About: Patient-Centeredness during In-Depth Consultation in the Outpatient Clinic of a Tertiary Hospital in Korea: Paradigm Shift from Disease to Patient

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About: Patient-Centeredness during In-Depth Consultation in the Outpatient Clinic of a Tertiary Hospital in Korea: Paradigm Shift from Disease to Patient Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Patient-Centeredness during In-Depth Consultation in the Outpatient Clinic of a Tertiary Hospital in Korea: Paradigm Shift from Disease to Patient
Creator	Yim, Jae-Joon Kwon, Yong
Source	Medline; PMC
abstract	BACKGROUND: Patient-centered care (PCC) and integrative care approach are widely advocated. However, their implementation usually requires an extended consultation time. Despite significant advances in medical diagnosis and treatment, no studies have examined consultation time and patient centeredness in Korea. METHODS: We conducted a “15-Minute Consultation” for first-time patients in outpatient clinics of 13 departments. A control group was selected from the same physicians' first-time patients, adjusting for age and gender. A total of 275 patients were selected for receiving in-depth consultation and 141 control patients were selected for regular consultation. Data were collected from patients using a questionnaire comprising a patient-centeredness scale and items on potential predictors such as socio-demographic and clinical factors. We also investigated the participating physician's professionalism. RESULTS: As compared to the control group, the in-depth consultation group scored higher on 5 variables associated with PCC, including (patients' perception of) medical professionals, wait and consultation times, treatment, patient advocacy, and patient satisfaction. While 92.4% of patients in the in-depth consultation group reported that the consultation time was sufficient, only 69.0% of those in the control group reported the same (P < 0.01). In the in-depth consultation group, scores on satisfaction level were the highest for the department of internal medicine, followed by departments of surgery and pediatrics. Participating physicians' improved satisfaction following the intervention proved that in-depth consultation facilitated building a rapport with patients. CONCLUSION: This study illustrated that the provision of sufficiently long consultation for serious and rare diseases could improve PCC and physicians' professionalism. Health authorities should reshuffle the healthcare delivery system and provide sufficient consultation time to ensure PCC and medical professionalism.
has issue date	2019-04-09(xsd:dateTime)
bibo:doi	10.3346/jkms.2019.34.e119
bibo:pmid	31001936
has license	cc-by-nc
sha1sum (hex)	8509342038d6b5c6a8a9d980bf207a83f37cd970
schema:url	https://doi.org/10.3346/jkms.2019.34.e119
resource representing a document's title	Patient-Centeredness during In-Depth Consultation in the Outpatient Clinic of a Tertiary Hospital in Korea: Paradigm Shift from Disease to Patient
has PubMed Central identifier	PMC6473096
has PubMed identifier	31001936
schema:publication	J Korean Med Sci
resource representing a document's body	covid:8509342038d6b5c6a8a9d980bf207a83f37cd970#body_text
is schema:about of	named entity 'PROFESSIONALS' named entity 'PATIENT ADVOCACY' named entity 'RAPPORT' named entity 'BUILDING' named entity 'CONTROL' named entity '275' named entity 'PATIENT SATISFACTION' named entity 'PERCEPTION' named entity 'HIGHEST' named entity '141' named entity 'LEVEL' named entity 'SCORED' named entity 'RECEIVING' named entity 'HEALTH' named entity 'MEDICAL DIAGNOSIS' named entity 'WAIT' named entity 'CONSULTATION' named entity 'DEPTH' named entity 'QUESTIONNAIRE' named entity 'LONG' named entity '28P' named entity 'IMPLEMENTATION' named entity 'Background' named entity 'time' named entity 'gender' named entity 'PCC' named entity 'investigated' named entity 'departments' named entity 'provision' named entity 'USING' named entity '27S' named entity 'TIME' named entity 'PHYSICIAN' named entity 'FOLLOWED BY' named entity 'PATIENT' named entity 'EXAMINED' named entity 'CARE' named entity 'HIGHER' named entity 'ENSURE' named entity 'DEPARTMENT' named entity 'SELECTED' named entity 'ADJUSTING' named entity 'APPROACH' named entity 'REGULAR' named entity 'MEDICAL' named entity 'HEALTHCARE DELIVERY' named entity 'PCC' named entity '2215' named entity 'INVESTIGATED' named entity '0.01' named entity 'USUALLY' named entity 'CONTROL GROUP' named entity 'SUFFICIENT' named entity 'REPORTED' named entity 'PROFESSIONALISM' named entity 'TOTAL' named entity 'HAVE' named entity 'AUTHORITIES' named entity 'DELIVERY SYSTEM' named entity 'GENDER' named entity 'INCLUDING' named entity 'TIMES' named entity 'PEDIATRICS' named entity 'TREATMENT' named entity 'KOREA' named entity 'AGE' named entity 'GROUP' named entity 'STUDY' named entity 'INTERNAL MEDICINE' named entity 'PATIENTS' named entity 'PARTICIPATING' named entity 'PROVIDE' named entity 'STUDIES' named entity 'CONCLUSION' named entity 'MINUTE' named entity 'DATA' named entity 'SURGERY' named entity 'RARE DISEASES' named entity 'SCALE' named entity 'COLLECTED'

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