Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2004
Eliciting patients' concerns: a randomised controlled trial of different approaches by the doctor.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions for providers to promote a patient-centred approach in clinical consultations.The Cochrane database of systematic reviews · 2012Pooled it
- Measuring patients' perceptions of patient-centered care: a systematic review of tools for family medicine.Annals of family medicinePooled it
- Assessment of patient concerns: a review.Irish journal of medical science · 2018Review
- Determinants of satisfaction with health care provider interactions at health centres in central Ethiopia: a cross sectional study.BMC health services research · 2010Article
- Eliciting patients' concerns.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- Eliciting patients' concerns.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- Eliciting patients' concerns.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- Patient-centredness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- The journey towards patient-centredness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough a 'patient-centred' approach to general practice consultation is widely advocated, there is mixed evidence of its benefits.
aimTo measure the costs and benefits of using a prompt to elicit patients' concerns when they consult for minor illness. DESIGN OF STUDY: An open randomised controlled trial.
settingFour training semi-rural general practices in the south- east of the United Kingdom.
methodPatients identified during the first part of the consultation as having a self-limiting illness were randomised to a second part of the consultation that was conducted 'as usual' or involved a written prompt to elicit the patient's concerns. After each consultation the doctor noted the diagnosis and the consultation length and the patient self-completed a questionnaire containing measures of satisfaction, enablement and anxiety.
resultsOne hundred and ten patients were studied. Patients in the elicitation group reported a small but significant increase in the 'professional care' score of the consultation satisfaction questionnaire (88.2 versus 80.9, mean difference = 7.3, 95% confidence interval = 2.0 to 12.6) but no other benefits were detected. Consultations in the elicitation group, however, were longer by about a minute.
conclusionGiven the pressures on consultation time in general practice there must be questions about the practical value of eliciting patients' concerns if the benefit of doing so is small and the cost large.
Indexed as
Identifiers
15353051PMC1326066What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.