Visit Planning Using a Waiting Room Health IT Tool: The Aligning Patients and Providers Randomized Controlled Trial.
competing demands
complex patients
doctor-patient communication
health IT
office visits
practice gaps
practice-based research
primary care
priorities
Journal
Annals of family medicine
ISSN: 1544-1717
Titre abrégé: Ann Fam Med
Pays: United States
ID NLM: 101167762
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
27
08
2018
revised:
20
12
2018
accepted:
31
12
2018
entrez:
13
3
2019
pubmed:
13
3
2019
medline:
11
4
2020
Statut:
ppublish
Résumé
Time during primary care visits is limited. We tested the hypothesis that a waiting room health information technology (IT) tool to help patients identify and voice their top visit priorities would lead to better visit interactions and improved quality of care. We designed a waiting room tool, the Visit Planner, to guide adult patients through the process of identifying their top priorities for their visit and effectively expressing these priorities to their clinician. We tested this tool in a cluster-randomized controlled trial with usual care as the control. Eligible patients had at least 1 clinical care gap (eg, overdue for cancer screening, suboptimal chronic disease risk factor control, or medication nonadherence). The study (conducted March 31, 2016 through December 31, 2017) included 750 English- or Spanish-speaking patients. Compared with usual care patients, intervention patients more often reported "definitely" preparing questions for their doctor (59.5% vs 45.1%, A simple waiting room-based tool significantly improved visit communication. Patients using the Visit Planner were more prepared and more likely to begin the visit by communicating their top priorities. These changes did not, however, lead to further reduction in aggregate clinical care gaps beyond the improvements seen in the usual care arm.
Identifiants
pubmed: 30858257
pii: 17/2/141
doi: 10.1370/afm.2352
pmc: PMC6411400
doi:
Banques de données
ClinicalTrials.gov
['NCT02707146']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
141-149Subventions
Organisme : NIDDK NIH HHS
ID : K24 DK109114
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK092926
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK099108
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL117939
Pays : United States
Informations de copyright
© 2019 Annals of Family Medicine, Inc.
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