Determinants and outcomes of patient-centered care
Patient Education and CounselingPublished 1 September 2010
Klea D. Bertakis, Rahman Azari
Citations125
SJR quartileQ1
SJR score1.24
SNIP1.37
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Patient-centered care was observed more often with family physician caring for healthier, more educated patients, and was associated with lower charges, according to an interactional analysis instrument defined.
Abstract
Reduced annual medical care charges are an important outcome of patient-centered medical visits.
Keywords
Health ProfessionsBusiness, Management and Accounting
PubMedThe MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
33,975 Citations1992John E. Ware, Cathy D. Sherbourne
A 36-item short-form survey designed for use in clinical practice and research, health policy evaluations, and general population surveys to survey health status in the Medical Outcomes Study is constructed.
Journal for Healthcare QualityCrossing the Quality Chasm: A New Health System for the 21st Century
8,568 Citations2002Committee on Quality of Health Care in America
Medical CareThe MOS 36-Item Short-Form Health Survey (SF-36)
6,672 Citations1993Colleen A. McHorney, WARE JOHNE +1 more
Cross-sectional data from the Medical Outcomes Study were analyzed to test the validity of the MOS 36-Item Short-Form Health Survey (SF-36) scales as measures of physical and mental health constructs and found the social functioning, vitality, and general health perceptions scales had the most complex interpretation.
American Journal of PsychiatryThe Michigan Alcoholism Screening Test: The Quest for a New Diagnostic Instrument
3,474 Citations1971Melvin L. Selzer
The MAST responses of 15 subjects who were found to be alcoholic in the record search were analyzed to determine where the screening failures had occurred and recommendations are made for reducing the number of such "falsė negatives."
Social Science & MedicinePatient-centredness: a conceptual framework and review of the empirical literature
2,964 Citations2000Nicola Mead, Peter Bower
This paper reviews the conceptual and empirical literature in order to develop a model of the various aspects of the doctor-patient relationship encompassed by the concept of 'patient-centredness' and to assess the advantages and disadvantages of alternative methods of measurement.
PubMedThe impact of patient-centered care on outcomes.
2,497 Citations2000Moira Stewart, Judith Belle Brown +5 more
Positive perceptions of patient-centered communication were associated with better recovery from their discomfort and concern, better emotional health 2 months later, and fewer diagnostic tests and referrals.
The Health Consequences of Smoking: A Report of the Surgeon General
2,442 Citations2004Office on Smoking
JAMAFunctional status and well-being of patients with chronic conditions. Results from the Medical Outcomes Study
1,874 Citations1989Anita L. Stewart
JAMAFunctional Status and Well-being of Patients With Chronic Conditions
1,736 Citations1989Anita L. Stewart
For eight of nine common chronic medical conditions, patients with the condition showed markedly worse physical, role, and social functioning; mental health; health perceptions; and/or bodily pain compared with patients with no chronic conditions.
JAMAPhysician Gender Effects in Medical Communication
1,356 Citations2002Debra Roter, Judith A. Hall +1 more
Female primary care physicians engage in more communication that can be considered patient centered and have longer visits than their male colleagues, and gender-related practice patterns in some subspecialties may differ from those evident in primary care.
Evaluation and Program PlanningDefining and measuring patient satisfaction with medical care
1,256 Citations1983John E. Ware, Mary K. Snyder +2 more
Form II of the Patient Satisfaction Questionnaire (PSQ), a self-administered survey instrument designed for use in general population studies, well represents the content of characteristics of providers and services described most often in the literature and in response to open-ended questions.
AnaesthesiaThe reliability of a linear analogue for evaluating pain
1,255 Citations1976SUSAN I. REVILL, J. O. ROBINSON +2 more
A linear analogue for rating pain with 10, 15 and 20 cm lines is significantly less variable than a 5 cm line and the linear analogue rating of a constant pain stimulus is reproducible and changes in rating are likely to be real changes of opinion.
