Medical Interview Skills and Patient Satisfaction Levels in a Setting Utilizing Electronic Medical Records
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- Nishizaki Yuji
- St. Luke's International Hospital
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- Yoshioka Yasuo
- The National Institution for Japanese Language
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- Hayano Keiko
- Saiseikai Kumamoto Hospital
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- Miura Junichi
- Iwase General Hospital
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- Motomura Kazuhisa
- Okinawa Prefectural Chubu Hospital
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- Takei Junko
- St. Luke's International Hospital
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- Fujitani Shino
- St. Luke's International Hospital
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- Mori Nobuyoshi
- St. Luke's International Hospital
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- Nomura Seitaro
- St. Luke's International Hospital
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- Tamaki Hiromichi
- St. Luke's International Hospital
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- Setoyama Takeshi
- St. Luke's International Hospital
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- Tokuda Yasuharu
- Mito Kyodo Hospital, University of Tsukuba
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Abstract
BACKGROUND : Electronic medical records (EMRs) were first introduced in the 1960s, and in Japan they are starting to become popular. Recognizing the need to adapt to a new clinical setting with EMRs, we aimed to explore which interviewing skills were associated with patient satisfaction in this era of EMR use.<br>METHODS : A prospective observational study was conducted to evaluate interviewing skills among medical residents and to collate data on patients' satisfaction levels at an outpatient general medicine walk-in clinic at a teaching hospital in Japan. Five trained raters reviewed the video recordings of these interviews and assessed them based on a predetermined set of criteria for medical interview skills developed specifically for an outpatient EMR setting. The relationships between these assessment scores and patient satisfaction levels were analyzed.<br>RESULTS : Significant skills that were associated with higher scores of patient satisfaction included : employed appropriate eye contact (P=0.021) ; and, invited patients directly without using a microphone (P=0.008). In addition, the degree of keyboard typing during interviews was not associated with patient satisfaction.<br>CONCLUSIONS : In an outpatient setting with EMR, using good non-verbal communication skills to build trustful relationships with patients is more likely to influence patient satisfaction levels. Even when physicians are typing on a keyboard, if they keep appropriate eye contact during medical interviews, patient satisfaction can be improved.
Journal
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- General Medicine
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General Medicine 11 (1), 17-23, 2010
Japan Primary Care Association
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Details 詳細情報について
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- CRID
- 1390282680164855040
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- NII Article ID
- 10027253251
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- NII Book ID
- AA11571086
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- ISSN
- 18836011
- 13460072
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed