A Causal Model of Health Status and Satisfaction With Medical Care

Hall, Judith A.; Milburn, Michael A.; Epstein, Arnold M.

doi:10.1097/00005650-199301000-00007

Cited by 199 publications

(166 citation statements)

References 35 publications

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“…Moreover, evaluations of hospital care were not predictive of future health. Similar to this study, Hall et al (16) found that initial health status was linked to subsequent satisfac- tion with care, but initial satisfaction was unrelated to subsequent health. In addition, analyses of 952 patients in the Medical Outcomes Study revealed that baseline mental health was significantly associated with subsequent satisfaction with care (3).…”

Section: Discussionsupporting

confidence: 81%

Health-related quality of life and patient reports about care outcomes in a multidisciplinary hospital intervention

2006

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Section: Discussionsupporting

confidence: 81%

Health-related quality of life and patient reports about care outcomes in a multidisciplinary hospital intervention

2006

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“…Part of the discrepancy in findings may be explained by differences in health status between the 2 groups in the study by Greene et al 2 Poorer health in accompanied patients may have affected patient-physician interactions, such as the number of topics raised by patients and the role of companions. 34 In addition, we controlled for patient preferences for being accompanied and patient health status by randomly assigning patients to come alone or accompanied to the medical visit.…”

Section: Discussionmentioning

confidence: 99%

Influence of Accompanied Encounters on Patient-Centeredness with Older Patients

Shields

Epstein

Fiscella

et al. 2005

The Journal of the American Board of Family Medicine

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Objectives: To conduct a pilot study to examine physician patient interaction when elderly patients are accompanied during a medical visit.Methods: This was a study in which 30 patients were randomly assigned to be accompanied (13) or unaccompanied (17) during a regular medical visit to their physician. Visits were tape recorded, transcribed, and coded with the Measure of Patient-Centered Communication (MPCC) and with the Rochester Participatory Decision-Making Scale (RPAD).Results: We found no differences between the number of words spoken in accompanied versus unaccompanied visits, comparing patients alone with patients and companions combined. Physicians spoke longer without interruption in accompanied encounters (39.9 vs 78.6 words per speech turn). There were no differences in the level of MPCC or in the level of participatory decision making between the 2 types of visits. In accompanied visits, patients introduced most of the concerns and physicians discussed concerns with patients more than with companions.Conclusions: Previously reported differences in accompanied versus unaccompanied visits may reflect patients' preferences for being accompanied, the role they wish their companion to play, and the patients' health status. Being accompanied by a family member or friend does not result in less attention being paid to patients' concerns. (J Am Board Fam Pract 2005;18:344 -54.)

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“…22,23 Hospice nurses engage in substantial talk directed toward building partnerships with family caregivers and patients (17%) rather than telling them what to do (4%). Building a collaborative relationship is associated with improved patient satisfaction, [24][25][26] adherence, [27][28][29][30] and health. 31 Encouraging shared involvement may be particularly important in home health to promote agency in family members responsible for the majority of the day-to-day care.…”

Section: Description Of Home Hospice Visit Dialoguementioning

confidence: 99%

Hospice Nurse Communication with Patients with Cancer and their Family Caregivers

Ellington

Reblin

Clayton

et al. 2012

Journal of Palliative Medicine

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Background: Effective communication by hospice nurses enhances symptom management for the patient, reduces family caregiver burden and distress, and potentially improves bereavement adjustment. However, research has not kept pace with the rising use of hospice by patients with cancer and thus we know little about how hospice nurses communicate. Methods: The overriding objective of this pilot study was to provide insight into these in-home visits. Hospice nurses audiorecorded their interactions over time with family caregivers and patients with cancer. The communication within these tapes was coded using Roter Interaction Analysis System (RIAS) and analyzed. Results: We found that tape recording home hospice nurse visits was feasible. RIAS was suited to capture the general content and process of the home hospice encounter and the coded interactions show the range of topics and emotions that are evident in the dialogue. Implications and future directions for research are discussed.

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A Causal Model of Health Status and Satisfaction With Medical Care

Cited by 199 publications

References 35 publications

Health-related quality of life and patient reports about care outcomes in a multidisciplinary hospital intervention

Health-related quality of life and patient reports about care outcomes in a multidisciplinary hospital intervention

Influence of Accompanied Encounters on Patient-Centeredness with Older Patients

Hospice Nurse Communication with Patients with Cancer and their Family Caregivers

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