Patients' Health as a Predictor of Physician and Patient Behavior in Medical Visits

Hall, Judith A.; Roter, Debra; Milburn, Michael A.; Daltroy, Lawren H.

doi:10.1097/00005650-199612000-00006

Cited by 118 publications

(95 citation statements)

References 28 publications

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“…Hall et al [13] reported that the sicker or the more emotionally distressed patients were, the more complicated medical communication became. Among other things, they established that there was less social talk between doctors and sicker patients, that they tended to disagree with each other, exchanged more negative emotions, and that the relation was more ambiguous than with less sick patients.…”

Section: Discussionmentioning

confidence: 99%

“…Adequate doctor-patient communication is considered of utmost importance in the process of guiding patients with complaints of fatigue, and it involves affective and instrumental behavior. When patients are sicker or emotionally more distressed, medical communication seems to be even more complicated [13]. In order to stimulate patients to disclose their concerns, it is necessary to establish adequate patient-centered communication [5,14].…”

Section: Introductionmentioning

confidence: 99%

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Communicating fatigue in general practice and the role of gender

Meeuwesen¹,

Bensing²,

Brink-Muinen³

2002

PsycEXTRA Dataset

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The aim of this study has been to obtain more insight into the health condition of fatigued patients, their expectations when visiting the general practitioner (GP), the way they communicate, and possible gender differences. Data consisted of 579 patient questionnaires and 440 video-observations of these patients and 31 GPs. Results showed that fatigue is a common health problem but seldom on the agenda in general practice. More women indicated symptoms of fatigue than men did. Fatigued patients' health was worse than that of non-fatigued patients, and they expected more biomedical and especially psychosocial communication. Furthermore, male fatigued patients expected more biomedical communication than fatigued female patients did. While the GPs accommodated their verbal behavior to fatigued patients by giving more psychosocial information and more counseling, they were not more affective towards the fatigued than towards the non-fatigued patients. Female GPs were more affective than their male colleagues, and they used gender-specific communication strategies to explore the patient's agenda. It seems necessary to use a gender-sensitive approach in communication research. #

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Communicating fatigue in general practice and the role of gender

Meeuwesen¹,

Bensing²,

Brink-Muinen³

2002

PsycEXTRA Dataset

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“…Finally, patient health may actually promote more humble behaviors in physicians: Physicians react more negatively to distressed patients than to healthy patients [20], so relatively healthy patients may enable physicians to behave more comfortably and securely, and thus more humbly, than they do with their less healthy patients during physician-patient interactions.…”

Section: Physician Humility Physician-patient Communication and Patimentioning

confidence: 99%

The relationship between physician humility, physician–patient communication, and patient health

Ruberton

Huynh

Miller

et al. 2016

Patient Education and Counseling

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“…It is known for studies that patients' health status (physical as well as emotional) is associated with the length of the visit [29]. Not using the health status as a covariate may be confounding the results.…”

Section: Limitations Of the Studymentioning

confidence: 99%

Consultation in general practice: a standard operating procedure?

Deveugele

Derese

Bacquer

et al. 2004

Patient Education and Counseling

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The objectives of this study were to describe the features of consultation within general practice with special attention to the differences between short, moderate and long consultations.An analysis of 2801 videotaped consultations of 183 General Practitioners from six countries participating in the Eurocommunication Study was made. The communicative behaviour was gauged by means of the Roter Interaction Analysis System. The consultation can be seen as a "standard operating procedure" consisting of 8% social behaviour, 15% agreement, 4% rapport building, 10% partnership building, 11% giving directions, 28% giving information, 14% asking questions and 7% counselling. A short consultation can be described as an encounter with a little bit of social behaviour to set the contact, medical questioning, giving directions for the further consultation and advises in order to solve the problem(s) mentioned. In a long consultation doctors take more time for a social talk, they give more attention to the relation or contact with the patient, they listen more extensively, especially to psychosocial problems, and they give more information.

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Patients' Health as a Predictor of Physician and Patient Behavior in Medical Visits

Abstract: The patient's health status appears to influence physician-patient communication. In clinical practice, increased attention by physicians to their own and their patients' behavior may enhance diagnosis and prevent misunderstandings.

Cited by 118 publications

References 28 publications

Communicating fatigue in general practice and the role of gender

Communicating fatigue in general practice and the role of gender

The relationship between physician humility, physician–patient communication, and patient health

Consultation in general practice: a standard operating procedure?

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