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This patient-centered counseling didn’t do much

 

This piece in JAMA Internal Medicine looks at the efficacy of promoting patient-centered counseling to reduce use of low-value diagnostic tests.

The mission was  “to evaluate the effectiveness of a standardized patient (SP)-based intervention designed to enhance primary care physician (PCP) patient-centeredness and skill in handling patient requests for low-value diagnostic tests.”

The authors concluded that “An SP-based intervention did not improve the patient-centeredness of SP encounters, use of targeted interactional techniques, or rates of low-value test ordering, although SPs were more satisfied with intervention than control residents.”


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