implementation of a large-scale patient-centered communication skills training program based on the Calgary-Cambridge Guide. This did not affect the length of the consultations.
引用
收藏
页码:307 / 314
页数:9
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