Collaborative upfront agenda setting did not increase visit length or the number of problems addressed per visit but may reduce the likelihood of "oh by the way" concerns surfacing late in the encounter. However, upfront agenda setting is not sufficient to enhance patient satisfaction, trust or functional status. Training focused on physicians instead of teams and without regular reinforcement may have limited impact in changing visit content and time use.
providers were more satisfied, perceived more complete problem elicitation and collaborative prioritization.These promising pilot data indicate a need to do an expanded study of the EF protocol. Ideas for research and training are discussed.
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