Abstract：
:Patient-clinician communication that promotes patient engagement enhances health care quality. Yet, disseminating effective communication interventions to practicing clinicians remains challenging. Current methods do not have large and sustainable effects. In this paper, we argue that both top-down approaches (mandated by institutions) should be coupled with bottom-up approaches that address clinician motivation, confidence, and barriers. We need to engage clinicians in the same way we ask them to engage patients - strategically and with empathy. We discuss potentially innovative strategies to integrate top-down and bottom-up approaches in ways that fit clinicians' busy schedules and can inform policy.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Pollak KI,Back AL,Tulsky JAdoi
10.1016/j.pec.2017.05.015subject
Has Abstractpub_date
2017-10-01 00:00:00pages
1951-1954issue
10eissn
0738-3991issn
1873-5134pii
S0738-3991(17)30287-2journal_volume
100pub_type
杂志文章abstract：:How can health professional teams provide patient-centred care in the treatment of chronic disease? What education and training is needed to achieve this? Patient-centred care means helping people living with a condition make informed choices to maximise their quality of life. The health professional's role is to faci...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00727-h
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:Studies of physicians' professional development highlight the important effect that the learning environment has in shaping student attitudes, behaviors, and values. The objective of this study was to better understand the interplay among relationships and experiences in mediating the effects of the learning ...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pec.2008.05.016
更新日期：2008-09-01 00:00:00
abstract：:American practitioners were surveyed about the role of self-care materials in the management of cardiology patients. Respondents indicated their patients commonly use self-care materials and seek recommendation of appropriate readings. Over half those responding had reviewed 'some' popular works, but few had been able...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(94)90029-9
更新日期：1994-08-01 00:00:00
abstract：OBJECTIVE:To examine when and why women disbelieve tailored information about their risk of developing breast cancer. METHODS:690 women participated in an online program to learn about medications that can reduce the risk of breast cancer. The program presented tailored information about each woman's personal breast c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.03.016
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:The current objective is to validate the Medical Consultation Experience Questionnaire (MCEQ) and to examine distinctions between constructs of patient perceived alliance and experienced confusion in relation to key health outcomes. METHODS:A total of 857 participants were recruited online across two samples...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.09.028
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVE:Experimental studies have found that clinician-expressed empathy improves patients' information recall in (advanced) cancer consultations. It remains unclear, however, whether these results are generalizable to clinical care and, if so, what the underlying mechanism is. We aimed to i) determine the relationsh...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.10.025
更新日期：2020-10-22 00:00:00
abstract：:A three-day residential Body Awareness Program (BAP) was developed to teach people with Chronic A-specific Psychosomatic Symptoms (CAPS) to react adequately to disturbances of the balance between a daily workload and the capacity to deal with it. The short-term effects of the program for people with CAPS are presented...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.02.014
更新日期：2004-11-01 00:00:00
abstract：:The purpose of this cross-sectional study is to examine the relationship between social support, coping, and subjective well-being by testing three hypotheses: (1) social support influences subjective well-being via coping; (2) coping influences subjective well-being via social support; (3) there is a reciprocal relat...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00033-6
更新日期：2000-02-01 00:00:00
abstract：:The aim of this study was to evaluate the likelihood, correlates, and psychological impact of parental communication to children of parents' BRCA1/2 genetic test results for breast cancer risk. Subjects were 133 adult members of high risk families. Sociodemographic, clinical, and psychological distress variables were ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(00)00122-1
更新日期：2001-03-01 00:00:00
abstract：OBJECTIVE:To describe a systematic assessment of patient educational materials for the Growing Right Onto Wellness (GROW) trial, a childhood obesity prevention study targeting a low health literate population. METHODS:Process included: (1) expert review of educational content, (2) assessment of the quality of material...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.08.010
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:This article delineates theory-based determinants of the low use of behavioral stop-smoking support with a view to inform interventions to address the low use. METHODS:Study 1 comprised interviews with 27 smokers recruited from a primary care centre in England. Study 2 used a nationwide sample of 212 smokers...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.10.007
更新日期：2010-05-01 00:00:00
abstract：:In this article, we examine the topic of patient participation in health care and report on how we have drawn on the concept of patient expertise to produce a new kind of information booklet for chronic arthritis patients. The booklet is patient-generated and contains the illness narratives of patients with three kind...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.05.004
更新日期：2005-04-01 00:00:00
abstract：OBJECTIVE:Leading health agencies recommend physicians to provide information regarding genetic testing for autism spectrum disorders (ASD) to parents of affected children. How to effectively provide this information, however, is unclear for physicians. This qualitative study examined the information needs regarding AS...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.12.023
更新日期：2016-06-01 00:00:00
abstract：:Presymptomatic DNA-testing for adult-onset diseases has serious psychological consequences. Here the psychological consequences of presymptomatic DNA-testing for Huntington's disease are reviewed. Both carriers and non-carriers experience emotional reactions after disclosure of their test result. However, up to today ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/s0738-3991(97)00066-9
更新日期：1997-09-01 00:00:00
abstract：OBJECTIVE:While most existing health literacy (HL) measures focus primarily on reading comprehension, the functional, communicative and critical HL scales from Ishikawa et al. [19] aim to measure a broader HL spectrum. The objective of this study was to evaluate the validity of the Dutch translation of this instrument....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.07.014
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVES:As communication is a central part of every interpersonal meeting within healthcare and research reveals several benefits of effective communication, we need to teach students and practitioners how to communicate with patients and with colleagues. This paper reflects on what and how to teach. METHODS:In the...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.08.011
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVE:Obesity is a complex condition involving biological, psychological, sociocultural and environmental components. Impulsivity seems to be a particularly important factor. Whiteside and Lynam recently proposed dividing impulsivity into four separate dimensions: Urgency, lack of Premeditation, lack of Perseveranc...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.03.003
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVE:This article discusses the physician-patient working alliance and reviews the empirical research that has been generated on the working alliance to date. METHODS:The paper presents a brief history of the study of the physician-patient relationship, and discusses constructs that have examined aspects of the r...
