Pilot Study of Clinician-Patient Collaboration in Glaucoma

Michael Smith,1 Marco Bresolin,1 Rose McCabe2 1Glaucoma Unit, West of England Eye Unit, Exeter, UK; 2School of Health Sciences, City, University of London, London, UKCorrespondence: Michael Smith Email Michael.smith26@nhs.netPurpose: This pilot study was undertaken to examine the feasibility of a la...

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Autores principales:	Smith M, Bresolin M, McCabe R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	glaucoma communication ophthalmology Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f287148e92d04825bf5794f1d1d7c4b6
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spelling	oai:doaj.org-article:f287148e92d04825bf5794f1d1d7c4b62021-12-02T16:44:46ZPilot Study of Clinician-Patient Collaboration in Glaucoma1177-5483https://doaj.org/article/f287148e92d04825bf5794f1d1d7c4b62021-04-01T00:00:00Zhttps://www.dovepress.com/pilot-study-of-clinician-patient-collaboration-in-glaucoma-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Michael Smith,1 Marco Bresolin,1 Rose McCabe2 1Glaucoma Unit, West of England Eye Unit, Exeter, UK; 2School of Health Sciences, City, University of London, London, UKCorrespondence: Michael Smith Email Michael.smith26@nhs.netPurpose: This pilot study was undertaken to examine the feasibility of a larger scale trial examining the effect of interventions to improve patient-clinician collaboration. The primary outcome was the extent of clinician-patient collaboration during glaucoma consultations. The secondary outcomes were the results of the Patient Experience Questionnaire and the patients’ opinion of how involved they were in decisions about their care and how keen they would be to increase this involvement.Methods: This is an observational study of clinician-patient communication involving 9 glaucoma clinicians and 37 patients attending a glaucoma monitoring clinic. Consultations were videotaped and later assessed for the degree of collaboration. Patients completed a validated Patient Experience Questionnaire and a questionnaire designed to collect the patients’ opinion of how involved they were in decisions about their care.Results: The consultations were largely “clinician centred” with clinicians speaking 58% of the sentences and asking a mean of 8.1 questions compared to the patients 2.6. Glaucoma medications were discussed in 97% of consultations. When a treatment change was recommended in 53% of cases different options were discussed. Patients had an overall positive opinion of the consultations. Although 80% of patients indicated they were happy with how involved they were in decisions about their care 44% said they would like to be more involved, and 47% would welcome written information or information sessions on how to be more involved in decisions about their care.Conclusion: Glaucoma consultations remain “clinician-centred” and, in view of the evidence of the benefits of good clinician-patient collaboration, further studies to examine interventions to improve clinician-patient collaboration may be of benefit to glaucoma patients. These interventions could target both clinicians and patients, and many patients in this study indicated they would like to be more involved in decisions about their care and would welcome support in achieving this.Keywords: glaucoma, communication, ophthalmologySmith MBresolin MMcCabe RDove Medical Pressarticleglaucoma communication ophthalmologyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1715-1726 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	glaucoma communication ophthalmology Ophthalmology RE1-994
spellingShingle	glaucoma communication ophthalmology Ophthalmology RE1-994 Smith M Bresolin M McCabe R Pilot Study of Clinician-Patient Collaboration in Glaucoma
description	Michael Smith,1 Marco Bresolin,1 Rose McCabe2 1Glaucoma Unit, West of England Eye Unit, Exeter, UK; 2School of Health Sciences, City, University of London, London, UKCorrespondence: Michael Smith Email Michael.smith26@nhs.netPurpose: This pilot study was undertaken to examine the feasibility of a larger scale trial examining the effect of interventions to improve patient-clinician collaboration. The primary outcome was the extent of clinician-patient collaboration during glaucoma consultations. The secondary outcomes were the results of the Patient Experience Questionnaire and the patients’ opinion of how involved they were in decisions about their care and how keen they would be to increase this involvement.Methods: This is an observational study of clinician-patient communication involving 9 glaucoma clinicians and 37 patients attending a glaucoma monitoring clinic. Consultations were videotaped and later assessed for the degree of collaboration. Patients completed a validated Patient Experience Questionnaire and a questionnaire designed to collect the patients’ opinion of how involved they were in decisions about their care.Results: The consultations were largely “clinician centred” with clinicians speaking 58% of the sentences and asking a mean of 8.1 questions compared to the patients 2.6. Glaucoma medications were discussed in 97% of consultations. When a treatment change was recommended in 53% of cases different options were discussed. Patients had an overall positive opinion of the consultations. Although 80% of patients indicated they were happy with how involved they were in decisions about their care 44% said they would like to be more involved, and 47% would welcome written information or information sessions on how to be more involved in decisions about their care.Conclusion: Glaucoma consultations remain “clinician-centred” and, in view of the evidence of the benefits of good clinician-patient collaboration, further studies to examine interventions to improve clinician-patient collaboration may be of benefit to glaucoma patients. These interventions could target both clinicians and patients, and many patients in this study indicated they would like to be more involved in decisions about their care and would welcome support in achieving this.Keywords: glaucoma, communication, ophthalmology
format	article
author	Smith M Bresolin M McCabe R
author_facet	Smith M Bresolin M McCabe R
author_sort	Smith M
title	Pilot Study of Clinician-Patient Collaboration in Glaucoma
title_short	Pilot Study of Clinician-Patient Collaboration in Glaucoma
title_full	Pilot Study of Clinician-Patient Collaboration in Glaucoma
title_fullStr	Pilot Study of Clinician-Patient Collaboration in Glaucoma
title_full_unstemmed	Pilot Study of Clinician-Patient Collaboration in Glaucoma
title_sort	pilot study of clinician-patient collaboration in glaucoma
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/f287148e92d04825bf5794f1d1d7c4b6
work_keys_str_mv	AT smithm pilotstudyofclinicianpatientcollaborationinglaucoma AT bresolinm pilotstudyofclinicianpatientcollaborationinglaucoma AT mccaber pilotstudyofclinicianpatientcollaborationinglaucoma
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Pilot Study of Clinician-Patient Collaboration in Glaucoma

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