Improving physicians'interviewing skills and reducing patients'emotional distress : a randomized clinical trial.
To explore the effect of communication-skills training on the process and outcome of care associated with patients'emotional distress.
A randomized, controlled field trial was conducted with 69 primary care physicians and 648 of their patients.
The two training courses addressed communication through problem-defining skills or emotion-handling skills.
All office visits of study physicians were audiotaped until five emotionally distressed and five nondistressed patients were enrolled based on patient response to the General Health Questionnaire.
Physicians were also audio taped interviewing a simulated patient to evaluate clinical proficiency.
Telephone monitoring of distressed patients for utilization of medical services and General Health Questionnaire scores was conducted 2 weeks, 3 months, and 6 months after their audiotaped office visits.
Audiotape analysis of actual and simulated patients showed that trained physicians used significantly more problem-defining and emotion-handling skills than did untrained physicians, without increasing the length of the visit.
Trained physicians also reported more psychosocial problems, engaged in more strategies for managing emotional problems with actual patients, and scored higher in clinical proficiency with simulated patients.
Important changes in physicians'communication skills were evident after an 8-hour program.
Mots-clés Pascal : Entretien, Médecin, Enseignement, Emotional Distress Scale, Malade, Homme
Mots-clés Pascal anglais : Interview, Physician, Teaching, Emotional Distress Scale, Patient, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0539856
Code Inist : 002B30A09. Création : 01/03/1996.