Medical Specialists’ Patient-Centered Communication and Patient-Reported Outcomes

Abstract

Medical specialists' facilitating behavior was associated with greater satisfaction in patients who were less confident in communicating with their doctor. Patient-centered communication was not associated with patients' health status or adherence in general, but facilitating behavior was positively related to the adherence of patients with a foreign primary language. In general, patients appeared to be more satisfied after an encounter with a more-facilitating and a less-inhibiting physician, but these associations diminished when controlling for background characteristics. We conclude that the absence of strong associations between patient-centered communication and patient-reported outcomes may be explained by medical specialists being responsive to patients' characteristics.

Using Photovoice to Explore Patient Perceptions of Patient-Centered Care in the Veterans Affairs Health Care System

“…Patient-provider communication and relationships were closely tied to overall perceptions of quality of care. This is corroborated by previous literature indicating that clear communication with providers and a sense of trust and respect is vital for patient satisfaction [14,[30][31][32]. Consistent with prior studies [3,5], we found that environments of care, both physical and social, and accessibility of care were also important aspects of the patient experience.…”

The complexity of prognosis communication in heart failure: Patient and cardiologists’ preferences in the outpatient clinical setting

“…Results support previous findings that indicate there is no single preferred approach with regards to the process and content of prognosis communication for cardiologists and patients with advanced HF [36]. The contextual preferences described here are highly influential for cardiologists and patients as they choose to engage (or not) in HF-related prognosis communication and they must be considered by those who encourage the implementation of any prognostic communication formula [30].…”

The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review

“…Regarding the direct influences of the doctor-patient relationship on the health status contradicting evidence was presented: While Cooper et al (2011) reported more positive communication, and Zandbelt et al (2007) observed improved doctor-patient relationships to be associated with higher patient activation, both studies found no direct influence on the health status. In contrast Auerbach et al (2002) realized a better doctor-patient relationship to be associated with improved diseaserelated behavior and a better health status, and Wodskou et al (2014) reported that the physicians' empathy correlated with a better health status of their patients.…”