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A change of the physicians' understanding of the encounter parallels competence development
Health Services Research, Uppsala Science Park, Uppsala, Sweden . (Health Services Research)ORCID iD: 0000-0002-4302-5529
Health Services Research, Uppsala Science Park, Uppsala, Sweden . (Health Services Research)
2001 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 42, no 3, p. 271-278Article in journal (Refereed) Published
Abstract [en]

Patients today complain that physicians do not listen. There is a need to improve the professional competence in the patient encounter. According to theory, competence is a result of how people perceive their work. Observation and reflection can improve the competence. The aim of this study was to investigate if physicians can develop a more patient-centred consultation style by an experienced-based specialist course and how such a development is related to the physicians understanding of the task. The physicians video recorded consultations and reflected on these. The video consultations were analysed with a time study and Pendleton et al.’s consultation schedule [Pendleton D, Schoefield T, Tate P, Havelock P. The consultation: an approach to learning and teaching. Oxford: Oxford University Press, 1984.]. Before–after questions were answered. The study indicates that seven out of 10 physicians participating in the course had developed a patient-centred attitude and acted according to it. The time study gave ambiguous results. This study implicates that it is possible to initiate competence development by influencing the understanding of the encounter.

Place, publisher, year, edition, pages
2001. Vol. 42, no 3, p. 271-278
Keywords [en]
Consultation, Pendleton, Competence development, Video-recordings, Patient-centred
National Category
Medical and Health Sciences
Research subject
Health Care Research
Identifiers
URN: urn:nbn:se:mdh:diva-21545DOI: 10.1016/S0738-3991(00)00132-4ISI: 000166726900008Scopus ID: 2-s2.0-0035159435OAI: oai:DiVA.org:mdh-21545DiVA, id: diva2:649133
Available from: 2008-10-17 Created: 2013-09-17 Last updated: 2017-12-06Bibliographically approved

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Holmström, Inger

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf