An evaluation of family medicine residents' attitudes before and after a PCMH innovation for patient

Authors, Primary Evans,L.;Whitham,J. A.;Trotter,D. R.;Filtz,K. R.
Title Primary An evaluation of family medicine residents' attitudes before and after a PCMH innovation for patients with chronic pain.
Periodical Full Family medicine
Pub Year 2011
Volume 43
issue 10
Start Page 702-711
Abstract BACKGROUND AND OBJECTIVES: Prior research indicates that primary care physicians have predominantly negative attitudes toward chronic pain patients, and chronic pain patients have predominantly low satisfaction with the care and treatment they receive in primary care. This current state of affairs highlights the need for Patient-centered Medical Home (PCMH) innovations for the treatment of chronic pain in primary care. The purpose of this study was to determine if a PCMH innovation for the treatment of chronic pain in a family medicine residency program can improve resident attitudes toward chronic pain patients. METHODS: From January 2010 to December 2010, 30 family medicine residents (two--three per month) participated in twice-a-month PCMH innovation for the treatment of chronic pain in primary care ("pain clinic"). De-identified data from a Likert-type measure of negative attitudes toward chronic pain patients were extracted from pain clinic evaluation information that was collected shortly before (pretest) and shortly after (posttest) the residents' pain clinic participation. Using these data, we conducted a paired-samples t test to determine if residents' negative attitudes toward chronic pain patients had improved. RESULTS: The difference between residents' pretest scores (M=51.2, SD=10.9) and posttest scores (M=45.2, SD=9.2) was significant, suggesting that residents' negative attitudes toward chronic pain patients improved after participating in pain clinic. CONCLUSIONS: A PCMH innovation for the treatment of chronic pain in primary care can improve family medicine residents' attitudes toward chronic pain patients.
Publisher Not Available
Place of Publication United States
Author/Address Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430-8143, USA. lance.evans@ttuhsc.edu
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Patient-Centered Care;Primary Care Workforce Issues;Outcomes
Special Population(s) Individuals with Multiple Chronic Conditions
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No