We describe CLAD, an implemented advisor system in the domain of clinical medicine. CLAD assists a human physician in making decisions about diagnosing and treating patients. CLAD monitors the transcript of an ongoing dialog between the physician and a patient, builds and augments a mental model of the patient and suggests courses of action to the physician. CLAD can also explain its decisions ...

Physician-patient communication encompasses the verbal and nonverbal interactions that form the basis for the doctor-patient relationship. A growing body of research and guidelines development acknowledges that physicians do not have to be born with excellent communication skills, but rather can learn them as they practice the other aspects of medicine. Improvement in physician-patient communic...

OBJECTIVE To assess whether computer use by physicians during the patient-physician encounter influences patient satisfaction in a family medicine teaching centre. DESIGN Cross-sectional mailed survey. SETTING Queen's University Family Medicine Centre in Kingston, Ont. PARTICIPANTS A random sample of 300 patients from the family medicine centre, all of whom were older than 18 years of age...

DURING THE 1980S, RENEWED interest in the patientphysician relationship and the availability of more sophisticated audio and video technology allowed investigators to explore medical discourse in unprecedented detail. One of the most frequently quoted studies from this period (Beckman and Frankel) suggested that patients, asked to describe their concerns by a physician, were most often redirect...

BACKGROUND This study describes the relation between patient satisfaction with physician performance and seeing one's "own doctor" for a recent office visit. METHODS A cross-sectional, randomized, computer-assisted telephone interview survey was performed at an urban health maintenance organization; 1146 responses were analyzed. RESULTS Patients seeing their own physicians were significantl...

During the last two decades or so, there has been a struggle over the patient's role in medical decision-making that is often characterized as a conflict between autonomy and health, between the values of the patient and the values of the physician. Seeking to curtail physician dominance, many have advocated an ideal of greater patient control.',' Others question this ideal because it fails to ...

conclusions the results of the present study revealed that patients are not highly satisfied with the communication skills of physicians and they were least satisfied only with the quality of examination processes by the physicians. in addition, patients with lower education showed lower satisfaction as well. thus, a higher quality and elaboration of examination, more patience and better commun...

background: patient safety is a serious global public health issue. estimates show that every day many patients are harmed while receiving hospital care. health care staff plays a key role in providing quality and safe patient care, especially physicians who are main members of the medical team and a critical element in patient safety efforts. objective: the current study used a theory of plann...