Evidence map›Paper›PMID 20444569›Full record

ArticlePatient education and counseling2011

Studying physician-patient communication in the acute care setting: the hospitalist rapport study.

Wendy G Anderson, Kathryn Winters, Robert M Arnold, Kathleen A Puntillo, Douglas B White, Andrew D Auerbach

Abstract read
In one paragraph

Article in Patient education and counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Wendy G AndersonDivision of Hospital Medicine, Department of Medicine, University of California, San Francisco, CA 94143-0903, USA. anderson.wg@gmail.com
Kathryn Winters
Robert M Arnold
Kathleen A Puntillo
Douglas B White
Andrew D Auerbach
University of California, San Francisco · USUniversity of Pittsburgh · USUniversity of California, San Diego · US

Funding

NCRR NIH HHS L30 RR023195
6 · The paper itself

Abstract

objectiveTo assess the feasibility of studying physician-patient communication in the acute care setting.

methodsWe recruited hospitalist physicians and patients from two hospitals within a university system and audio-recorded their first encounter. Recruitment, data collection, and challenges encountered were tracked.

resultsThirty-two physicians consented (rate 91%). Between August 2008 and March 2009, 441 patients were referred, 210 (48%) were screened, and 119 (66% of 179 eligible) consented. We audio-recorded encounters of 80 patients with 27 physicians. Physicians' primary concern about participation was interference with their workflow. Addressing their concerns and building the protocol around their schedules facilitated participation. Challenges unique to the acute care setting were: (1) extremely limited time for patient identification, screening, and enrollment during which patients were ill and busy with clinical care activities and (2) little advance knowledge of when physician-patient encounters would occur. Employing a full-time study coordinator mitigated these challenges.

conclusionPhysician concerns for participating in communication studies are similar in ambulatory and acute care settings. The acute care setting presents novel challenges for patient recruitment and data collection. PRACTICE IMPLICATIONS: These methods should be used to study provider-patient communication in acute care settings. Future work should test strategies to increase patient enrollment.

Indexed as

CommunicationHospitalistsPhysician-Patient RelationsAcute DiseaseAdultCross-Sectional StudiesFeasibility StudiesFemaleHumansMaleMiddle AgedPatient SelectionTape Recording

Identifiers

PMID20444569
PMCPMC3025053
OpenAlexW2073605258

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.