SHELDON GREENFIELD, M. D.; SHERRIE KAPLAN, Ph.D., M.P.H.; JOHN E. WARE, Ph.D.
GREENFIELD S, KAPLAN S, WARE JE. Expanding Patient Involvement in Care: Effects on Patient Outcomes. Ann Intern Med. 1985;102:520-528. doi: 10.7326/0003-4819-102-4-520
Download citation file:
Published: Ann Intern Med. 1985;102(4):520-528.
An intervention was developed to increase patient involvement in care. Using a treatment algorithm as a guide, patients were helped to read their medical record and coached to ask questions and negotiate medical decisions with their physicians during a 20-minute session before their regularly scheduled visit. In a randomized controlled trial we compared this intervention with a standard educational session of equal length in a clinic for patients with ulcer disease. Six to eight weeks after the trial, patients in the experimental group reported fewer limitations in physical and role-related activities (p < 0.05), preferred a more active role in medical decision-making, and were as satisfied with their care as the control group. Analysis of audiotapes of physician-patient interactions showed that patients in the experimental group were twice as effective as control patients in obtaining information from physicians (p < 0.05). Results of the intervention included increased involvement in the interaction with the physician, fewer limitations imposed by the disease on patients' functional ability, and increased preference for active involvement in medical decision-making.
Learn more about subscription options.
Register Now for a free account.
Gastroenterology/Hepatology, Peptic Disease, Peptic Ulcer.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only