+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Preferences, predictions and patient enablement: a preliminary study

Bmc Family Practice 14(): 116-116

Preferences, predictions and patient enablement: a preliminary study

The widely used patient enablement instrument (PEI) is sometimes contrasted against measures of patient satisfaction as being a more objective measure of consultation quality, in that it is less likely to be positively influenced by fulfilling pre-existing expectations for specific consultation outcomes (such as prescriptions or referrals). However the relationship between expectation and enablement is underexplored, as is the relationship between 'expectation' understood as a patient preference for outcome, and patient prediction of outcome. The aims of the study are to 1) assess the feasibility of measuring the relationship between expectation fulfilment and patient enablement, and 2) measure the difference (if any) between expectation understood as preference, and expectation understood as prediction. A questionnaire study was carried out on 67 patients attending three General Practices in the Australian Capital Territory. Patient preferences and predictions for a range of possible outcomes were recorded prior to the consultation. PEI and the actual outcomes of the consultation were recorded at the conclusion of the consultation. Data analysis compared expectation fulfilment as concordance between the preferred, predicted, and actual outcomes, with the PEI as a dependant variable. No statistically significant relationship was found between either preference-outcome concordance and PEI, or prediction-outcome concordance. Statistically insignificant trends in both cases ran counter to expectations; i.e. with PEI (weakly) positively correlated with greater discordance. The degree of concordance between preferred outcomes and predicted outcomes was less than the concordance between either preferred outcomes and actual outcomes, or predicted outcomes and actual outcomes. The relationship between expectation fulfilment and enablement remains uncertain, whether expectation is measured as stated preferences for specific outcomes, or the predictions made regarding receiving such outcomes. However the lack of agreement between these two senses of 'patient expectation' suggests that explicitly demarcating these concepts during study design is strongly advisable.

Accession: 055116689

PMID: 23941606

DOI: 10.1186/1471-2296-14-116

Related references

Shin, D.Wook.; Cho, J.; Kim, S.Young.; Chung, I.Joo.; Kim, S.Soo.; Yang, H.Kook.; Ahn, E.; Park, B.Ram.; Seo, H.; Park, J-Hyock., 2015: Discordance among patient preferences, caregiver preferences, and caregiver predictions of patient preferences regarding disclosure of terminal status and end-of-life choices. The complexity of end-of-life (EOL) communication in cancer care is often increased by family caregivers, who frequently affect the information and decision-making process. We assessed cancer patient preferences (PP), family caregiver preferences...

Pawlikowska, T.R.B.; Walker, J.J.; Nowak, P.R.; Szumilo-Grzesik, W., 2010: Patient involvement in assessing consultation quality: a quantitative study of the Patient Enablement Instrument in Poland. Promoting a more patient-responsive service has been the focus of policy initiatives in newer EU states. One measure of success should be the patient's assessment of their consultation with their doctor. To measure consultation quality in Pol...

Banerjee, A.; Sanyal, D., 2012: Dynamics of doctor-patient relationship: A cross-sectional study on concordance, trust, and patient enablement. The rapid pace of medical advances coupled with specialization and super-specialization, is eroding the traditional doctor-patient relationship. (a) To study the determinants of core dimensions, such as, concordance, trust, and enablement in a doc...

Ozvacić Adzić, Z.; Katić, M.; Kern, J.; Lazić, D.; Cerovecki Nekić, V.; Soldo, D., 2009: Patient, physician, and practice characteristics related to patient enablement in general practice in Croatia: cross-sectional survey study. To investigate the quality of general practice care in Croatia by using patient enablement as a consultation outcome measure and its association with patient, physician, and practice characteristics. A cross-sectional questionnaire-based study per...

Lam, C.L.K.; Yuen, N.Y.K.; Mercer, S.W.; Wong, W., 2010: A pilot study on the validity and reliability of the Patient Enablement Instrument (PEI) in a Chinese population. The Patient Enablement Instrument (PEI) was developed to measure patients' enablement, which is an indicator of the effectiveness of a primary care consultation; however, to date, the PEI has not been tested in Asian populations. The purpose...

Mercer, S.W.; Neumann, M.; Wirtz, M.; Fitzpatrick, B.; Vojt, G., 2008: General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland--a pilot prospective study using structural equation modeling. The aim of this pilot prospective study was to investigate the relationships between general practitioners (GPs) empathy, patient enablement, and patient-assessed outcomes in primary care consultations in an area of high socio-economic deprivation...

Fischer, G.S.; Tulsky, J.A.; Rose, M.R.; Siminoff, L.A.; Arnold, R.M., 1998: Patient knowledge and physician predictions of treatment preferences after discussion of advance directives. OBJECTIVE: To determine patient knowledge about life-sustaining treatments and physician understanding of patient preferences for proxies and treatments after outpatient discussions about advance directives. DESIGN: Cross-sectional interview-based...

Anonymous, 2011: The Patient Enablement Instrument - French version in a family practice setting A reliability study. Patient enablement can be defined as the extent to which a patient is capable of understanding and coping with his or her health issues. This concept is linked to a number of health outcomes such as self-management of chronic diseases and quality...

Desborough, J.; Banfield, M.; Phillips, C.; Mills, J., 2016: The process of patient enablement in general practice nurse consultations: a grounded theory study. The aim of this study was to gain insight into the process of patient enablement in general practice nursing consultations. Enhanced roles for general practice nurses may benefit patients through a range of mechanisms, one of which may be increasi...

Price, S.; Mercer, S.W.; MacPherson, H., 2006: Practitioner empathy, patient enablement and health outcomes: a prospective study of acupuncture patients. To measure acupuncture patients' perceptions of practitioner empathy at the initial consultation and its relationship with patient enablement, and prospectively reported changes in symptoms. Fifteen acupuncturists asked consecutive new patien...