Which patient and doctor behaviours make a medical consultation more effective from a patient point of view. Results from a European multicentre study in 31 countries

Abstract

The findings should represent a landmark for the adaptation of patient-generated communication guidelines and programs in Europe.

Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals

“…The strategies and techniques taught in the workshop can also facilitate clinicians use of patient-led and focused approaches to communication that are preferred by individuals with long-term conditions, such as anaphylaxis. 48 Additionally, the strategies and techniques taught in the workshop are designed to encourage patients to take an active role in their AAI education, and patient education provided by clinicians is more effective when the patient takes this role in the process. 66,67 The workshop impact on how the clinicians interacted with anaphylaxis and other patient groups was an unexpected positive outcome.…”

“…"Training the trainers" of patients, namely clinicians, in psychologically informed strategies for exploring and responding to these barriers with patients could improve clinician delivered training. [45][46][47][48] This study examined the impact of a psychologically informed workshop designed to improve staff knowledge about psychological barriers to AAI use in patients with anaphylaxis, as well as staff confidence and reported likelihood of using the strategies and techniques taught in their practice.…”

Evidence-based management as a basis for evidence-based medical consultation

“…EBMC is a dynamic, interactive process between the physician and the patient based on the best evidence in order to improve the patient’s health outcomes in clinical decision-making 1 12 18. According to the principles and foundations of EBMgt, EBMC consisted of six sources of evidence in a six-step process (figure 1).…”

“…Therefore, a high-quality consultation is part of the rights of a patient as a citizen 1 2. On the other hand, most physicians, healthcare managers and policymakers will express that the patient–physician relationship is central to healthcare; unfortunately, despite this advocacy, patients seem to be easily overlooked 3 4. Medical consultation is essential to all aspects of healthcare, from history taking to providing information to patients, as it provides the primary means for the diagnosis of a disease, treatment of illness and prevention of health problems 1 2 5 6.…”

“…Medical consultation is essential to all aspects of healthcare, from history taking to providing information to patients, as it provides the primary means for the diagnosis of a disease, treatment of illness and prevention of health problems 1 2 5 6. Medical consultation is a dynamic, interactive process, during which the physician and the patient co-construct and negotiate the meanings and means of talk 4 7 8. Its success is seen as the joint responsibility of the doctor and the patient.…”