'The Hand on the Doorknob': Visit Agenda Setting by Complex Patients and Their Primary Care Physicians.

ABSTRACT: BACKGROUND:Choosing which issues to discuss in the limited time available during primary care visits is an important task for complex patients with chronic conditions. DESIGN, SETTING, AND PARTICIPANTS:We conducted sequential interviews with complex patients (n = 40) and their primary care physicians (n = 17) from 3 different health systems to investigate how patients and physicians prepare for visits, how visit agendas are determined, and how discussion priorities are established during time-limited visits. KEY RESULTS:Visit flow and alignment were enhanced when both patients and physicians were effectively prepared before the visit, when the patient brought up highest-priority items first, the physician and patient worked together at the beginning of the visit to establish the visit agen

SUBMITTER: Kowalski CP 

PROVIDER: S-EPMC5893137 | biostudies-literature | 2018 Jan-Feb

REPOSITORIES: biostudies-literature