← Back to Search
Doctor-patient Communication And The Quality Of Care.
Published 1991 · Medicine
Save to my Library
Download via 🐼 PaperPanda Download via oaDOI Download via OAB Download via LibKey Download via Google Google ScholarAnalyze on Scholarcy Visualize in Litmaps
Reduce the time it takes to create your bibliography by a factor of 10 by using the world’s favourite reference manager
Time to take this seriously.
In this article a comparison is made between three independent sources of assessment of medical consultations. A panel of 12 experienced general practitioners rated 103 consultations with hypertensive patients on the quality of psychosocial care. There was a wide consensus between the judges, resulting in a high reliability score. Two contrasting groups were formed: consultations that were rated high and those rated low in quality of psychosocial care. A comparison was made between this general assessment of the quality of psychosocial care and a more detailed assessment of the same consultations on nine much used communication variables made by trained psychologists. Knowledge about doctor-patient communication proved to predict very well as to which quality group the consultations belonged. A very high percentage (95%) was predicted accurately, solely on the basis of these nine communication variables. Affective behaviour, and especially nonverbal affective behaviour had the strongest predictive power. In the last part of the study a third source of assessment, i.e. patients' satisfaction was compared with both other sources. Much lower relationships were found, although most were in the predicted direction. Affective behavior seems to be the most important in determining patient's satisfaction. The implications of these findings are discussed.
This paper references
J. Meany (1951)
The doctor, his patient, and the illness.
M. Bálint (1955)
A contribution to the philosophy of medicine; the basic models of the doctor-patient relationship.
T. Szasz (1956)
Variations in patients' compliance with doctors' advice: an empirical analysis of patterns o communication.
M. S. Davis (1968)
Gaps in doctor-patient communication. Patients' response to medical advice.
V. Francis (1969)
Gaps in Doctor-Patient Communication: Doctor-Patient Interaction Analysis
Barbara Fremon (1971)
Doctor-patient relationship in the light of patients' experiences.
H. Vuori (1972)
B. Korsch (1972)
Doctor-patlent relationship III the hght of patients
E Ame (1972)
The task of medicine.
W. Glazier (1973)
Survey and evaluation of approaches to physician performance measurement.
A. R. Barro (1973)
Interaction analysis as a method for assessing skill in relating to patients: studies on validity
N. C. Scott (1973)
Zastowny T R, Roghman K J and Hengst A Satzsfaction with medical care replzcatzons and theoretic reevaluation
Scale for the Measurement of “Satisfaction” with Medical Care: Modifications in Content, Format and Scoring
S. Zyzanski (1974)
Consumer Assessments of the Quality of Medical Care
J. Lebow (1974)
modzficatzons zn content, format and scoring
L MComstock (1974)
Dimensions of Patient Attitudes Regarding Doctors and Medical Care Services
J. Ware (1975)
Relative contributions of history-taking, physical examination, and laboratory investigation to diagnosis and management of medical outpatients.
J. Hampton (1975)
Recent evidence supporting psychologic and social risk factors for coronary disease.
C. Jenkins (1976)
The function of the professional's affective behavior in client satisfaction: a revised approach to social interaction theory.
Z. Ben-Sira (1976)
Studies on medical and population subjects.
A. Adelstein (1976)
Improved outcomes in hypertension after physician tutorials. A controlled trial.
T. Inui (1976)
Improving doctor-patient communication in general practice.
P. Ley (1976)
Doctors Talkzng to Patzenfs
S ByrneP (1976)
GOING TO SEE THE DOCTOR
J. Mccormick (1977)
Empathy in the doctor-patient relationship: skill training for medical students.
V. Fine (1977)
The effects of doctor--patient communication on satisfaction and outcome of care.
F. Woolley (1978)
The informative process in private medical consultations: a preliminary investigation.
P. Boreham (1978)
Theoretical and methodological issues in sociological studies of consumer satisfaction with medical care.
D. Locker (1978)
Determinants of the ability of general practitioners to detect psychiatric illness.
J. Marks (1979)
Active Patient Orientation and Outcomes in Hypertensive Treatment: Application of a Socio-Organizational Perspective
B. Schulman (1979)
Nonverbal Communication Between Patients and Medical Practitioners
H. Friedman (1979)
A model for communication skills development for family practice residents.