Social Science & MedicineMeasuring patient-centered communication in Patient–Physician consultations: Theoretical and practical issues
1,209 Citations2005Ronald M. Epstein, Peter Franks +5 more
Nine areas for improvement in measuring patient-centered communication are proposed: developing theory-based operational definitions of PCC, clarifying what is being measured, validating of instruments, and examining pathways and mediators of links between PCC and outcomes.
BMJTowards a global definition of patient centred care
1,079 Citations2001Moira Stewart
Strong agreement exists between the definition of patient centredness that arises empirically from this observational study of patients in the United Kingdom and another definition arising from reflections on practice in South Africa and Canada, suggesting an international definition ofpatient centred medicine.
JAMACommunication Patterns of Primary Care Physicians
926 Citations1997Debra L. Roter
Primary care communication patterns range from narrowly biomedical to consumerist patterns and parallel the ideal forms of patient-physician relationships described in the literature.
American Journal of PsychiatryThe Brief MAST: A Shortened Version of the Michigan Alcoholism Screening Test
854 Citations1972Alex D. Pokorny, Byron Miller +1 more
An abbreviated version of the Michigan Alcoholism Screening Test (MAST) is reported, on the basis of previously published data, that scores based on ten of the questions of the MAST would be as effective in discriminating between alcoholics and nonalcoholics as scoresbased on all 25 questions.
Patient Education and CounselingPatient-centred consultations and outcomes in primary care: a review of the literature
618 Citations2002Nicola Mead, Peter Bower
The current evidence base may be suggestive of a relationship between patient-centred consulting behaviour and patient outcomes, but the case has not been made definitively.
Annual Review of Public HealthPhysician Gender and Patient-Centered Communication: A Critical Review of Empirical Research
613 Citations2004Debra Roter, Judith A. Hall
The results of two meta-analytic reviews of the effects of physician gender on communication in medical visits within a communication framework that reflects patient-centeredness and the functions of the medical visit are synthesized.
Medical CarePatient and Visit Characteristics Related to Physicians??? Participatory Decision-Making Style
587 Citations1995Sherrie H. Kaplan, Barbara Gandek +3 more
The elderly and young adult patients, patients with high school education or less, minority patients, and male patients had the least participatory visits with their physicians, according to the baseline cross-sectional survey of the Medical Outcomes Study.
Medical CarePatient Participation in Medical Consultations
562 Citations2005Richard L. Street, Howard S. Gordon +3 more
Although more educated and white patients tended to be more active participants than their counterparts, the strongest predictors of patient participation were situation-specific, namely the clinical setting and the physician's communicative style.
Patient Education and CounselingThe practice orientations of physicians and patients: the effect of doctor–patient congruence on satisfaction
462 Citations2000Edward Krupat, Susan L. Rosenkranz +4 more
It was found that females and those who were younger, more educated, and healthier were significantly more patient-centered and years in practice was related to satisfaction and orientation in a non-linear fashion.
Patient Education and CounselingDoctor–Patient communication and cancer patients’ quality of life and satisfaction
453 Citations2000L.M.L. Ong, Marja Visser +2 more
Surprisingly, oncologists' patient-centredness was negatively related to patients' global satisfaction after 3 months, and the affective quality of the consultation seems to be the most important factor in determining these outcomes.
Social Science & MedicineWhat is a successful doctor-patient interview? a study of interactions and outcomes
405 Citations1984Moira Stewart
The study suggests the importance in the setting of family practice of a patient-centred approach, one which is similar to models such as the negotiated approach to patienthood, described by psychiatrists.
Medical CareRelations Between Physicians?? Behaviors and Analogue Patients?? Satisfaction, Recall, and Impressions
380 Citations1987Debra Roter, Judith A. Hall +1 more
Investigating associations between physicians' task-oriented and socioemotional behaviors, on the one hand, and analogue patients' satisfaction, recall of information, and global impressions, revealed that role-playing patients clearly distinguished task from socioem emotional behaviors of the physicians, and a consistent pattern of association emerged.
The Annals of Family MedicinePatient-Centered Communication and Diagnostic Testing
372 Citations2005Ronald M. Epstein
Patient-centered communication is associated with fewer diagnostic testing expenditures but also with increased visit length, an effect primarily associated with the effect on testing expenditures.
