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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

Journal of Occupational and Environmental Medicine: May 2013 - Volume 55 - Issue 5 - p 479–482
doi: 10.1097/JOM.0b013e31828dc90a
Original Articles

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.

From the Divisions of Preventive, Occupational, and Aerospace Medicine (Drs Kuhle, Truitt, Steffen, and Murad) and Endocrinology, Diabetes, Metabolism, and Nutrition (Dr Montori), and Knowledge and Evaluation Research Unit (Drs Undavalli, Wang, Montori, and Murad), Mayo Clinic, Rochester, Minn.

Address correspondence to: Mohammad Hassan Murad, MD, MPH, Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (

Authors Kuhle, Truitt, Steffen, Murad, Montori, Undavalli, and Wang have no relationships/conditions/circumstances that present potential conflict of interest.

The JOEM editorial board and planners have no financial interest related to this research.

©2013The American College of Occupational and Environmental Medicine