Hornsby Jl (1979)
Hypertension: psychosomatic and behavioral aspects.
W. Baile (1979)
The content of physician/patient communication in family practice.
D. J. Bain (1979)
A model for communication skills development for family practice residents.
J. L. Hornsby (1979)
Interaction Exchange Structure and Patient Satisfaction with Medical Interviews
W. Stiles (1979)
A Social‐Psychological Analysis of Physician‐Patient Rapport: Toward a Science of the Art of Medicine
M. Dimatteo (1979)
Evaluating the interview inprimary care medicine
A. J. Barsky (1980)
Concepts in Hypertension
W. S. Peart (1980)
Hyper-tension: A folk illness with a medical name
D. Blumhagen (1980)
Predicting Patient Satisfaction from Physicians’ Nonverbal Communication Skills
M. Dimatteo (1980)
The communication of medical information in general practice consultations as a function of patients' social class.
D. Pendleton (1980)
Affective and instrumental components in the physician-patient relationship: an additional dimension of interaction theory.
Z. Ben-Sira (1980)
The influence of patient-practitioner agreement on outcome of care.
B. Starfield (1981)
The impact of clinical encounter events on patient and physician satisfaction.
M. Weinberger (1981)
Hypertension labeling and sense of well-being.
J. Bloom (1981)
Sources of Assessment of Physician Performance: A Study of Comparative Reliability and Patterns of Intercorrelation
M. R. Dimatteo (1981)
Communication of affect between patient and physician.
J. Hall (1981)
Medical compliance and the clinician-patient relationship: a review.
T. Garrity (1981)
Stress Potential and Esotericity of Health Problems: The Significance of the Physician's Affective Behavior
Z. Ben-Sira (1982)
Improving Compliance Among Hypertensives: A Triage Criterion With Cost-Benefit Implications
S. Eastaugh (1982)
How perceptions of a simulated physician-patient interaction influence intended satisfaction and compliance.
P. Willson (1982)
Physician behaviors that correlate with patient satisfaction.
L. M. Comstock (1982)
Satisfaction, compliance and communication.
P. Ley (1982)
The primary medical care practitioner's attitudes toward psychiatry. An Israeli study.
B. Link (1982)
Outcome-Based Doctor-Patient Interaction Analysis: II. Identifying Effective Provider and Patient Behavior
W. Carter (1982)
Lay evaluation of medical treatment and competence development of a model of the function of the physician's affective behavior.
Z. Ben-Sira (1982)
Outcome-Based Doctor-Patient Interaction Analysis: I. Comparison of Techniques
T. Inui (1982)
Returning to the doctor: the effect of client characteristics, type of practice, and experiences with care.
C. Ross (1982)
Behavioral consequences of consumer dissatisfaction with medical care.
J. Ware (1983)
Problems in the conceptual framework of patient satisfaction research: an empirical exploration.
R. Fitzpatrick (1983)
Improving physician-patient interactions: a review.
V. Strecher (1983)
The communication process in clinical settings.
J. Mathews (1983)
Satisfaction With Medical Care: Replications and Theoretic Reevaluation
T. Zastowny (1983)
Doctors Talking to Patients
Doctor-patient communication. Clinical implications of social scientific research.
H. Waitzkin (1984)
Hypertension: psychological aspects and diagnostic impact in a clinical trial.
A. Mann (1984)
Approaches to the measurement of explanation and information-giving in medical consultations: a review of empirical studies.
D. Tuckett (1984)
Physician Perception of Patient Satisfaction: Do Doctors Know Which Patients Are Satisfied?
W. T. Merkel (1984)
Patient question asking in physician-patient interaction.
D. Roter (1984)
What is a successful doctor-patient interview? A study of interactions and outcomes.
M. Stewart (1984)
Chronic illness, stress and coping.
Z. Ben-Sira (1984)
Building an effective doctor-patient relationship: from patient satisfaction to patient participation.
E. Speedling (1985)
Patient Exposition and Physician Explanation in Initial Medical Interviews and Outcomes of Clinic Visits
S. Putnam (1985)
Evaluation of an interview training course for general practitioners.