Medical CareThe Influence of Gender on Physician Practice Style
341 Citations1995Klea D. Bertakis, L. Jay Helms +3 more
The difference between male and female physicians in total time spent with patients was small and statistically insignificant, and diminished further when controlling for patient gender and health status, but female physicians were observed to engage in more preventive services and to communicate differently with their patients.
PubMedIlluminating the 'black box'. A description of 4454 patient visits to 138 family physicians.
305 Citations1998Kurt C. Stange, Stephen J. Zyzanski +13 more
Outpatient visits to family physicians encompassed a wide variety of patients, problems, and levels of complexity, and the most common uses of time were history-taking, planning treatment, physical examination, health education, feedback, family information, chatting, structuring the interaction, and patient questions.
Social Science & MedicineThe impact of general practitioners’ patient-centredness on patients’ post-consultation satisfaction and enablement
275 Citations2002Nicola Mead, Peter Bower +1 more
Three specific, conceptually distinct dimensions of a patient-centred consulting style were operationalised: the 'biopsychosocial perspective', 'sharing power and responsibility' and the 'therapeutic alliance'; the robustness of these findings is considered within the context of study strengths and weaknesses, and implications for future research are discussed.
Journal of General Internal MedicinePatient-centered communication
270 Citations2004Sara Swenson, Stephanie Buell +4 more
It is found that a significant proportion of patients prefer a biomedical communication style, and practicing physicians and medical educators should strive for flexible approaches to physician-patient communication.
PubMedWhen physicians and patients think alike: patient-centered beliefs and their impact on satisfaction and trust.
270 Citations2001Edward Krupat, Robert A. Bell +3 more
The extent of congruence between physicians' and patients' beliefs plays an important role in determining how patients evaluate their physicians, although satisfaction with a specific visit and overall trust may be determined differently.
Journal of Women s HealthPhysician Gender, Patient Gender, and Primary Care
249 Citations2003Peter Franks, Klea D. Bertakis
Female physicians were more likely to deliver female prevention procedures, but few other physician gender differences in primary care were observed.
PubMedThe patient-centredness of consultations and outcome in primary care.
245 Citations1999Paul Kinnersley, N.C.H. Stott +2 more
Evidence is presented that patient-centred styles of consulting produce benefits in terms of increased patient satisfaction for patients consulting for new episodes of care in Britain.
PubMedRelationships between physician practice style, patient satisfaction, and attributes of primary care.
234 Citations2002Susan A. Flocke, William L. Miller +1 more
In community-based practices, it is found that the person-focused interaction style appears to be the most congruent with patient reported quality of primary care.
Patient Education and CounselingMeasuring patient-centredness: a comparison of three observation-based instruments
221 Citations2000Nicola Mead, Peter Bower
Differences in construct validity of the three measures were evident and their concurrent validity was relatively low, and the implications for research, and for assessing the quality of individual doctors' 'interpersonal' care are discussed.
Family PracticePatient-Centredness in the Consultation. 2: Does it Really Make a Difference?
215 Citations1990Ronald J. Henbest, Moira Stewart
The results of the multivariate analysis suggested that the impact of a patient-centred approach may be part of a package of care, consisting of a doctor whose overall practice allows for the development of personal relationships with patients over time through continuity of care.
Social Science & MedicinePhysician gender and the physician-patient relationship: Recent evidence and relevant questions
189 Citations1985Carol S. Weisman, Martha Ann Teitelbaum
A theoretical rationale for expecting physician gender to affect the key dimensions of the interactive physician-patient relationship and its outcomes and some methodological suggestions for future research are presented, including the suggestion that future research identify specific conditions under which physician gender effects might be more salient.
Journal of Nursing Care QualityEffect of Patient-Centered Care on Patient Satisfaction and Quality of Care
188 Citations2008Debra M. Wolf, Lisa Lehman +3 more
A clinical randomized study (posttest design) was conducted to examine whether patient-centered care (PCC) impacts patient satisfaction, perception of nursing care, and quality of care.
BMJContinuity of care: influence of general practitioners' knowledge about their patients on use of resources in consultations.
