Saul J. Weiner, MD; Beth Barnet, MD; Tina L. Cheng, MD, MPH; Timothy P. Daaleman, DO
Acknowledgments: The authors thank Simon Auster, MD, JD, for many shared insights and for comments on drafts of the manuscript that led to substantive changes. They also thank Greg Makoul, PhD, for suggestions incorporated into the section on provider–patient communication.
Grant Support: By the Robert Wood Johnson Foundation Generalist Physician Faculty Scholars Program.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Saul J. Weiner, MD, University of Illinois at Chicago, 840 South Wood Street, M/C 718, Chicago, IL 60612; e-mail, email@example.com.
Current Author Addresses: Dr. Weiner: Departments of Medicine and Pediatrics, University of Illinois at Chicago, 840 South Wood Street, M/C 718, Chicago, IL 60612, and The Midwest Center for Health Services and Policy Research, Jesse Brown Veterans Affairs Medical Center, R&D (MC 151), 820 South Damen Avenue, Chicago, IL 60612.
Dr. Barnet: Department of Family Medicine, University of Maryland School of Medicine, 29 South Paca Street LL, Baltimore, MD 21201.
Dr. Cheng: General Pediatrics & Adolescent Medicine, Johns Hopkins University, 600 North Wolfe Street, Park 392, Baltimore, MD 21287.
Dr. Daaleman: Department of Family Medicine, University of North Carolina at Chapel Hill, CB #7595, Manning Drive, Chapel Hill, NC 27599-7595.
Communication in the delivery of health care services occurs along 2 axes: between providers and patients and among several providers. In primary care, a principle objective in the provider–patient relationship is facilitating whole-person care, which is care provided in the context of family and community. In addition, primary care emphasizes communication between the primary care physician and other providers with the goal of integrated care, or care provided in the context of a patient's overall health care needs. However, considering both the U.S. health care delivery system and medical education programs, several obstacles interfere with the necessary processes of communication. This paper addresses those obstacles with a conceptual framework for effective communication in primary care. Recommendations propose formalizing requirements for the exchange of information among providers, enhancing communication training, disseminating information technology, and mitigating external factors that disrupt communication in primary care.
Conceptual framework for communication with and without the obstacles to whole person, integrated patient care.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Weiner SJ, Barnet B, Cheng TL, Daaleman TP. Processes for Effective Communication in Primary Care. Ann Intern Med. ;142:709–714. doi: 10.7326/0003-4819-142-8-200504190-00039
Download citation file:
Published: Ann Intern Med. 2005;142(8):709-714.
Cardiology, Coronary Risk Factors, Diabetes, Education and Training, Endocrine and Metabolism.
Results provided by:
Copyright © 2018 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use