Consultation Models Flashcards
True or false? Patients that have doctors with a patient-centered approach will have a higher satisfaction after using health services.
TRUE
Stewart. Effective physician-patient communication and health outcome: a review. Can Med Assoc (1995).
What skills do you need to fulfill the tasks in a consultation?
- Negotiation
- Technical
- Cognitive
- Perceptive
What is a consultation?
- Hallmark of patient care
- Interaction with a patient
- professional communication
- verbal and nonverbal communication
- Needs specific skills
What is a model?
A hypothetical description of a complex process.
True or false? Patients that do not perceive their doctor’s approach as patient-centered will use more health service resources.
TRUE
Little et al. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ (2001).
What are the benefits of a patient-centered approach over a doctor-centered approach?
- Enhanced understanding of illness
- Better concordance
- Less complaints
- Improved patient satisfaction
What is the medical model?
A doctor-centered approach.
Fill in the blank: ‘All models are ______, but some are useful.’
wrong
What are the tasks to be completed in a patient consultation?
- Manage presenting problems
- Manage ongoing problems
- Health promotion
- Modify health behaviors
- Support, empower, confront
What does the health belief model (1975) include?
RICE
- Reason to attend the clinic
- Patient’s expectations of this visit
- Patient’s concerns
- Patient’s ideas about what may be going on
What is the traditional medical consultation model?
- Sorts the main problem out
- Medically comprehensive
- Structured
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.
TRUE
Little et al. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ (2001).
What are some cons of the traditional medical consultation model?
- 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
What are the components of effective communication skills in consultations?
- Open-ended questions
- Summarizing
- Confirming listening
- Encouraging collaboration
What is the importance of studying consultation models?
- Helps understand the patient’s perspective
- Enhances safety and thoroughness
- Provides structure for information exchange
What is the hallmark of patient care?
Interaction with a patient.
What is the acronym RICE used for in health consultations?
- Reason to attend the clinic
- Ideas about what may be going on
- Concerns of the patient
- Expectations of the visit
What does a patient consultation require?
- Professional communication
- Verbal and nonverbal communication
- Specific skills
What does the subjective arm of the consultation encompass?
- Patient’s agenda
- Patient’s experiences
- Patient’s beliefs
- understanding of own unique experience
What does the objective arm of the consultation encompass?
- Symptoms
- Signs
- Investigations
- Pathology
- Differential diagnoses and treatment
What is the primary role of the doctor in a consultation?
To facilitate the patient’s understanding and management of their health.
What skills will allow you to not limit the patient?
start a subject with open-ended question(s)
Describe the importance of the skill of summarizing?
- confirms your listening
- enables to elaborate further, to add or to correct
- demonstrates interest and concern
- encourages collaboration and participation
- allows you space to order your thoughts and review what has been covered
- provides structure
- indicates that this part of the consultation is at an end
