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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e31828dc90a
Original Articles

Improving Patient-Centered Care: Agenda-Setting in Occupational Medicine

Kuhle, Carol S. DO, MPH; Truitt, Frances MD, MPH; Steffen, Mark MD, MPH; Undavalli, Chaitanya MBBS; Wang, Zhen PhD; Montori, Victor M. MD, MSc; Murad, Mohammad Hassan MD, MPH

Continued Medical Education
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Objective: To improve patient satisfaction with care at an occupational medicine clinic by promoting agenda-setting before the visit.

Methods: We distributed agenda-setting form to 77 randomly selected patients attending an occupational health clinic and used another randomly selected sample of 36 patients as control group. Patients completed a survey regarding the acceptability of this procedure and whether they felt clinicians addressed their important concerns.

Results: Most patients found the form helpful (73%) and wanted it offered in future visits (74%). There was no statistically significant difference in terms of the proportion of patients expressing greatest satisfaction by answering, “strongly agree” (intervention [86%], control [97%]; odds ratio, 0.17; 95% confidence interval, 0.02 to 1.38; P = 0.06).

Conclusion: Agenda-setting can improve patient experience before occupational visits but does not improve postvisit satisfaction.

©2013The American College of Occupational and Environmental Medicine


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