180 Citations1991Per Hjortdahl, C F Borchgrevink
Accumulated knowledge was a substantial factor in saving time, especially in consultations with children, the elderly, patients with psychosocial problems, and those with chronic diseases, and to a lesser degree the use of medication.
Clinical Pharmacology & TherapeuticsReassessment of verbal and visual analog ratings in analgesic studies
162 Citations1985Gary S. Littman, Barry R. Walker +1 more
While the investigation provides evidence that any of the ratings considered will accurately reflect analgesic response, the verbal relief scale was the most sensitive and might be the best choice if a single measure is desired.
PubMedEffects of physician gender on patient satisfaction.
149 Citations2003Klea D. Bertakis, Peter Franks +1 more
Patients of female physicians were more satisfied than were those of male physicians, even after adjusting for patient characteristics, visit length, and physician practice style behaviors.
BMC Family PracticeShifts in doctor-patient communication between 1986 and 2002: a study of videotaped General Practice consultations with hypertension patients
144 Citations2006Jozien M. Bensing, Fred Tromp +4 more
The most important shift that could be observed over the years was a shift towards a more businesslike, task-oriented GP communication pattern, reflecting the recent emphasis on evidence-based medicine and protocolized care.
Journal of Women s HealthPatient-Centered Communication in Primary Care: Physician and Patient Gender and Gender Concordance
136 Citations2009Klea D. Bertakis, Peter Franks +1 more
These findings add further evidence that patient gender can affect the interactions between physicians and patients.
PubMedPatient preferences for physician characteristics in university-based primary care clinics.
125 Citations2003Jorge A. García, Debora A. Paterniti +2 more
Examining patients' preferences for patient-physician demographic concordance provides insight into the patient- Physician relationship, and addressing areas where these preferences affect communication patterns and perceptions of quality of care may lead to overall improvements in patient-Physician relationships and health outcomes.
Medical CarePhysician Practice Styles and Patient Outcomes
112 Citations1998Klea D. Bertakis, Edward J. Callahan +4 more
There were significant differences in practice styles between family physicians and internists; however, it was the physician's behavior, not specialty per se, that affected patient outcomes.
PubMedDevelopment and validation of the Davis Observation Code.
102 Citations1991Edward J. Callahan, Klea D. Bertakis
The development and evaluation of a 20-item direct observation scale for physician-patient interactions, the Davis Observation Code (DOC), is described and the rates of occurrence of four key physician behaviors measurable by both direct observation and chart audit are compared.
Journal of Health Care for the Poor and UnderservedAn Exploration of Patients' Trust in Physicians in Training
93 Citations2004Denise E. Bonds, Kristie L. Foley +3 more
Patients from lower socioeconomic groups had relatively high levels of trust compared with patients from higher socioeconomic groups discussed in the literature, and trust in the doctors and nurses at the clinic was located also had a positive association with trust.
Research in Nursing & HealthRelationships between patient‐centered cancer nursing interventions and desired health outcomes in the context of the health care system
91 Citations2008Laurel E. Radwin, Howard Cabral +1 more
Patient-centeredness of care for cancer patients may be enhanced by quality improvement activities that measure and monitor these PCNIs and resultant outcomes.
Social Science & MedicineDeterminants of physicians’ patient-centred behaviour in the medical specialist encounter
87 Citations2006Linda C. Zandbelt, Ellen M.A. Smets +3 more
Doctor patient-centred behaviour is related to the type of patient visiting, especially in relation to the seriousness of symptoms, which indicates that physicians adjust their style according to the situation.
PubMedPatient gender and communication with physicians: results of a community-based study.
81 Citations1995James Hall, Roter Dl
It is suggested that women provided fewer obvious cues to their satisfaction because of the weaker correlations between patients' communication and their satisfaction for women, and training in communication skills may increase open discussion about feelings and emotions and produce greater physician sensitivity to patients' satisfaction, particularly with female patients.
PubMedFactors that influence the patient centredness of a consultation.
79 Citations1995Sidney Law, Nicky Britten
The results suggest that women general practitioners, in this sample, were more patient centred than men general practitioners and inherent inequalities exist, with female patients receiving a more patient-centred service from general practitioners of their own sex than from general Practitioners of the opposite sex.
