Background Concern that case presentations at the bedside may make patients uncomfortable has led many residency programs to move presentations to the conference room.
We performed a randomized, controlled trial of the effect of these two approaches on patients'perceptions of their care.
Methods The study patients were adults admitted to the general medical service of a teaching hospital.
Four house-staff « firms » leach comprising teams of physicians) were randomly assigned to make their case presentations during morning rounds either at the patient's bedside or in a conference room for one week, to switch to the alternate site for a second week, and to return to the initial site for a third week.
To assess patients perceptions, a questionnaire was administered within 24 hours of admission.
Results During the three weeks of the study, 95 patients had bedside presentations and 87 patients had conference-room presentations.
When the former were compared with the latter, the patients with bedside presentations reported that their doctors spent more time with them on morning rounds (10 vs. 6 minutes, P<0.001).
The patients with bedside presentations were also somewhat more likely to report favorable perceptions of their inpatient care (range of adjusted odds ratios, 1.12 to 2.17), although none of the associations were statistically significant. (...)
Mots-clés Pascal : Présentation information, Entretien clinique, Chevet malade, Salle réunion, Perception, Satisfaction, Malade, Hôpital, Randomisation, Etude comparative, Effet psychologique, Relation médecin malade, Homme, Soins médicaux
Mots-clés Pascal anglais : Information layout, Clinical interview, Patient bedside, Meeting room, Perception, Satisfaction, Patient, Hospital, Randomization, Comparative study, Psychological effect, Physician patient relation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0268506
Code Inist : 002B30A05. Création : 15/07/1997.