title: Improving patient-centered care: agenda-setting in occupational medicine.
abstract: OBJECTIVE
  To improve patient satisfaction with care at an occupational medicine clinic by promoting agenda-setting before the visit.
  
  
  METHODS
  We distributed agenda-setting form to 77 randomly selected patients attending an occupational health clinic and used another randomly selected sample of 36 patients as control group. Patients completed a survey regarding the acceptability of this procedure and whether they felt clinicians addressed their important concerns.
  
  
  RESULTS
  Most patients found the form helpful (73%) and wanted it offered in future visits (74%). There was no statistically significant difference in terms of the proportion of patients expressing greatest satisfaction by answering, "strongly agree" (intervention [86%], control [97%]; odds ratio, 0.17; 95% confidence interval, 0.02 to 1.38; P = 0.06).
  
  
  CONCLUSIONS
  Agenda-setting can improve patient experience before occupational visits but does not improve postvisit satisfaction.
authors.affiliation: Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Carol S
authors.initials: CS
authors.lastname: Kuhle
authors.forename: Frances
authors.initials: F
authors.lastname: Truitt
authors.forename: Mark
authors.initials: M
authors.lastname: Steffen
authors.forename: Chaitanya
authors.initials: C
authors.lastname: Undavalli
authors.forename: Zhen
authors.initials: Z
authors.lastname: Wang
authors.forename: Victor M
authors.initials: VM
authors.lastname: Montori
authors.forename: Mohammad Hassan
authors.initials: MH
authors.lastname: Murad
mesh_terms: D006801:Humans; D009787:Occupational Medicine / Q000379:methods* / Q000592:standards; D009819:Office Visits; D010347:Patient Care Planning; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D058996:Quality Improvement; D011795:Surveys and Questionnaires