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What doctors (and patients) can learn from air traffic controllers: What's that you say
Date:3/7/2011

INDIANAPOLIS A review of 35 years of scientific medical studies confirms that the social and emotional context of the doctorpatient relationship have yet to be incorporated into the equation when it comes to health care.

In spite of its strong endorsement over a decade ago by the influential Institute of Medicine report, "Crossing the Quality Chasm: A New Health System for the 21st Century," which highlighted the benefits of care that is respectful of and responsive to patients' needs, values and concerns, patient-centered medicine has not become part of the mainstream.

A review of the medical literature from 1975 to April 2010 found that less than one percent of the 327,219 randomized controlled studies published in peer-reviewed journals over the past 35 years included patient-centered care trials. "BehaviorallyDefined Patient-Centered Communication A Narrative Review" appears in the February 2011 issue of the Journal of General Internal Medicine

"We are only at the water's edge in terms of availability of patient-centered care studies because they aren't being done. We need to encourage researchers to implement clinical trials that evaluate care that focuses on communication between physician and patient. Ultimately, we need processes that have been tested and proven," said Richard M. Frankel, Ph.D., Regenstrief Institute investigator, professor of medicine at the IU School of Medicine, and a senior scientist in the Veterans Affairs Center of Excellence for Implementing Evidence-Based Practice at the Richard L. Roudebush VA Medical Center. He is the senior author of the JGIM paper.

Dr. Frankel uses an analogy from aviation where safety is given the highest priority. "When the air traffic controller gives an instruction to the pilot, the pilot's response must be phrased to indicate understanding of the air traffic controller's message. We don't have that in medicine. The doctor speaks to the patient and genera
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Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University School of Medicine
Source:Eurekalert  

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