Patient centred care produced greater satisfaction but less knowledge

Attending to patients' concerns as well as to diagnosis and treatment is not always easy to achieve, especially in chronic conditions such as diabetesin the early stages the treatment can seem worse than the disease. On p 1202 Kinmonth et al report a randomised control trial among 41 primary care teams in which doctors and nurses in the intervention arm were taught skills in listening and negotiating behavioural change. Diabetic patients attending trained teams reported significantly better communication and greater satisfaction and wellbeing without loss of glycaemic control. However, their knowledge was poorer and cardiovascular risk higher. The apparent difficulty of integrating attention to current wellbeing with management of disease risk has important implications for patient centred practice.


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Randomised controlled trial of patient centred care of diabetes in general practice: impact on current wellbeing and future disease risk

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