The prescription talk – an approach to teach patient-physician conversation about drug prescription to medical students

Hauser, Katarina; Koerfer, Armin; Niehaus, Mathilde; Albus, Christian; Herzig, Stefan; Matthes, Jan

doi:10.3205/zma001095

Cited by 6 publications

(1 citation statement)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The physician-patient interaction is a core component of the physician-patient relationship, which has long been a topic of interest in health services [31]. Research on offline health services has explored the provision of information about diseases or surgeries, prescriptions, and serious diseases in terms of the improvement of patients' experiences [32][33][34][35][36]. These studies using specific scales for analysis tended to focus on how physicians deliver technical service with regard to expertise and improve the outcome of treatment.…”

Section: Literature Reviewmentioning

confidence: 99%

Online Physician-Patient Interaction and Patient Satisfaction: Empirical Study of the Internet Hospital Service

Wu¹,

Zhao²,

Wu³

2023

J Med Internet Res

View full text Add to dashboard Cite

Background In China, a form of online health service called the internet hospital became a prominent means of patient care when face-to-face visits were not possible during the COVID-19 pandemic to minimize transmission of the SARS-CoV-2 virus. Patients’ internet hospital experiences largely depend on online physician-patient interaction. Yet, little is known about how physicians can improve patient satisfaction by using specific communication strategies online. Objective This study aimed to identify specific communication strategies to help physicians deliver better quality internet hospital services. We also outline recommendations for hospitals to operate internet hospital platforms more effectively. Methods A longitudinal data set was collected from an internet hospital platform operated by a top hospital in China. By extracting communication patterns from approximately 20,000 records of online health care services and by controlling the features of service requests, we tested the impacts of response load, more detailed style, and emotional comfort on patient satisfaction. We further explored the effects of these communication patterns in different service contexts. Results Physicians with a low response load, a more detailed style, and expressions of emotional comfort received more positive patient feedback. Response load did not affect patient satisfaction with free online health service, whereas a more detailed style and emotional comfort enhanced satisfaction with free service. Response load significantly reduced patient satisfaction with paid online health service, while a more detailed style had no effect. Compared with free service, emotional comfort more strongly promoted patient satisfaction with paid service. Conclusions The communication strategies identified can help physicians provide patients with a better internet hospital experience. These strategies require hospitals to schedule each physician’s online service period more appropriately. In addition, tailoring the strategies to service situations can facilitate more targeted and effective internet hospital service for patients.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Online Physician-Patient Interaction and Patient Satisfaction: Empirical Study of the Internet Hospital Service

Wu¹,

Zhao²,

Wu³

2023

J Med Internet Res

View full text Add to dashboard Cite

show abstract

Development of perceived pharmacological deficits of medical students and alumni supports claim for continuous and more application-oriented education

Johannsen

Frings

Herzig

et al. 2018

Naunyn-Schmiedeberg's Arch Pharmacol

View full text Add to dashboard Cite

Medical students' prescribing competencies are insufficient. So far, surveys focused on final-year students. Knowledge and confidence seem important, but their development during medical studies are unclear. This study investigated whether students perceived deficits in pharmacological knowledge change during medical studies. Alumni were included to look for changes occurring after graduation. Medical students at different stages of their studies were invited to fill in paper-and-pencil (6th-, 8th-, 9th- and 10th-term students) or online questionnaires (final-year students and alumni) regarding their self-assessed deficits in pharmacology. Questionnaires have been developed based on previous interviews with 10th-term students. We differentiated between declarative and application-oriented knowledge. In total, data from 816 participants could be analysed. Self-assessment regarding declarative knowledge changed during medical studies, being more sceptical in terms without pharmacology courses. Of note, self-assessment of application-oriented knowledge remained constantly low throughout, although our pharmacology courses use problem-based learning. Tenth-term students were most sceptical, perhaps influenced by an obligatory, formative, simulation-based, 1-week course, preparing students for their final practical year. Compared to students, alumni were significantly less sceptical regarding application-oriented knowledge. Students' self-assessment of deficits in pharmacological knowledge changes throughout their studies, presumably in association with pharmacology courses. Overall, students are rather sceptical, especially with regard to application-oriented knowledge. Our data further substantiate the European Association for Clinical Pharmacology and Therapeutics (EACPT) recommendations to improve pharmacology education throughout the entire medical curriculum, e.g. by providing more training in simulated and clinical environments.

show abstract

Aspects of Medication and Patient participation—an Easy guideLine (AMPEL). A conversation guide increases patients’ and physicians’ satisfaction with prescription talks

Kirsch

Matthes

2021

Naunyn-Schmiedeberg's Arch Pharmacol

Self Cite

View full text Add to dashboard Cite

Patients want more information and active participation in medical decisions. Information and active participation correlate with increased adherence. A conversation guide, combining patient-relevant drug information with steps of shared decision-making, was developed to support physicians in effective and efficient prescription talks. Six GP trainees in community-based primary care practices participated in a controlled pilot study in sequential pre-post design. Initially, they conducted 41 prescription talks as usual, i.e., without knowing the guide. Then, they conducted 23 talks considering the guide (post-intervention phase). Immediately after the respective talk, patients filled in a questionnaire on satisfaction with the information on medication and physician–patient interaction, and physicians about their satisfaction with the talk and the application of the guide. Patients felt better informed after guide-based prescription talks (e.g., SIMS-D in median 10 vs. 17, p < 0.05), more actively involved (KPF-A for patient activation 2.9 ± 0.8 vs. 3.6 ± 0.8, p < 0.05), and more satisfied with the physician–patient interaction. Physicians rated the guide helpful and feasible. Their satisfaction with the conversation was significantly enhanced during the post-intervention phase. The evaluation of the duration of the talk was not influenced. Enhanced patients’ and physicians’ satisfaction with prescription talks encourages further examinations of the conversation guide. We invite physicians to try our guide in everyday medical practice.

show abstract

The prescription talk – an approach to teach patient-physician conversation about drug prescription to medical students

Cited by 6 publications

References 32 publications

Online Physician-Patient Interaction and Patient Satisfaction: Empirical Study of the Internet Hospital Service

Online Physician-Patient Interaction and Patient Satisfaction: Empirical Study of the Internet Hospital Service

Development of perceived pharmacological deficits of medical students and alumni supports claim for continuous and more application-oriented education

Aspects of Medication and Patient participation—an Easy guideLine (AMPEL). A conversation guide increases patients’ and physicians’ satisfaction with prescription talks

Contact Info

Product

Resources

About