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Presence of observers at patient-practitioner interactions: Impact on coordination of care and methodologic implications

Author

Listed:
  • Starfield, B.
  • Steinwachs, D.
  • Morris, I.
  • Bause, G.
  • Siebert, S.
  • Westin, C.

Abstract

In this study in an urban practice, the presence of a neutral observer at follow-up visits enhanced the extent to which practitioners recognized problems which patients had in a previous visit. This improvement was limited to those problems which initially had been mentioned by patients as requiring follow-up. Follow-up of problems initially mentioned by practitioners as needing follow-up was not improved by the observer unless the problem was also mentioned by the patient. Investigators whose information about practitioner-patient interaction depends upon the presence of an observer should be aware of this and possibly other effects. Although routine involvement of a neutral observer in patient-practitioner interactions is probably undesirable, selected deployment of observers or similar alternatives may be useful in situations where practitioner-patient communication is inadequate.

Suggested Citation

  • Starfield, B. & Steinwachs, D. & Morris, I. & Bause, G. & Siebert, S. & Westin, C., 1979. "Presence of observers at patient-practitioner interactions: Impact on coordination of care and methodologic implications," American Journal of Public Health, American Public Health Association, vol. 69(10), pages 1021-1025.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.69.10.1021_4
    DOI: 10.2105/AJPH.69.10.1021
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