Wrapping things up: A qualitative analysis of the closing moments of the medical visit
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Cited by (40)
Interrupted opening statements in clinical encounters: A scoping review
2022, Patient Education and CounselingCitation Excerpt :Not allowing patients to finish expressing their concerns at the beginning of the encounter may lead to new problems being presented later or during the closing moments [7]. This may lead to ineffective use of time during the encounter and rushing to address these additional concerns [35]. However, encounters are heterogeneous and some patients’ opening statements may be excessively long and repetitive.
Patient-initiated additional concerns in general surgery visits
2018, Patient Education and CounselingCitation Excerpt :Raising any concern is an imposing action [5,6], in that it not only contradicts the default “one visit, one problem” orientation [4,7–11], but also requires physicians to stop the activity-at-hand and deal with a new issue. Patients, however, often do have concerns that extend beyond the reason for the visit [7,12,13], and these concerns are most likely to get discussed (if ever) after the primary concern has been resolved and at the end of the visit [8,14–16]. Most work on physician-patient communication still assumes the acute, primary care “one-problem-one visit” framework, and most efforts to decrease patients’ unmet concerns focus on physician behavior and how they should best work to solicit additional concerns from patients [9,10,17,18].
Findings from a feasibility study to improve GP elicitation of patient concerns in UK general practice consultations
2018, Patient Education and CounselingCitation Excerpt :Evidence suggests that soliciting early in the consultation can be an effective way to establish all patient concerns early in the consultation [7,8,9]. But studies have suggested that this is not routine practice [2,3,10–12] and where physicians do ask patients if they have additional concerns, this tends to be at the end of the consultation [10,11]. Dealing with additional concerns at the end of a consultation can be problematic for time management and can result in concerns not being fully elaborated and managed.
Agenda-setting revisited: When and how do primary-care physicians solicit patients' additional concerns?
2016, Patient Education and CounselingWhat is agenda setting in the clinical encounter? Consensus from literature review and expert consultation
2015, Patient Education and CounselingHow potentially serious symptom changes are talked about and managed in COPD clinical review consultations: A micro-analysis
2014, Social Science and Medicine