EDITORIAL
Diversifying the options for interacting with patients
Diversifying the options for interacting with patients
Correspondence to:
Edward H Wagner, MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health, 1730 Minor Avenue, Suite 1290, Seattle, WA 98101, USA; wagner.e@ghc.org
Shared medical appointments or group visits have proven to be a promising way of providing planned care to older and chronically ill patients with two powerful added attractions—patient peer support and improved practice efficiency
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Many commentators over the years have lamented the "tyranny" of the brief office visit. The urgency of patient problems, the short duration of office visits and the tendency of clinicians to talk far more than they listen leaves little time for human interaction, much less preventive care and routine chronic illness management. Rushed, problem-oriented visits have been implicated as a major reason that roughly one-half of Americans with chronic illness are not receiving effective care.1 In addition to negative impacts on the process of care, substantial percentages of American sicker adults report that their doctors do not answer their important questions (24%), do not tell them about their treatment or ask their opinions (50%), and do not make treatment goals clear (27%).2 These data help explain the observation that chronically ill individuals report lower satisfaction with care than do others and that, among
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