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Use of a Tablet-Based Risk Assessment Program to Improve Health Counseling and Patient-Provider Relationships in a Federally Qualified Health Center
被引:8
|作者:
Diaz, Vanessa A.
[1
]
Mainous, Arch G., III
[2
]
Gavin, Jennifer K.
[1
]
Player, Marty S.
[1
]
Wright, Robert U., Jr.
[3
]
机构:
[1] Med Univ South Carolina, Charleston, SC USA
[2] Univ Florida, Gainesville, FL USA
[3] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA
关键词:
patient-provider relationship;
trust;
lifestyle behaviors;
tablet-based risk assessment;
federally qualified health center;
CARDIOVASCULAR-DISEASE;
PERCEIVED RISK;
CANCER-RISK;
WEIGHT-LOSS;
PHYSICIAN;
BEHAVIOR;
HYPERCHOLESTEROLEMIA;
QUESTIONNAIRE;
PERCEPTIONS;
VALIDATION;
D O I:
10.1177/1062860615587012
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:
This study evaluates the impact of an interactive, tablet-based lifestyle behavior questionnaire prior to a patient's primary care visit on counseling for health behaviors and patient-provider relationships. Using a quasi-experimental design at 2 federally qualified health centers, adults aged 18 to 35 years were asked to complete a tablet-based assessment about nutrition, physical activity, weight, smoking status, and alcohol use to identify unhealthy behaviors and their desire to discuss them with their provider. In the intervention group, participants were more likely to trust their providers (83% vs 71%, P = .0427) and feel that their provider cared about their health (80% vs 68%, P = .0468). Overweight/obese individuals were more likely to discuss weight loss with their doctor (59% vs 33%, P = .0088). Integrating information technology into primary care to encourage providers to discuss lifestyle issues and promote a positive patient-provider relationship may help improve the health promotion in primary care practices.
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页码:434 / 440
页数:7
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