PubMedBrief screening instruments for alcoholism.
76 Citations1997Cheryl J. Cherpitel
This article reviews some of these screening instruments as well as their effectiveness in identifying problem drinkers in primary care settings, such as emergency rooms (ER's), and assesses the validity of screening instruments.
Psychology and HealthThe search for reliable and valid measures of patient-centredness
75 Citations1996Helen R. Winefield, Tim Murrell +2 more
More patient-centred consultations tended to last longer and to deal with psychosocial or complex problems, and were related to relative doctor dissatisfaction and consultation length.
Social Science & MedicineStudying physician effects on patient outcomes: Physician interactional style and performance on quality of care indicators
71 Citations2005Peter Franks, Anthony Jerant +4 more
Evidence is found of an apparent relationship between patient perceptions of their physician and patient outcomes, however, the apparent relationships found in this study do not reflect physician style, but presumably reflect unmeasured patient confounding.
Journal of Women s HealthPatient Gender and Physician Practice Style
66 Citations2007Klea D. Bertakis, Rahman Azari
Female patients' visits had more discussions regarding the results of the therapeutic interventions, more preventive services, less physical examination, and fewer discussions about tobacco, alcohol, and other substance abuse.
Psychosomatic MedicineTrait Anxiety and Reactions to Patient-Centered and Doctor-Centered Styles of Communication: An Experimental Study
63 Citations2000Peter Kjær Graugaard, Arnstein Finset
Differences between subjects’ emotional traits may be of importance for a differentiated response to patient-centered and doctor-centered communication styles as measured by emotional reactions and satisfaction immediately after consultation.
Statistics in MedicineA comparison of methods for calculating a stratified kappa
61 Citations1991William E. Barlow, Mei‐Ying Lai +1 more
PubMedThe influence of depression on physician-patient interaction in primary care.
56 Citations1996Callahan Ej, Bertakis Kd +4 more
Results support the potential value of psychological screening instruments in primary care and provide information for training physicians in the recognition and management of depression.
PubMedThe impact of recent emotional distress and diagnosis of depression or anxiety on the physician-patient encounter in family practice.
56 Citations1998Edward J. Callahan, Carlos Roberto Jaén +4 more
Recent patient emotional distress has a powerful impact on the structure of the family practice visit, with important implications for efforts to enhance diagnosis and treatment of mental health issues.
PubMedThe effect of patient health status on physician practice style.
55 Citations1993Klea D. Bertakis, Edward J. Callahan +3 more
The results suggest that the physician-patient encounter is strongly influenced by health status, and it will be crucial for future studies of physician- patient interaction to include an assessment of the patient's health status.
Journal of the American Geriatrics SocietyThe Influence of Patient Age on Primary Care Resident Physician‐Patient Interaction
54 Citations2000Edward J. Callahan, Klea D. Bertakis +4 more
This study aims to explore resident physician‐patient interaction in primary care to address issues relevant to quality of care for older people.
Patient Education and CounselingThe patient, the doctor and the emergency department: A cross-sectional study of patient-centredness in 1990 and 2005
32 Citations2008Jeremy Dale, Harbinder Sandhu +2 more
Although patient-centredness together with consultation length increased for all three physician groups over the duration of this study, senior house officers and specialist registrars/staff grades continued to place less emphasis on advice-giving and counselling than did general practitioners.
Journal of General Internal MedicineComparison of primary care resident physicians’ practice styles during initial and return patient visits
29 Citations1999Klea D. Bertakis, Rahman Azari +3 more
These physicians’ practice style differences between initial and return patient visits suggest that physician-patient familiarity affects what happens during the medical interview.
PubMedPatient satisfaction with family physicians and general internists: is there a difference?
23 Citations1988Cherkin Dc, Hart Lg +1 more
Patients of general internists and of family physicians reported similar levels of satisfaction on all four dimensions measured even after controlling for the effects of a variety of patient, practice, physician, and encounter characteristics.
Patient Education and CounselingPerson centered healthcare—Do we see any progress?
11 Citations2008Arnstein Finset