journal_title：Patient education and counseling
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.pec.2016.10.018
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:Burnout among nurses is an issue of concern, and preventive interventions are important to implement and evaluate. This study investigated levels and predictors of change in burnout dimensions after an intervention for help-seeking nurses. METHODS:Nurses participating in a self-referral, counseling intervent...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.008
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:Physicians need good communication skills to communicate effectively with patients. The objective of this review was to identify effective training strategies for teaching communication skills to qualified physicians. METHODS:PubMED, PsycINFO, CINAHL, and COCHRANE were searched in October 2008 and in March 2...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.06.010
更新日期：2011-08-01 00:00:00
abstract：OBJECTIVE:To study how comprehension of cardiovascular disease (CVD) risk is influenced by: (1) infographics about qualitative risk information, with/without risk numbers; (2) which qualitative risk dimension is emphasized; (3) heart age vs. traditional risk format. METHODS:For aim 1, a 2 (infographics versus text) x ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.03.015
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:We don´t know how positive emotions are being expressed by patients and health care providers in consultations. The aim of this study is to identify positive emotions expressed by older people and nurse assistants to discuss the function of these in the visits. METHOD:This paper presents secondary analysis o...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.05.020
更新日期：2017-11-01 00:00:00
abstract：:Sixteen studies on the effectiveness of palliative support teams were analyzed. It was established that in most cases uncontrolled designs with repeated measurements were used. The assessment methods varied strongly. However, the Support Team Assessment Schedule was the most frequently used instrument. Effects reporte...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/s0738-3991(00)00118-x
更新日期：2000-08-01 00:00:00
abstract：:Females, especially older women, historically have been excluded from coronary heart disease (CHD) studies. The PrimeTime program was a randomized clinical trial designed to study the effects of a comprehensive lifestyle management program (very low-fat vegetarian diet, smoking cessation, stress-management training, m...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0738-3991(98)00074-3
更新日期：1998-11-01 00:00:00
abstract：OBJECTIVE:To assess patients' preferences and trade-offs for mode of delivery in case of breech presentation at term. METHODS:Eighty women (40 with a foetus in breech presentation and 40 with a foetus in cephalic presentation) with a gestational age from 36 weeks onwards were offered scenarios of vaginal and caesarean...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.04.008
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:This paper explores factors that influence the formulation of risk perception among men with a family history of prostate cancer who are currently attending a prostate cancer screening clinic. METHODS:Semi-structured interviews were conducted with fifteen participants. Interview transcripts were analyzed usi...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.11.020
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To explore the association between frailty and medication adherence by modeling medication beliefs (i.e., necessity and concerns) as mediators among community-dwelling older patients. METHODS:This cross-sectional study was conducted among 780 Chinese older patients. Frailty, medication adherence and medicati...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.05.013
更新日期：2020-05-15 00:00:00
abstract：OBJECTIVE:This study attempts to identify a structure among patient-related factors that could predict treatment adherence in statin patients, especially with regards to the necessity-concern framework. METHODS:414 Swedish patients using statins completed a questionnaire about their health, treatment, locus of control...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.11.001
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:To assess doctors' communication skills in mainland China using the SEGUE Framework. METHODS:A survey on doctors' communication skills with doctors (n = 1361) and patients (n = 1757) from 14 provinces in eastern, central and western China was conducted. RESULTS:The doctors' self-evaluation scores were highe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.12.013
更新日期：2020-12-23 00:00:00
abstract：OBJECTIVE:Written medicine information is essential to support spoken information from pharmacists, but must be fit-for-purpose. This study applied "user testing" to the booklet supplied to UK patients taking anticoagulant medicines. METHODS:"User testing" uses mixed-methods, applied iteratively, to assess document pe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.03.016
更新日期：2011-06-01 00:00:00
