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  • Written prompts to GPs to elicit patient concerns led to a small increase in 1 measure of patient satisfaction in self limiting illness

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Quality improvement
Written prompts to GPs to elicit patient concerns led to a small increase in 1 measure of patient satisfaction in self limiting illness

https://doi.org/10.1136/ebm.10.2.58

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    McLean M, Armstrong D. Eliciting patients’ concerns: a randomised controlled trial of different approaches by the doctor. Br J Gen Pract 2004;54:663–6.
    OpenUrlAbstract/FREE Full Text

    
 
 Q In patients with self limiting conditions, is prompting general practitioners (GPs) to elicit patient concerns beneficial?

    Clinical impact ratings GP/FP/Primary care ★★★★★★☆

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    unconcealed.*

    Embedded ImageBlinding:

    unblinded.*

    Embedded ImageFollow up period:

    immediately after consultation.

    Embedded ImageSetting:

    4 semirural training general practices in the southeast UK.

    Embedded ImagePatients:

    110 patients presenting with self limiting conditions. Exclusion criteria: referral to hospital, prescription given for purposes other than symptom control, or spontaneous expression by the patient of a clear concern about his/her illness.

    Embedded ImageIntervention:

    after a history and examination, 56 patients were allocated to written prompts to the GP to facilitate elicitation of patient concerns. Written prompts were “May I ask if you have any concerns about this [illness or …

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    Footnotes

    • ↵* See glossary.

    • For correspondence: Dr M McLean, Henfield Medical Centre, Henfield, UK. malcolm.mcleangp-h82060.nhs.uk

    • Source of funding: no external funding.

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      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2005; 10 64-64 Published Online First: 30 Mar 2005. doi: 10.1136/ebm.10.2.64