Patients' Preferences for Technical versus Interpersonal Quality When Selecting a Primary Care Physician

Fung, Constance H.; Elliott, Marc N.; Hays, Ron D.; Kahn, Katherine L.; Kanouse, David E.; McGlynn, Elizabeth A.; Spranca, Mark; Shekelle, Paul G

doi:10.1111/j.1475-6773.2005.00395.x

Cited by 100 publications

(105 citation statements)

References 27 publications

(38 reference statements)

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“…This finding is similar to those of other studies [8,11]. Doctors prefer to refer their own patients to primary care consultants based on the latter's professional experience and the doctor's previous experience with the specific consultant.…”

Section: Discussionsupporting

confidence: 80%

“…A study from Canada found that patients prefer physicians of the same gender, although the results did vary slightly in relation to the patients' ethnic backgrounds [7]. Another study showed that most of the patients preferred physicians with excellent medical skills, although others preferred physicians who had excellent interpersonal skills [8].…”

Section: Introductionmentioning

confidence: 99%

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How do family doctors choose their own family doctor?

Peleg¹,

Magaziner²,

Freud³

2011

Health

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

How do family doctors choose their own family doctor?

Peleg¹,

Magaziner²,

Freud³

2011

Health

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“…Patients using such data to select a primary care physician may need to make trade-offs between technical performance and interpersonal performance. 29 Similarly, pay for performance programs will likely need to incorporate both aspects of health-care delivery to achieve broad-based improvements in care.…”

Section: Discussionmentioning

confidence: 99%

Quality Monitoring of Physicians: Linking Patients’ Experiences of Care to Clinical Quality and Outcomes

et al. 2008

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BACKGROUND: Physicians are increasingly asked to improve the delivery of clinical services and patient experiences of care. OBJECTIVE:We evaluated the association between clinical performance and patient experiences in a statewide sample of physician practice sites and a sample of physicians within a large physician group. DESIGN, SETTING, PARTICIPANTS:We separately identified 373 practice sites and 119 individual primary care physicians in Massachusetts. MEASUREMENTS: Using Health Plan Employer Dataand Information Set data, we produced two composites addressing processes of care (prevention, disease management) and one composite addressing outcomes. Using Ambulatory Care Experiences Survey data, we produced seven composite measures summarizing the quality of clinical interactions and organizational features of care. For each sample (practice site and individual physician), we calculated adjusted Spearman correlation coefficients to assess the relationship between the composites summarizing patient experiences of care and those summarizing clinical performance.RESULTS: Among 42 possible correlations (21 correlations involving practice sites and 21 involving individual physicians), the majority were positive in site level (71%) and physician level (67%) analyses. For the 28 possible correlations involving patient experiences and clinical process composites, 8 (29%) were significant and positive, and only 2 (7%) were significant and negative. The magnitude of the significant positive correlations ranged from 0.13 to 0.19 at the site level and from 0.28 to 0.51 at the physician level. There were no significant correlations between patient experiences and the clinical outcome composite. CONCLUSIONS:The modest correlations suggest that clinical quality and patient experience are distinct, but related domains that may require separate measurement and improvement initiatives.KEY WORDS: quality of care; patient centered care; primary care; quality measurement; quality improvement.

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“…We should also remember that our patients' views matter here. Fung, Elliott, Hays, Kahn, Kanouse, McGlynn, Spranca & Shekelle (2005) showed that patients who are given the choice are more likely to prioritize technical skills over interpersonal skills in a primary care physician. It is possible that we engage in erroneous mind-reading if we assume that our patients prefer us to downplay the use of evidence-based techniques.…”

Section: Our Beliefs and Attitudesmentioning

confidence: 99%

Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track

Waller

Turner

2016

Behaviour Research and Therapy

190

147

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Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. AbstractTherapist drift occurs when clinicians fail to deliver the optimum evidence-based treatment despite having the necessary tools, and is an important factor in why those therapies are commonly less effective than they should be in routine clinical practice. The research into this phenomenon has increased substantially over the past five years. This review considers the growing evidence of therapist drift. The reasons that we fail to implement evidence-based psychotherapies are considered, including our personalities, knowledge, emotions, beliefs, behaviors and social milieus. Finally, ideas are offered regarding how therapist drift might be halted, including a cognitive-behavioral approach for therapists that addresses the cognitions, emotions and behaviors that drive and maintain our avoidance of evidence-based treatments.Keywords: therapist drift; psychotherapies; evidence-based practice; training; cognitivebehavioral therapy Therapist drift redux 3 Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track There are different reasons why evidence-based therapies might be delivered poorly, such as clinicians being inadequately trained in the therapy in question (e.g., Royal College of Psychiatrists, 2013) or working in a setting that does not permit the implementation of the necessary methods (e.g., not being permitted to provide the necessary number of sessions).Among those reasons is one that is centred in our own practice -therapist drift (Waller, 2009). Therapist drift can be conceptualised as our failure to deliver treatments that we have been trained to deliver, or failure to deliver them adequately, even where resources exist to allow us to do so. Such failure can be a consciously or an unconsciously-driven course of action. Regardless, it has the same consequence -the patient receives treatment that deviates significantly from the evidence-base, reducing their chances of improvement or recovery. This paper will review the substantial recent evidence fo...

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Patients' Preferences for Technical versus Interpersonal Quality When Selecting a Primary Care Physician

Cited by 100 publications

References 27 publications

How do family doctors choose their own family doctor?

How do family doctors choose their own family doctor?

Quality Monitoring of Physicians: Linking Patients’ Experiences of Care to Clinical Quality and Outcomes

Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track

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