Meta-analysis of Correlates of Provider Behavior in Medical Encounters

Hall, Judith A.; Roter, Debra; Katz, Nancy

doi:10.1097/00005650-198807000-00002

Cited by 940 publications

(535 citation statements)

References 63 publications

Supporting

Mentioning

474

Contrasting

Unclassified

Order By: Relevance

“…This certainly is supported by previous research, which has demonstrated these clusters of variables to be important predictors of mammography. 13,[18][19][20] Prior research documents a greater prevalence of behavioral risk factors for breast cancer among lesbian/bisexual women, including obesity, nulliparity, alcohol consumption, and cigarette smoking. [1][2][3] It is interesting, then, that lesbian and bisexual women in the current study report lower perceived risk of breast cancer compared with their heterosexual counterparts.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sexual Orientation and Intentions to Obtain Breast Cancer Screening

Hart

Bowen

2009

Journal of Women's Health

View full text Add to dashboard Cite

Aims: This longitudinal study examined predictors of intentions to obtain breast cancer screening in two samples, one comprising self-identified lesbian/bisexual women (n ϭ 150) and the other comprising heterosexual women (n ϭ 400). We hypothesized that beliefs about mammography, cancer vulnerability, and attitudes toward the medical provider would mediate the relationship between sexual orientation and plans to obtain breast cancer screening. Methods: Women in this study participated in one of two larger clinical trials of breast cancer risk counseling methods. All participants completed questionnaires about breast cancer screening attitudes at baseline and at a 6-month follow-up. Results: Logistic regression analyses, controlling for age, education, and race, revealed that baseline negative beliefs about mammography, lower levels of provider trust, and less perceived risk of breast cancer significantly mediated the relationship between sexual orientation and 6-month intentions to obtain a clinical breast examination (CBE) and mammography. Conclusions: These findings suggest that attitudes and beliefs about breast cancer, breast cancer screening, and medical providers impact lesbian/bisexual women's willingness to plan for CBE and mammography.

show abstract

Section: Discussionmentioning

confidence: 99%

“…5,18 One of the key roles of a provider is to supply patients with healthcare information and to motivate patients to undergo screening and treatment. Indeed, prior research suggests that compliance with mammography guidelines is influenced by providers who make strong and clear recommendations for cancer screening.…”

mentioning

confidence: 99%

Sexual Orientation and Intentions to Obtain Breast Cancer Screening

Hart

Bowen

2009

Journal of Women's Health

View full text Add to dashboard Cite

show abstract

“…Close the interview less critical than the perception by patients that they are the focus of the time and that they are accurately heard. Other aspects important to the relationship include eliciting patients' own explanations of their illness, 23,24 giving patients information, 25,26 and involving patients in developing a treatment plan. 27 (For an overview of this area of research, see Putnam and Lipkin, 1995.…”

Section: A Special Relationshipmentioning

confidence: 99%

The doctor-patient relationship

1999

View full text Add to dashboard Cite

“…34 Researchers from a psychotherapeutic background (with Rogers 35 and Balint 23 as leading theorists) claim the predominance of affective behavior, 2 · 5 - 36 while others (mostly inspired by Bales' observation system, which is based on problem solving theories 37 ), claim that instrumental behavior is the most important part of physician's behavior. 7 · 8 - 38 To gain more insight into the contradictory results found in the literature, a study was designed in which both instrumental and affective physician's behavior was observed and subsequently related to panelassessed quality of care. The purpose of our study is to explore the internal relationships between instrumental and affective behavior (verbal as well as nonverbal) and to compare the strength of process-outcome associations across these main groups.…”

mentioning

confidence: 99%

Instrumental and Affective Aspects of Physician Behavior

Bensing¹,

Dronkers²

1992

Medical Care

114

View full text Add to dashboard Cite

In a semi-replication study, 103 videotaped real-life general practice consultations of patients with hypertension were observed with Roter's interaction Analysis System (RIAS). RIAS consists of a detailed category system meant to measure each verbal utterance of physician and patient (distinguished in taskrelated behavior and socio-emotional behavior) and a set of global affect-ratings. In this article, only general practitioner (GF) behavior is studied. GP's behavior is related to panel-assessed quality of care on three separate dimensions (technical-medical, psychosocial, and the management of the physicianpatient relationship). A remarkably high percentage of the variance in the quality assessments (ranging from 59% to 70%) was explained by RIAS. The global affect-ratings proved to have the strongest influence in all quality assessments. In addition, task-related behavior seems to be more important in medical technical behavior, whereas socio-emotional behavior, and especially the psycho- In medical communication two types of behavior are thought to be important: instrumental behavior and affective behavior. 1 " 11 They correspond with the two main purposes the doctor has in the medical consultation: information exchange, which is necessary for solving the medical problem; 7 ' 12 " 22 and creating a therapeutic relationship, which is necessary for managing the psychosocial aspects of patient's health problems and gaining patient's confidence. 2 types of behavior are both so important in medical practice is that patients, when seeing a doctor, have two different types of needs that have to be met. 32 " 34 As Engel 32 stated, these are "the need to know and understand" (to know what is the matter with him or her, what causes the pain, and how this can be stilled) and the "the need to feel known and understood" (to know that he or she is accepted by the doctor as a person and is not seen as a malingerer). While most people agree about the relevance of both types of behavior, there is considerable debate about the relative importance of both. 34 Researchers from a psychotherapeutic background (with Rogers 35 and Balint 23 as leading theorists) claim the predominance of affective behavior, 2 · 5 -36 while others (mostly inspired by Bales' observation system, which is based on problem solving theories 37 ), claim that instrumental behavior is 283

show abstract

Meta-analysis of Correlates of Provider Behavior in Medical Encounters

Cited by 940 publications

References 63 publications

Sexual Orientation and Intentions to Obtain Breast Cancer Screening

Sexual Orientation and Intentions to Obtain Breast Cancer Screening

The doctor-patient relationship

Instrumental and Affective Aspects of Physician Behavior

Contact Info

Product

Resources

About