PA-PT Comm/ Adherence Flashcards
the interview is the most important factor in determining…
pt. adherence to tx plan
and is the keystone to pt satisfaction
good at interviewing = ____ as a practitioner
happier
Avg. physician interview time
6 mins
patients usually have how long to tell their story before interruptions
18 secs!!!! EIGHTEEN SECONDS?!
What are important health outcomes from the interview?
- diagnostic accuracy largely depends on interview
- patient adherence
what are important social outcomes of the interview?
- patient/provider satisfaction
- better informed consent
- fewer pt. complaints
- decrease in malpractice risk
what encourages someone to listen?
authority
eye contact
empathy
confidence
List the four E’s
-a model for effective PA-Pt. interactions
- engage the patient
- empathize with the patient
- educating the patient
- enlisting the patient
core skills of empathy
OARS
- Open ended questions
- Affirmations
- Reflections
- Summaries
What is a helpful model that helps with patient education?
ASK-TELL-ASK
Ask-tell-ask
- helps pt. education
- Ask patient knowledge
- Tell them pertinent info to fill in gaps
- Ask for understanding
What method should you NOT use when assessing patient understanding?
‘Do you understand”
-they’ll just say yes or nod
What method should you use when asking for pt. understanding?
Teach-back/show-me method
-ask pt. to explain or demonstrate how they will do the treatment/recommendation
When enlisting the pt. what are you enlisting them to do?
inviting the patient in decision making around the problem and treatment plan
-recommend and NEGOTIATE treatment
What are the four steps to enlisting the patient?
- Share decision making about the problem and treatment plan
- assess conviction and confidence to follow through
- identify barriers and problem solve to remove or diminish barriers
- agree on a simple regimen and write it out
