TY - JOUR
T1 - Levels of physician involvement with patients and their families
T2 - A model for teaching and research
AU - Marvel, M. K.
AU - Schilling, R.
AU - Doherty, W. J.
AU - Baird, M. A.
PY - 1994
Y1 - 1994
N2 - Background. We present an educational model that describes physician skills for addressing psychosocial concerns of patients, ranging from basic medical questions to in-depth psychotherapy. This model improves upon previously published models by integrating into one hierarchy levels of physician involvement with individual patients and levels of involvement with families. Methods: Ten faculty family physicians were videotaped during 200 office visits. Interviews were categorized according to the model, with a 79% interrater agreement. Results. Most visits involved the lower three levels of physician involvement (41%, level 1; 35.8%, level 2; and 23%, level 3). Discussion of family context occurred in a majority (58.5%) of visits, primarily when another family member was in the room and during preventive care visits. Higher levels were associated with longer visits-about 3 minutes more for each additional level. Conclusions. This investigation suggests that the levels of physician involvement model can be reliably measured. This model may be a useful tool for education and research, particularly the study of physician interview skills appropriate to family medicine.
AB - Background. We present an educational model that describes physician skills for addressing psychosocial concerns of patients, ranging from basic medical questions to in-depth psychotherapy. This model improves upon previously published models by integrating into one hierarchy levels of physician involvement with individual patients and levels of involvement with families. Methods: Ten faculty family physicians were videotaped during 200 office visits. Interviews were categorized according to the model, with a 79% interrater agreement. Results. Most visits involved the lower three levels of physician involvement (41%, level 1; 35.8%, level 2; and 23%, level 3). Discussion of family context occurred in a majority (58.5%) of visits, primarily when another family member was in the room and during preventive care visits. Higher levels were associated with longer visits-about 3 minutes more for each additional level. Conclusions. This investigation suggests that the levels of physician involvement model can be reliably measured. This model may be a useful tool for education and research, particularly the study of physician interview skills appropriate to family medicine.
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M3 - Article
C2 - 7798856
AN - SCOPUS:0027942537
SN - 0094-3509
VL - 39
SP - 535
EP - 544
JO - Journal of Family Practice
JF - Journal of Family Practice
IS - 6
ER -