ArticleJournal of general internal medicine2019
Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters.
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 2 of them syntheses that pooled 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.
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
66 citing papers in PubMed, 2 syntheses or guidelines pooled it, 280 citations in OpenAlex.
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- Impact of Pre-visit Contextual Data Collection on Patient-Physician Communication and Patient Activation: a Randomized Trial.Journal of general internal medicine · 2021Trial
- Trial
- Editorial: Patient-centered care: strengthening trust and communication in healthcare relationships.Frontiers in medicine · 2026Article
- Effectiveness of the SHARE Approach for Improving Clinician Shared Decision Making Skills: A Trial in 12 Practices Located in Colorado, USA.Journal of general internal medicine · 2025Article
- Integrating Therapeutic Silence in Serious Illness Communication #509.Journal of palliative medicine · 2025Article
- 'I don't know when it's my turn': reasons for low uptake of cancer-related healthcare services in Germany.BMC public health · 2025Article
- The Patient Voice in Aesthetic Medicine: Findings From a Global Survey of Cosmetic Neurotoxin Patients.Aesthetic surgery journal. Open forum · 2025Article
- Antimicrobial Prescribing Patterns in GP Practices in Northern Ireland.Antibiotics (Basel, Switzerland) · 2024Article
- A Conversation With … Emily Wilson PhD, Contemporary Interpreter of the Iliad , on Listening, Hearing, and Communicating.Clinical orthopaedics and related research · 2024Article
- Dissemination and implementation science frameworks and strategies to increase breast cancer screening for at-risk women in the United States: A scoping review.Journal of public health research · 2024Article
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- A 360° Approach to Patient Care in Aesthetic Facial Rejuvenation.Aesthetic surgery journal. Open forum · 2024Article
- Self-management Support for Patients with Atopic Dermatitis: A Qualitative Interview Study.Journal of patient experience · 2024Article
- Taxonomy and effectiveness of clinician agenda-setting questions in routine ambulatory encounters: A mixed method study.Patient education and counseling · 2023Article
- Observational
- Exploring Communication Practices in Italian Physiotherapy: Knowledge and Use of Effective Communication Strategies-A National Descriptive Study.Healthcare (Basel, Switzerland) · 2023Article
- Determining Optimal Intervals for In-Person Visits During Video-Based Telemedicine Among Patients With Hypertension: Cluster Randomized Controlled Trial.JMIR cardio · 2023Article
- Kindness Isn't Just about Being Nice: The Value Proposition of Kindness as Viewed through the Lens of Incivility in the Healthcare Workplace.Behavioral sciences (Basel, Switzerland) · 2023Review
6 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundEliciting patient concerns and listening carefully to them contributes to patient-centered care. Yet, clinicians often fail to elicit the patient's agenda and, when they do, they interrupt the patient's discourse.
objectiveWe aimed to describe the extent to which patients' concerns are elicited across different clinical settings and how shared decision-making tools impact agenda elicitation. DESIGN AND
participantsWe performed a secondary analysis of a random sample of 112 clinical encounters recorded during trials testing the efficacy of shared decision-making tools. MAIN MEASURES: Two reviewers, working independently, characterized the elicitation of the patient agenda and the time to interruption or to complete statement; we analyzed the distribution of agenda elicitation according to setting and use of shared decision-making tools. KEY
resultsClinicians elicited the patient's agenda in 40 of 112 (36%) encounters. Agendas were elicited more often in primary care (30/61 encounters, 49%) than in specialty care (10/51 encounters, 20%); p = .058. Shared decision-making tools did not affect the likelihood of eliciting the patient's agenda (34 vs. 37% in encounters with and without these tools; p = .09). In 27 of the 40 (67%) encounters in which clinicians elicited patient concerns, the clinician interrupted the patient after a median of 11 seconds (interquartile range 7-22; range 3 to 234 s). Uninterrupted patients took a median of 6 s (interquartile range 3-19; range 2 to 108 s) to state their concern.
conclusionsClinicians seldom elicit the patient's agenda; when they do, they interrupt patients sooner than previously reported. Physicians in specialty care elicited the patient's agenda less often compared to physicians in primary care. Failure to elicit the patient's agenda reduces the chance that clinicians will orient the priorities of a clinical encounter toward specific aspects that matter to each patient.
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What 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.