ABSTRACT

This chapter presents the objective measures based on observation of the clinical encounter. Based on the patient-centered clinical method developed in the 1980s, 1990s, and 2000s, a method of assessing and scoring patient-clinician encounters, either audiotaped or videotaped, was developed. The Measure of Patient-Centered Communication (MPCC) has evolved significantly since its inception in the early 1980s. The initial version of the coding and scoring of the MPCC was published in 1986 and used in a study of family practice residents. Researchers from around the world have requested the working paper that describes the MPCC. Coding takes place while listening to a recording of a patient’s visit to the clinician. The chapter describes the development, evolution, and application of the MPCC and outlines the most coding and scoring of the MPCC in some detail.