Abstract No. 96 (Free Standing Paper) : USE OF A 'PATIENTS AGENDA FORM' IN THE CONSULTATION

Conference: 
Author(s): 
Middleton John
GP Postgraduate Education Office, Leicester General Hospital, Gwendolen Rd, Leicester LE5 4PW United Kingdom
Text: 
Introduction:
The 'face model' of the consultation emphasises the importance of the patients agenda. A form (PtAF) was developed to enable the patient to write down the agenda prior to the consultation.
Methods:
Randomised controlled trial of the effect of using the PtAF on outcomes of 44 primary care consultations, compared with 50 where the PtAF was not used.
Results:
The PtAF was associated with an increased number of problems identified by the doctor (2.14 cf 1.7, P = 0.03) and increased consultation length (624 of 492 sec, P = 0.015, CI -238 to -26). There were no differences in patients and doctors satisfaction, doctors stress, repeat consultations or compliance. On the PtAF 41 patients (93%) requested action, 32 (73%) expressed ideas and 24 (55%) asked questions.
Conclusion:
The PtAF promotes partnership with patients by increasing the number of problems identified and making the agenda more explicit. Since consultation length is increased there are implications for the use of resources in primary care.