Consultation Models

Question 1

True or false? Patients that have doctors with a patient-centered approach will have a higher satisfaction after using health services.

Answer 1

TRUE

Stewart. Effective physician-patient communication and health outcome: a review. Can Med Assoc (1995).

Question 2

What skills do you need to fulfill the tasks in a consultation?

Answer 2

• Negotiation
• Technical
• Cognitive
• Perceptive

Question 3

What is a consultation?

Answer 3

• Hallmark of patient care
• Interaction with a patient
• professional communication
• verbal and nonverbal communication
• Needs specific skills

Question 4

What is a model?

Answer 4

A hypothetical description of a complex process.

Question 5

True or false? Patients that do not perceive their doctor’s approach as patient-centered will use more health service resources.

Answer 5

TRUE

Little et al. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ (2001).

Question 6

What are the benefits of a patient-centered approach over a doctor-centered approach?

Answer 6

• Enhanced understanding of illness
• Better concordance
• Less complaints
• Improved patient satisfaction

Question 7

What is the medical model?

Answer 7

A doctor-centered approach.

Question 8

Fill in the blank: ‘All models are ______, but some are useful.’

Answer 8

wrong

Question 9

What are the tasks to be completed in a patient consultation?

Answer 9

• Manage presenting problems
• Manage ongoing problems
• Health promotion
• Modify health behaviors
• Support, empower, confront

Question 10

What does the health belief model (1975) include?

RICE

Answer 10

• Reason to attend the clinic
• Patient’s expectations of this visit
• Patient’s concerns
• Patient’s ideas about what may be going on

Question 11

What is the traditional medical consultation model?

Answer 11

• Sorts the main problem out
• Medically comprehensive
• Structured

Question 12

True or false? When the doctor is positive in his or her approach to the disease, the patient will experience a quicker resolution of symptoms.

Answer 12

TRUE

Little et al. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ (2001).

Question 13

What are some cons of the traditional medical consultation model?

Answer 13

• Presumes illness is always explained by pathophysiology
• Disregards psychosocial context of the complaint
• Disregards patient as a person
• Disregards doctor as a person
• Not an effective use of time - covers some areas that may have little relevance

Question 14

What are the components of effective communication skills in consultations?

Answer 14

• Open-ended questions
• Summarizing
• Confirming listening
• Encouraging collaboration

Question 15

What is the importance of studying consultation models?

Answer 15

• Helps understand the patient’s perspective
• Enhances safety and thoroughness
• Provides structure for information exchange

Question 16

What is the hallmark of patient care?

Answer 16

Interaction with a patient.

Question 17

What is the acronym RICE used for in health consultations?

Answer 17

• Reason to attend the clinic
• Ideas about what may be going on
• Concerns of the patient
• Expectations of the visit

Question 18

What does a patient consultation require?

Answer 18

• Professional communication
• Verbal and nonverbal communication
• Specific skills

Question 19

What does the subjective arm of the consultation encompass?

Answer 19

• Patient’s agenda
• Patient’s experiences
• Patient’s beliefs
• understanding of own unique experience

Question 20

What does the objective arm of the consultation encompass?

Answer 20

• Symptoms
• Signs
• Investigations
• Pathology
• Differential diagnoses and treatment

Question 21

What is the primary role of the doctor in a consultation?

Answer 21

To facilitate the patient’s understanding and management of their health.

Question 22

What skills will allow you to not limit the patient?

Answer 22

start a subject with open-ended question(s)

Question 23

Describe the importance of the skill of summarizing?

Answer 23

1. confirms your listening
2. enables to elaborate further, to add or to correct
3. demonstrates interest and concern
4. encourages collaboration and participation
5. allows you space to order your thoughts and review what has been covered
6. provides structure
7. indicates that this part of the consultation is at an end