J. Bensing (1985)
Teaching counselling skills to non-psychologists.
W. Dryden (1985)
Potency: a stress-buffering link in the coping-stress-disease relationship.
Z. Ben-Sira (1985)
The use of patients' preferences in family practice.
J. M. Herman (1985)
What sort of doctor
M. Longmore (1985)
Problems and prospects for health services research on provider-patient communication.
T. Inui (1985)
Patient exposltzon and physician explanation m mztzal medical interviews and outcomes of chmc vzszts
S A (1985)
Spreekuurgedrag van huisartsen : de samenhang tussen de medisch - technische en de psychosociale aspecten
A Smits (1985)
Medical Communication Behavior System: An Interactional Analysis System for Medical Interactions
M. Wolraich (1986)
Interpretatie en behandeling van psychosociale klachten in de huisartspraktijk : een onderzoek naar verschillen tussen huisartsen
P. Verhaak (1986)
Frames and heuristics in doctor-patient discourse.
D. Evans (1986)
Relationship of physicians' nonverbal communication skill to patient satisfaction, appointment noncompliance, and physician workload.
M. Dimatteo (1986)
D. Buchsbaum (1986)
Variations in the diagnosis of psychosocial disorders: a general practice observation study.
P. Verhaak (1986)
The stress‐resolving component in primary medical care
Z. Ben-Sira (1986)
Consultation skills of young doctors: I--Benefits of feedback training in interviewing as students persist.
P. Maguire (1986)
Predictors of recall of medication regimens and recommendations for lifestyle change in elderly patients.
K. Rost (1987)
Physicians' communication style and patient satisfaction.
M. Buller (1987)
A longitudinal study on the significance of environmental and individual factors associated with the development of essential hypertension.
F. Lindgärde (1987)
Comparison of questionnaires determining patient satisfaction with medical care.
J. Roberts (1987)
Improving the psychiatric skills of established general practitioners: evaluation of group teaching
L. Gask (1987)
Relations Between Physicians' Behaviors and Analogue Patients' Satisfaction, Recall, and Impressions
Debra L. Roter (1987)
The doctor-patient relationship and counseling for preventive care.
M. Demak (1987)
Patient satisfaction with the clinical encounter: social psychological determinants.
R. Like (1987)
Task versus soda - emotional behaviors in physicians
JA Hall (1987)
Type A behaviour and prevalent heart disease in the Caerphilly study: increase in risk or symptom reporting?
J. Gallacher (1988)
Patient satisfaction as an indicator of quality care.
P. Cleary (1988)
Paranormal healing and hypertension
J. Beutler (1988)
Methods For Measuring Patient Satisfaction With Specific Medical Encounters
J. Ware (1988)
Patient-physician communication: A descriptive summary of the literature
D. Roter (1988)
Methodisch werken: de ontwikkelingen sinds 1976.
E. Sluijs (1988)
Detection of Psychologic Complaints by General Practitioners
P. Verhaak (1988)
Notes on the sociology of medical discourse: the language of case presentation.
R. Anspach (1988)
Topics in health psychology
S. Maes (1988)
Improving the psychiatric skills of the general practice trainee: an evaluation of a group training course
L. Gask (1988)
Meta-analysis of Correlates of Provider Behavior in Medical Encounters
J. Hall (1988)
Changing the structure of medical discourse: implications of cross-national comparisons.
H. Waitzkin (1989)
Evaluating the interview performance of internal medicine interns
J. Meuleman (1989)
An evaluation of a communication skills course for health visitor students.
V. Crute (1989)
Family-oriented prevention of cardiovascular disease: a social epidemiological approach.
M. Venters (1989)
Psychotherapie : een vak voor veel beroepen
J Dijkhuis (1989)
Teaching psychiatric interview skills to medical students
L. Lovett (1990)
Evaluating family counselling skills training for family practice
H. L. Rudner (1990)
The holistic heresy: strategies of ideological challenge in the medical profession.
P. R. Wolpe (1990)
An Integrative Overview of the Quality Dimension: Marketing Implications for the Consumer-Oriented Health Care Organization
S. O'connor (1990)
Hypertension labelling, life events and psychological well-being.
