Bibliographic Details
| Title: |
Monitoring the implementation of Consultation Planning, Recording, and Summarizing in a breast care center. |
| Authors: |
Belkora JK (AUTHOR), Loth MK (AUTHOR), Chen DF (AUTHOR), Chen JY (AUTHOR), Volz S (AUTHOR), Esserman LJ (AUTHOR), Belkora, Jeffrey K1 (AUTHOR), Loth, Meredith K (AUTHOR), Chen, Daniel F (AUTHOR), Chen, Jennifer Y (AUTHOR), Volz, Shelley (AUTHOR), Esserman, Laura J (AUTHOR) |
| Source: |
Patient Education & Counseling. Dec2008, Vol. 73 Issue 3, p536-543. 8p. |
| Abstract: |
Objective: We implemented and monitored a clinical service, Consultation Planning, Recording and Summarizing (CPRS), in which trained facilitators elicit patient questions for doctors, and then audio-record, and summarize the doctor-patient consultations.Methods: We trained 8 schedulers to offer CPRS to breast cancer patients making treatment decisions, and trained 14 premedical interns to provide the service. We surveyed a convenience sample of patients regarding their self-efficacy and decisional conflict. We solicited feedback from physicians, schedulers, and CPRS staff on our implementation of CPRS.Results: 278 patients used CPRS over the 22-month study period, an exploitation rate of 32% compared to our capacity. 37 patients responded to surveys, providing pilot data showing improvements in self-efficacy and decisional conflict. Physicians, schedulers, and premedical interns recommended changes in the program's locations; delivery; products; and screening, recruitment and scheduling processes.Conclusion: Our monitoring of this implementation found elements of success while surfacing recommendations for improvement.Practice Implications: We made changes based on study findings. We moved Consultation Planning to conference rooms or telephone sessions; shortened the documents produced by CPRS staff; diverted slack resources to increase recruitment efforts; and obtained a waiver of consent in order to streamline and improve ongoing evaluation. [ABSTRACT FROM AUTHOR] |
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| Database: |
Education Research Complete |
