Can doctors improve the patient experience by rearranging the furniture and equipment in their office? A video recorded simulation

The design of this study is a video-recorded simulated consultation. Its aim is to evaluate the effect of changing seating arrangements and stethoscope visibility on patient enablement and non-verbal behaviour. Twelve simulated consultations with six actor-patients and a ‘real’ doctor were video rec...

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Autores principales: Moyez Jiwa, Catherine Krejany, Lee Gaedtke, Epi Kanjo, Ruthra Nagendran, Carolyn O'Shea, Iain Greenlees
Formato: article
Lenguaje:EN
Publicado: The Beryl Institute 2019
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Acceso en línea:https://doaj.org/article/b21e7125e7664a3da385769d27f9cb04
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spelling oai:doaj.org-article:b21e7125e7664a3da385769d27f9cb042021-11-15T04:28:38ZCan doctors improve the patient experience by rearranging the furniture and equipment in their office? A video recorded simulation2372-0247https://doaj.org/article/b21e7125e7664a3da385769d27f9cb042019-04-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss1/6https://doaj.org/toc/2372-0247The design of this study is a video-recorded simulated consultation. Its aim is to evaluate the effect of changing seating arrangements and stethoscope visibility on patient enablement and non-verbal behaviour. Twelve simulated consultations with six actor-patients and a ‘real’ doctor were video recorded. Either the ‘real’ doctor or actor-patient, blind to the hypothesis sat in large executive office chair during the consult. The patient entered the room afresh for each consult. Consultation quality and outcomes were independently evaluated on three measures: The Patient Enablement Index (PEI), the Leicester Assessment Package (LAP); Non-Verbal Communication (NVC). Both expert reviewers were also blind to the study aim. The results: the doctor’s performance was consistent on the LAP score (P > 0.05). There was a significant improvement in patient enablement (p=0.03) and non-verbal communication (p=0.003) when the actor-patients occupied the executive chair. The visibility of the stethoscope did not have a measurable effect on these measures. There was evidence that when patients occupy the larger chair in the consulting room there is significant objective improvement in the measures of patient experience of the meeting.Moyez JiwaCatherine KrejanyLee GaedtkeEpi KanjoRuthra NagendranCarolyn O'SheaIain GreenleesThe Beryl Institutearticlepatient experiencepatient-centered carephysician-patient relationsnon-verbal communicationconsultationprimary careoffice configurationconsultation spaceMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019)
institution DOAJ
collection DOAJ
language EN
topic patient experience
patient-centered care
physician-patient relations
non-verbal communication
consultation
primary care
office configuration
consultation space
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle patient experience
patient-centered care
physician-patient relations
non-verbal communication
consultation
primary care
office configuration
consultation space
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Moyez Jiwa
Catherine Krejany
Lee Gaedtke
Epi Kanjo
Ruthra Nagendran
Carolyn O'Shea
Iain Greenlees
Can doctors improve the patient experience by rearranging the furniture and equipment in their office? A video recorded simulation
description The design of this study is a video-recorded simulated consultation. Its aim is to evaluate the effect of changing seating arrangements and stethoscope visibility on patient enablement and non-verbal behaviour. Twelve simulated consultations with six actor-patients and a ‘real’ doctor were video recorded. Either the ‘real’ doctor or actor-patient, blind to the hypothesis sat in large executive office chair during the consult. The patient entered the room afresh for each consult. Consultation quality and outcomes were independently evaluated on three measures: The Patient Enablement Index (PEI), the Leicester Assessment Package (LAP); Non-Verbal Communication (NVC). Both expert reviewers were also blind to the study aim. The results: the doctor’s performance was consistent on the LAP score (P > 0.05). There was a significant improvement in patient enablement (p=0.03) and non-verbal communication (p=0.003) when the actor-patients occupied the executive chair. The visibility of the stethoscope did not have a measurable effect on these measures. There was evidence that when patients occupy the larger chair in the consulting room there is significant objective improvement in the measures of patient experience of the meeting.
format article
author Moyez Jiwa
Catherine Krejany
Lee Gaedtke
Epi Kanjo
Ruthra Nagendran
Carolyn O'Shea
Iain Greenlees
author_facet Moyez Jiwa
Catherine Krejany
Lee Gaedtke
Epi Kanjo
Ruthra Nagendran
Carolyn O'Shea
Iain Greenlees
author_sort Moyez Jiwa
title Can doctors improve the patient experience by rearranging the furniture and equipment in their office? A video recorded simulation
title_short Can doctors improve the patient experience by rearranging the furniture and equipment in their office? A video recorded simulation
title_full Can doctors improve the patient experience by rearranging the furniture and equipment in their office? A video recorded simulation
title_fullStr Can doctors improve the patient experience by rearranging the furniture and equipment in their office? A video recorded simulation
title_full_unstemmed Can doctors improve the patient experience by rearranging the furniture and equipment in their office? A video recorded simulation
title_sort can doctors improve the patient experience by rearranging the furniture and equipment in their office? a video recorded simulation
publisher The Beryl Institute
publishDate 2019
url https://doaj.org/article/b21e7125e7664a3da385769d27f9cb04
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