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Clinical Interviewing: An Essential but Neglected Method of Medicine. | LitMetric

AI Article Synopsis

  • - Clinical interviewing is crucial for understanding patient feelings, gathering medical history, and fostering a strong patient-physician relationship that promotes shared decision-making and self-management.
  • - Current healthcare trends prioritize costly tests over the time spent interacting with patients, which can actually prevent unnecessary procedures and increase patient motivation for healthy habits.
  • - The paper emphasizes the importance of quality clinical interviewing in improving data collection, assessment, and treatment outcomes, advocating for better training and more emphasis on this skill in healthcare settings.

Article Abstract

Clinical interviewing is the basic method to understand how a person feels and what are the presenting complaints, obtain medical history, evaluate personal attitudes and behavior related to health and disease, give the patient information about diagnosis, prognosis, and treatment, and establish a bond between patient and physician that is crucial for shared decision making and self-management. However, the value of this basic skill is threatened by time pressures and emphasis on technology. Current health care trends privilege expensive tests and procedures and tag the time devoted to interaction with the patient as lacking cost-effectiveness. Instead, the time spent to inquire about problems and life setting may actually help to avoid further testing, procedures, and referrals. Moreover, the dialogue between patient and physician is an essential instrument to increase patient's motivation to engage in healthy behavior. The aim of this paper was to provide an overview of clinical interviewing and its optimal use in relation to style, flow and hypothesis testing, clinical domains, modifications according to settings and goals, and teaching. This review points to the primacy of interviewing in the clinical process. The quality of interviewing determines the quality of data that are collected and, eventually, of assessment and treatment. Thus, interviewing deserves more attention in educational training and more space in clinical encounters than it is currently receiving.

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Source
http://dx.doi.org/10.1159/000536490DOI Listing

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