The relationship between social support, shared decision-making and patient’s trust in doctors: a cross-sectional survey of 2,197 inpatients using the Cologne Patient Questionnaire

Ommen, Oliver; Thuem, Sonja; Pfaff, Holger; Janßen, Christian

doi:10.1007/s00038-010-0212-x

Cited by 75 publications

(67 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The statistically significant association between patient's experiences and agreeing in the doctor's beliefs about the cause of their illness is supported by previous research indicating that congruence in doctor-patient beliefs (including experiences of partnership and shared decision-making) are important in facilitating patient satisfaction (Budych et al, 2012;Serber et al, 2003;Street Jr et al, 2005;Ommen et al, 2011;Krupat et al, 2001). This does 15 not mean that diverging views necessarily leads to dis-satisfied patients, but that diverging views represent a challenge to the medical encounter.…”

Section: Initial Phasementioning

confidence: 58%

Factors facilitating patient satisfaction among women with medically unexplained long-term fatigue: A relational perspective

Lian

Hansen

2015

Health (London)

View full text Add to dashboard Cite

Bodily conditions that are difficult to identify, explain and treat with the aid of medical knowledge and technology appear to be particularly challenging to medical encounters.Patients are often dissatisfied with the help they receive, and they often experience that their medical needs are not met. To explore factors facilitating patient satisfaction among patients with a medically unexplained condition we ask: what is the importance of individual versus relational factors in facilitating patient satisfaction in clinical encounters between general practitioners (GPs) and women with medically unexplained long-term fatigue? We approach this question through a statistical analysis of survey data collected from a net sample of 431 women recruited through a patient organisation for people suffering from myalgic encephalomyelitis (ME) in 2013. Participants were asked about their experiences with general practitioners in the Norwegian national health system in two different phases: shortly after illness onset, and current regular GP last 12 months. The questions evolved around themes concerning shared understanding and decision-making, being taken seriously, being paid due respect, and being treated as an equal partner. Through descriptive statistics and multivariable logistic regression analyses, we explored how their experiences were related to individual and relational factors, respectively. Free-text comments from the questionnaires were used while interpreting the results. The analysis illuminates that relational aspects in medical encounters between GPs and ME-patients, especially continuity, congruence in doctor-patient views and being seen by a specialist, are important catalysts of patient satisfaction. The probability of being satisfied with the initial investigation was more than six times higher in women who were referred to specialists, compared to those who were not. We conclude that continuity of care and experiences of being in a partnership that operates on a common ground -a shared understanding of the patient's illness -foster patient satisfaction among women with medically unexplained long-term fatigue.3

show abstract

Section: Initial Phasementioning

confidence: 58%

Factors facilitating patient satisfaction among women with medically unexplained long-term fatigue: A relational perspective

Lian

Hansen

2015

Health (London)

View full text Add to dashboard Cite

show abstract

“…17,33,34 Indeed, treatment adherence improves when individual preferences are taken into consideration. 35 Herein we show that comorbidities significantly impact participants' preferences for psoriasis treatments. Patients with psoriatic arthritis attached more importance to the probability of benefit than those without arthritis.…”

Section: Discussionmentioning

confidence: 82%

Comorbidities significantly impact patients’ preferences for psoriasis treatments

Schmieder

Schaarschmidt

Umar

et al. 2012

Journal of the American Academy of Dermatology

View full text Add to dashboard Cite

“…These include the open communication of information between the doctor and the patient, with subsequent encouragement of the patient's enablement and improved adherence to medical advice; 6 10 11 the reduction in rates of referral with associated cost reductions 2 ; and the improvement of health outcomes and better patient perceptions of healthcare. 12 The development of a trusting doctor-patient relationship is facilitated by a range of organisational and personal factors such as patient-centred approaches to care 12 13 and improved communication [14][15][16][17] ; shared decision-making [18][19][20] ; increased consultation length 21 ; interpersonal continuity of care [22][23][24] and providing support without necessary expectation of cure 25 ; giving patients a choice of doctor 26 27 ; and congruence in doctor-patient beliefs, 28 29 and ethnicity 30 and the patient's approval of the doctor's appearance. 31 While previous research has investigated associations between age, gender and ethnicity of the patient and their expression of trust in a doctor, the relative contribution and interaction of these variables with patient perceptions of the consultation remain unknown.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting patients’ trust and confidence in GPs: evidence from the English national GP patient survey

et al. 2013

View full text Add to dashboard Cite

ObjectivesPatients’ trust in general practitioners (GPs) is fundamental to effective clinical encounters. Associations between patients’ trust and their perceptions of communication within the consultation have been identified, but the influence of patients’ demographic characteristics on these associations is unknown. We aimed to investigate the relative contribution of the patient's age, gender and ethnicity in any association between patients’ ratings of interpersonal aspects of the consultation and their confidence and trust in the doctor.DesignSecondary analysis of English national GP patient survey data (2009).SettingPrimary Care, England, UK.ParticipantsData from year 3 of the GP patient survey: 5 660 217 questionnaires sent to patients aged 18 and over, registered with a GP in England for at least 6 months; overall response rate was 42% after adjustment for sampling design.Outcome measuresWe used binary logistic regression analysis to investigate patients’ reported confidence and trust in the GP, analysing ratings of 7 interpersonal aspects of the consultation, controlling for patients’ sociodemographic characteristics. Further modelling examined moderating effects of age, gender and ethnicity on the relative importance of these 7 predictors.ResultsAmong 1.5 million respondents (adjusted response rate 42%), the sense of ‘being taken seriously’ had the strongest association with confidence and trust. The relative importance of the 7 interpersonal aspects of care was similar for men and women. Non-white patients accorded higher priority to being given enough time than did white patients. Involvement in decisions regarding their care was more strongly associated with reports of confidence and trust for older patients than for younger patients.ConclusionsAssociations between patients’ ratings of interpersonal aspects of care and their confidence and trust in their GP are influenced by patients’ demographic characteristics. Taking account of these findings could inform patient-centred service design and delivery and potentially enhance patients’ confidence and trust in their doctor.

show abstract

The relationship between social support, shared decision-making and patient’s trust in doctors: a cross-sectional survey of 2,197 inpatients using the Cologne Patient Questionnaire

Abstract: Insufficient physician communication skills can lead to extensive negative effects on the trust of patients in their physicians. Thus, it becomes clear that medical support requires not only biomedical, but also psychosocial skills.

Cited by 75 publications

References 40 publications

Factors facilitating patient satisfaction among women with medically unexplained long-term fatigue: A relational perspective

Factors facilitating patient satisfaction among women with medically unexplained long-term fatigue: A relational perspective

Comorbidities significantly impact patients’ preferences for psoriasis treatments

Factors affecting patients’ trust and confidence in GPs: evidence from the English national GP patient survey

Contact Info

Product

Resources

About