Soliciting the Patient's Agenda

Marvel, M. Kim; Epstein, Ronald M.; Flowers, Kristine; Beckman, Howard

doi:10.1001/jama.281.3.283

Cited by 624 publications

(420 citation statements)

References 9 publications

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“…Marvel 3 found that physicians solicited patients' agendas at least once in 75% of encounters, which is close to the 64% found in our study. As suggested in the same study, 3 soliciting the patient agenda decreases the risk of "by-the-way" syndrome.…”

Section: Discussionsupporting

confidence: 87%

“…As suggested in the same study, 3 soliciting the patient agenda decreases the risk of "by-the-way" syndrome. This is consistent with our results showing that a patient's agenda had to be solicited twice (at the beginning and during the encounter) to decrease the appearance of "by-theway" syndrome.…”

Section: Discussionmentioning

confidence: 73%

“…1,2 A study evaluating 264 medical encounters found that in 24%, physicians did not question patients about their present concerns, while in 47%, the doctor only inquired once at the beginning of the visit. 3 The question "Do you have any other worries today?" often appears very late in the encounter; 4 however, patients usually have more than one concern per visit.…”

Section: Introductionmentioning

confidence: 99%

“…This "by-the-way" syndrome has been shown to occur in 21% of encounters 4 and has been described to be emotionally charged. 6 Studies have shown that this syndrome can be prevented or reduced [2][3][4]10 by soliciting a patient's agenda as openly as possible during the medical visit 9 or by using a patient-centered approach that facilitates the revelation of a patient's whole agenda. [6][7][8] We know of no studies that examined the biomedical or psychosocial content of the question(s) asked by the patient at the end of the encounter and the physician's response.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Physician Response to “By-the-Way” Syndrome in Primary Care

et al. 2009

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Physician Response to “By-the-Way” Syndrome in Primary Care

et al. 2009

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“…It has been reported that the typical physician will only listen to a patient for about 18 to 23 seconds before they interrupt the patient and try to explain the patient's problems. 4,5 Wilkins (2006) also posited that listening "aids efficient, accurate diagnosis and healing" and that "blocking listening blunts clinical acumen". 6 In addition, the literature on listening skills in the healthcare setting has focused on the qualified healthcare professionals to the exclusion of the students and trainees in these professions.…”

Section: Introductionmentioning

confidence: 99%

An Analysis of Listening Skills of Healthcare Students in Nigeria

Olukoga¹,

Foláyan²,

Harris³

et al. 2011

West African Journal of Medicine

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BACKGROUND: Listening is a primary communication skill essential for human learning and reported to be positively correlated with school achievement. It enables the healthcare professional to explore fully the ideas and concerns of the patient during a healthcare encounter. It is especially needed by healthcare students and professionals in light of the study showing that the typical physician will interrupt a patient after about 18-23 seconds. OBJECTIVE: The objective of this study was to measure the listening skills of the undergraduate health sciences students in a Nigerian setting and to attempt to explain different levels of individual listening skills. METHODS: Selected undergraduate students in medicine, dentistry, nursing and physiotherapy who volunteered to complete a self-administered questionnaire were studied. The questionnaire contained seventeen items, ranked on a 5-point Likert scale on the various habits people adopt when listening to others and the students' three most recent academic test scores. RESULTS: The mean (SD) score for the seventeen items was 2.72 (1.14) out of 5. Seven items had mean scores greater than 3.00, eight items had mean scores between 2.00 and 3.00, and two items had mean less than 2.00. The students had a minimum score of 27 and a maximum score of 67 compared with a possible 17 and 85. The mean (SD) score for the listening scale by the students was 46.87 (7.33). Eighty percent of the respondents had good listening skills. There were no statistically significant associations between the listening skills scores of the students and several possible explanatory variables -age, gender, course being studied and test scores. CONCLUSION: The findings indicate that neither males nor females are the better listeners. It showed impressively high levels of listening skills among the respondents. There was the absence of explanatory variables which were significant in explaining differences between individual listening skill scores. WAJM 2010; 29(2): 104-108.

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What's the Role of Time in Shared Decision Making?

Yahanda

2020

AMA Journal of Ethics

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Shared decision making (SDM) is a desirable process and outcome of patient-clinician relationships. Ideally, patients and clinicians have sufficient time to engage in SDM. In reality, time is often insufficient. This article explores time as a barrier to SDM, alternative ways clinicians can think about time, and steps they can take to have fulfilling SDM interactions despite time constraints. Although discussions of time typically focus on time quantity, redirecting attention to the ethical significance of time in establishing patient-clinician relationships suggests the importance of also considering time quality.

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Soliciting the Patient's Agenda

Cited by 624 publications

References 9 publications

Physician Response to “By-the-Way” Syndrome in Primary Care

Physician Response to “By-the-Way” Syndrome in Primary Care

An Analysis of Listening Skills of Healthcare Students in Nigeria

What's the Role of Time in Shared Decision Making?

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