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Health Behavior Change and Treatment AdherenceEvidence-based Guidelines for Improving Healthcare$
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Leslie Martin, Kelly Haskard-Zolnierek, and M. Robin DiMatteo

Print publication date: 2009

Print ISBN-13: 9780195380408

Published to Oxford Scholarship Online: February 2010

DOI: 10.1093/acprof:oso/9780195380408.001.0001

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Effective Collaboration with Patients—On a Tight Schedule

Effective Collaboration with Patients—On a Tight Schedule

(p.157) 7 Effective Collaboration with Patients—On a Tight Schedule
Health Behavior Change and Treatment Adherence

Leslie R. Martin

Kelly B. Haskard-Zolnierek

M. Robin DiMatteo

Oxford University Press

Brief office visits pose a clear challenge to the delivery of effective healthcare. Keeping the information–motivation–strategy model in mind, this chapter reviews how a division of labor among members of the healthcare team and the utilization of technology can help make the most of medical interactions. It is not enough to simply have appropriate staffing; well-defined goals for individual team members, adequate training, and effective communication are all crucial to the efficient functioning of the healthcare team. A productive medical encounter can be promoted with pre-appointment counseling and a careful setting of the agenda for the visit. Interactive health communication systems (such as for obtaining test results or modifying appointments) along with things such as electronic medical records can dramatically increase the efficiency of the medical interaction. Technology can also be used to create virtual support groups, to provide follow-up, and to encourage adherence; some of the benefits and hazards associated with these technologies are reviewed.

Keywords:   healthcare team, technology, pre-appointment counseling, agenda setting, interactive health communication, electronic medical record

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