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Improving preclinic preparation for patients with chronic conditions in quito, ecuador: a randomized controlled trial.

Rodriguez K, Kaselitz E, Wong J, Ligard S, Peck D, Hugo Mena V, Gordillo F, Serlin D, Heisler M - Int J Family Med (2015)

Bottom Line: Methods.Conclusions.For high-quality patient-centered primary care, it is important to develop and test innovative and scalable interventions for patients and physicians to make the best use of limited clinic time.

View Article: PubMed Central - PubMed

Affiliation: University of Michigan Medical School, Ann Arbor, MI 48109, USA.

ABSTRACT
Objectives. As in many settings, patients in community health centers in Ecuador do not complete previsit forms or receive assistance to identify questions and concerns they would like to address in brief clinic visits with physicians. We examined the comparative effectiveness of providing (1) a previsit form to complete; (2) a previsit form along with assistance in completing the form; and (3) usual care. Methods. Parallel, three-arm randomized controlled trial in two health centers serving indigent to low-income communities in Quito, Ecuador, among 199 adult patients who took medications for at least one chronic condition. Outcome measures were self-reported satisfaction with the visit, confidence in asking questions, and extent to which patients' objectives were met. Results. Patients who received assistance in completing a previsit form were more than twice as likely as participants in usual care to report achieving everything they wanted during their visit (AOR 2.2, P = 0.039). There were no differences in any outcomes between the groups who received the previsit form with no assistance and usual care. Conclusions. For high-quality patient-centered primary care, it is important to develop and test innovative and scalable interventions for patients and physicians to make the best use of limited clinic time.

No MeSH data available.


Intervention effect on writing down questions, Quito, Ecuador, 2011.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4390100&req=5

fig3: Intervention effect on writing down questions, Quito, Ecuador, 2011.

Mentions: Figure 3 shows the comparison between the number of questions or concerns participants who received assistance in completing the form (Group 3) wrote down to discuss with their physician at the upcoming clinic visit compared to the number among participants who were just given the form to complete alone (Group 2). Patients who received help from a team member were more likely to write down at least one question (80% of patients in Group 3 wrote down at least one question or concern compared with 50% in Group 2, P < 0.01). Patients in Group 3 wrote down a mean of 1.6 questions compared to those in Group 2 who wrote down a mean of 1.1 questions.


Improving preclinic preparation for patients with chronic conditions in quito, ecuador: a randomized controlled trial.

Rodriguez K, Kaselitz E, Wong J, Ligard S, Peck D, Hugo Mena V, Gordillo F, Serlin D, Heisler M - Int J Family Med (2015)

Intervention effect on writing down questions, Quito, Ecuador, 2011.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4390100&req=5

fig3: Intervention effect on writing down questions, Quito, Ecuador, 2011.
Mentions: Figure 3 shows the comparison between the number of questions or concerns participants who received assistance in completing the form (Group 3) wrote down to discuss with their physician at the upcoming clinic visit compared to the number among participants who were just given the form to complete alone (Group 2). Patients who received help from a team member were more likely to write down at least one question (80% of patients in Group 3 wrote down at least one question or concern compared with 50% in Group 2, P < 0.01). Patients in Group 3 wrote down a mean of 1.6 questions compared to those in Group 2 who wrote down a mean of 1.1 questions.

Bottom Line: Methods.Conclusions.For high-quality patient-centered primary care, it is important to develop and test innovative and scalable interventions for patients and physicians to make the best use of limited clinic time.

View Article: PubMed Central - PubMed

Affiliation: University of Michigan Medical School, Ann Arbor, MI 48109, USA.

ABSTRACT
Objectives. As in many settings, patients in community health centers in Ecuador do not complete previsit forms or receive assistance to identify questions and concerns they would like to address in brief clinic visits with physicians. We examined the comparative effectiveness of providing (1) a previsit form to complete; (2) a previsit form along with assistance in completing the form; and (3) usual care. Methods. Parallel, three-arm randomized controlled trial in two health centers serving indigent to low-income communities in Quito, Ecuador, among 199 adult patients who took medications for at least one chronic condition. Outcome measures were self-reported satisfaction with the visit, confidence in asking questions, and extent to which patients' objectives were met. Results. Patients who received assistance in completing a previsit form were more than twice as likely as participants in usual care to report achieving everything they wanted during their visit (AOR 2.2, P = 0.039). There were no differences in any outcomes between the groups who received the previsit form with no assistance and usual care. Conclusions. For high-quality patient-centered primary care, it is important to develop and test innovative and scalable interventions for patients and physicians to make the best use of limited clinic time.

No MeSH data available.