Internal Medicine Patients, Participating Staff
Conditions
Keywords
effects clinical space, follow-up appointments
Brief summary
The purpose of this study is to improve the clinical encounter through the design of the clinical environment. We will conduct a randomized controlled trial to measure the extent to which a newly designed clinical room, compared to a traditional room, affects the patient-physician interaction. We will judge this outcome by (a) videotaping encounters; and (b) conducting post-visit surveys with patients and an interview with physicians. We will use both qualitative and quantitative tools, including a validated and widely used interaction coding system on the videotapes, to draw inferences from these data.
Interventions
In the redesigned room patients and clinicians are sitting at a single table in a different configuration compared to the usual clinical exam room, with the doctor at the computer and two chairs for the patient and family/friends.
This is the usual clinical room for a clinical visit, with physician at desk and chairs along the wall for patient/family.
Sponsors
Study design
Eligibility
Inclusion criteria
Eligible Clinicians: 1. In the Department of GIM or Preventive Medicine 2. Able and Willing to participate in research study. Eligible patients: 1. Patient of a clinician participating in the study 2. 18 years or older 3. Seeing clinician for return/summary visit.
Exclusion criteria
1.) Not able to give informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient and Clinician Interaction variables (duration of the encounter, patient sense of control in encounter, patient's ability to access information from the computer monitor and the quality of the verbal and non-verbal interaction). | Immediately post clinical visit (survey) |
| Patient experience of the clinical encounter. The following variables will be measured: patient satisfaction with the room, patient satisfaction with the encounter and the quality of the relationship. | Immediately post visit |
Countries
United States