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Results for “Medical History Taking”

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At least 19 recordsLinked to original sources
PubMed1983

Evaluating risk taking propensity as a predictor of the outcome dimensions of medication history taking.

Medication history taking is a commonly discussed factor in the role of the pharmacist. Effective and efficient interviewing skills are important since they can be influential in affecting the quality of the medication history. Level of risk taking has been related to many factors which affect personal interaction. The objective of this study was to relate level of risk taking to the successful outcome of the medication history interview. Outcome dimensions of the medication interview were defined as successful completion and unsuccessful completion. Senior pharmacy students were observed and rated relative to the performance criteria of effectiveness and efficiency in acquiring patient medication histories over an eight-week period in an ambulatory medicine clinic. A significant Kendall Coefficient of Concordance indicated that the judges involved applied essentially the same standards in ranking the subjects. Subjects were administered a six-item questionnaire, the Choice Dilemmas Questionnaire (CDQ), which measured their risk taking propensity. There were significant differences in mean levels of risk taking between the groups rated as high and low in terms of effectiveness and efficiency. Effective and efficient interviewers, who successfully completed interviews, were significantly higher in risk taking propensity. Tetrachoric r indicated the CDQ was efficient in distinguishing the criterion groups.

Analysis of Variance↗
PubMed1996

[The importance of medical history taking in diagnosis of shoulder arthropathy].

The data collected at taking medical history were analyzed on the basis of clinical, radiographic and sonographic differential diagnosis in shoulder pathology. Material included 236 patients. Hedtmann and Fett classification has used. Age of the patient, duration of the condition and its relation to the trauma in a broad meaning are of paramount importance. The authors recommend sonographic examination in all cases of shoulder contusion with no bony abnormalities on radiographs and in all cases of anterior shoulder dislocation in order to assess rotator cuff condition.

Adolescent↗
PubMed2006

[The importance of adequate medical history taking in dentistry].

A patient's medical history is a vital part of his or her dental history and increases the dentist's awareness of diseases and medication which might interfere with the patient's dental treatment. This article describes the essential characteristics of a solid medical history, according to the Dutch Guidelines for Dental Education published in 1997. In future the importance of patients' medical histories will increase along with the number of medically complex patients who visit the dental general practice.

Dentistry↗
PubMed2004

Occupational medical history taking: how are today's physicians doing? A cross-sectional investigation of the frequency of occupational history taking by physicians in a major US teaching center.

Occupational illness plays a prominent role in the health of society, yet physicians frequently neglect occupational history-taking both in clinical practice and in medical education. This study sought to examine the trends as well as related factors that influence the taking of occupationally related histories. A total of 2050 charts were reviewed for occupational information as well as several patient demographics. Physicians obtained gender and age histories in approximately 99% of their patients; however; they only completed an occupational history in 27.8%. Characteristics such as smoking, male gender, family cancer history, middle age, and medical (vs. surgical) admission were all correlated with obtaining an occupational history. Physicians continue to do a poor job of occupational history-taking and medical education must correct the situation.

Academic Medical Centers↗
PubMed2006

Racial and ethnic disparities in medical history taking: detecting substance use among low-income pregnant women.

OBJECTIVE: To determine whether providers' medical history-taking of substance use varies with their patients' race or ethnicity. DESIGN/SETTING/PARTICIPANTS: The medical records of 1083 low-income women who delivered at an urban teaching hospital over a 12-month period were reviewed and data were abstracted. The frequency with which the presence or absence of substance use was documented was compared among Black, Hispanic, and White women. Multivariate models predicting documentation of data on substance use were also built. RESULTS: Information on substance use was more often documented in the medical records of Black and Hispanic women than in those of White women. For example, 74% of Black women, 78% of Hispanic women, and 60% of White women had data on cocaine use documented in their medical records (P= .0001). Multivariate analyses found that, after controlling for other factors, Black (odds ratio [OR] 4.1) and Hispanic (OR 5.3) non-clinic patients were more likely than White non-clinic patients to have documented data on substance use history in their medical records. No racial/ ethnic disparities were found among clinic patients. Among White women, clinic patients were more likely than non-clinic patients to have documented data on substance use. Among other races and ethnicities, no disparities were found between places of care. CONCLUSIONS: The differential collection of information on women's medical histories may be influenced by organizational factors and/or provider factors. The standard implementation of history-taking protocols would reduce the influence of institutional and personal biases on the care provided to pregnant women and enable all patients to receive appropriate referrals to treatment.

Adolescent↗
PubMed1978

Taking medical histories through interpreters: practice in a Nigerian outpatient department.

Consultations through interpreters in the medical outpatient department of a Nigerian hospital were tape-recorded. These recordings were translated completely into English and transcribed, and the performance of the interpreters was analysed. The interpreters often did not provide word-for-word translations of what the doctor or patient had said. Some of these deviations were helpful, but others were confusing or incorrect. In particular, interpreters were inclined to conduct much of the consultations themselves. Hospitals using interpreters should ensure that they have no conflicting duties during consultations and that they have some training in language and interpretation. The quality of interpretation should be checked by native-speaking doctors and by using recordings. Doctors using interpreters should try to make sure that everything said is translated and check the patient's answers by asking questions in several ways.

Communication Barriers↗