Background/Problem Curatio is an out-patient clinic that mainly serves insured patients from a private insurance company and is very busy (around 500 unique patients per day). The backbone of the clinic is our 55 family doctors, who do both on-site and telephone visits. The clinic regularly reviews patient complaints and classifies them by type. Recently, we noticed more so-called “communication complaints”, when under limited time resources, doctors were more focused on solving clinical problems and less on person-centred aspects. Intervention The project started in May 2023 and was planned for 1 year. We developed unique Patient-Centered Questionnaires separately for clinic visits (11 questions) and telephone visits (10 questions). An outsourcing company conducted patient surveys before and after the project. The percentage of positive answers to these questions was defined as the main outcome indicators. Based on Smith’s Patient-Centered Interviewing principles, we created a Patient-Centered Communication Standard, describing in detail the skills, how to use them, and in which order. The draft was sent to the family doctors for their comments. We divided the doctors into 3 groups. Each group attended initial training, which included a theoretical presentation and role-plays. Knowledge was tested before and after the training. After 6 months, smaller refresher trainings were held, focusing on discussing difficult cases using role-play. Outcomes/Results/Lessons learned We saw improvement in both the theoretical knowledge of the doctors and in patient experience (shown by survey results and by the decrease of communication complaints). However, we believe maximum results are not yet reached. Implications for Person-Centred Care Even in a high workload clinic, it is possible to introduce person-centred care, meaning that patients feel respected, fully informed, and encouraged to take part in managing their own health. Patient feedback can be used both as a quality indicator and as a collaborative tool for improvement
Head of Medical Quality and Patient Safety Department Curatio
Eka Rukhadze, Mei Chanturia, Salome Urushadze
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