T. Moum (1990)
'Advise yes, dictate no'. Patients' views on health promotion in the consultation.
N. Stott (1990)
Zichzelf bevestigende voorspellingen in psychotherapie
A Vrugt (1990)
Patient ' s understanding and recall in clinical communication failure
Physician - patient communication and patient conformity with medical advice
This paper is referenced by
Managing anxiety and uncertainty: applying anxiety/uncertainty management theory to university health professionals and students’ communication
Adu Gyamfi Prince (2021)
Can Care and Cure Coexist in Age of Internet Influenced Healthcare? Psychological Androgyny and Interpersonal Competence in Indian Doctors
Sunita Ramam Rupavataram (2020)
Improved health outcomes in integrative medicine visits may reflect differences in physician and patient behaviors compared to standard medical visits.
M. Dossett (2020)
Responsibilities and capabilities of health engagement professionals (HEPs): Perspectives from HEPs and health consumers in Australia
Lisa Tam (2020)
Creating public value in the care at home sector: a mixed-method study about expectations of primary stakeholders using a social exchange perspective.
Sascha Kraus-Hoogeveen (2020)
Patient satisfaction in emergency department: Unveiling complex interactions by wearable sensors
A. Stefanini (2020)
English for Medical Purposes Should Not Be Silent: Promoting Intercultural Communication of EMP in China
Y. Lu (2020)
Rapport, Empathy and Professional Identity: Some Challenges for International Medical Graduates Speaking English as a Second or Foreign Language
M. Dahm (2020)
Health-Related Communication and Rare Diseases
M. Liuccio (2020)
Physician-user interaction and users' perceived service quality: evidence from Chinese mobile healthcare consultation
Hongying Tan (2020)
Patient-Doctor Relationship: Data Protection in the Context of Personalised Medicine
N. Vukobrat (2019)
The Effects of Patient-Centered Communication: Exploring the Mediating Role of Trust in Healthcare Providers
Hyehyun Hong (2019)
The enigma of doctor-patient relationship
Vijaykumar Harbishettar (2019)
The relationship between college health professionals' communicative behaviors, students' satisfaction, and students' perceived quality of healthcare
P. Gyamfi (2019)
Negotiation: techniques, strategies and approaches to medical professionals
Wagner C. Padua Filho (2019)
Palliative Care in Critically Ill Cancer Patients
Ali Haider (2019)
Exploring clinical communication in a teaching hospital in Ghana
Patience Aseweh Abor (2019)
Nonverbal Affiliation by Physician Assistant Students during Simulated Clinical Examinations: Genotypic Effects
K. Floyd (2019)
Supporting ED Process Redesign by Investigating Human Behaviors
A. Stefanini (2019)
Beyond Behavior: The Coach's Perspective on Technology in Health Coaching
Heleen Rutjes (2019)
Fabia Rothenfluh (2019)
Gesundheits- und Risikokommunikation in den Gesundheitsberufen
A. Reinhardt (2019)
Operational efficiency and patient‐centered health care: A view from online physician reviews
Dong-Gil Ko (2019)
Evaluación de un programa multimedia de aprendizaje de habilidades de comunicación empáticas en una muestra de profesionales de la salud
Sabela Bermúdez Míguez (2018)
Review of Benefits to Practitioners of Using Good Patient-Practitioner Communication
A. Sherwood (2018)
The moral significance of capturing micro-inequities in hospital settings.
Supriya Subramani (2018)
Measuring patient-provider communication skills in Rwanda: Selection, adaptation and assessment of psychometric properties of the Communication Assessment Tool.
V. K. Cubaka (2018)
A Qualitative Study on the Importance and Value of Doctor-Patient Relationship in Iran: Physicians’ Views
A. K. Sadati (2018)
Observer’s Perceptions of Nonclinical Touch during Physician-Patient Interaction
McKenzie M Vorpahl (2018)
GLOBAL HEALTH 2018 Proceedings
Shunji Shimizu (2018)
Verbal and non-verbal communication skills including empathy during history taking of undergraduate medical students
D. Vogel (2018)
Critères de qualité selon les patients, de la communication médecin-patient en médecine générale
Maud Napol (2018)See more