Communication About Symptoms in Primary Care: Impact on Patient Outcomes
The Journal of Alternative and Complementary MedicinePublished 1 December 2005
Jeffrey L. Jackson
Citations75
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
Patients and clinicians disagreed about whether or not communication about symptom diagnosis and prognosis occurred during their encounter, but reports of receiving such information were associated with greater satisfaction, less worry, fewer unmet expectations, and better 2-week symptom outcomes.
Abstract
Patients and clinicians disagreed about whether or not communication about symptom diagnosis and prognosis occurred during their encounter. Patient reports of receiving such information were associated with greater satisfaction, less worry, fewer unmet expectations, and better 2-week symptom outcomes.
Keywords
MedicineHealth Professions
Milbank QuarterlyEvaluating the Quality of Medical Care
5,939 Citations2005Avedis Donabedian
This paper deals almost exclusively with the evaluation of the medical care process at the level of physician-patient interaction and excludes processes primarily related to the effective delivery of medical care at the community level.
The Milbank Memorial Fund QuarterlyEvaluating the Quality of Medical Care
4,319 Citations1966Avedis Donabedian
Psychosomatic MedicineThe PHQ-15: Validity of a New Measure for Evaluating the Severity of Somatic Symptoms
3,197 Citations2002Kurt Kroenke, Robert L. Spitzer +1 more
The PHQ-15 is a brief, self-administered questionnaire that may be useful in screening for somatization and in monitoring somatic symptom severity in clinical practice and research.
Measuring Functioning and Well-Being: The Medical Outcomes Study Approach
2,698 Citations1992Anita Stewart, John E. Ware
This book provides a set of ready-to-use generic measures that are applicable to all adults, including those well and chronically ill, as well as a methodological guide to collecting health data and constructing health measures.
JAMAUtility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study
2,324 Citations1994Robert L. Spitzer
JAMAPhysician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons
1,527 Citations1997Warren Levinson
Medical CareMeta-analysis of Correlates of Provider Behavior in Medical Encounters
1,076 Citations1988Judith A. Hall, Debra Roter +1 more
This article summarizes the results of 41 independent studies containing correlates of objectively measured provider behaviors in medical encounters grouped a priori into the process categories of information giving, questions, competence, partnership building, and socioemotional behavior.
Social Science & MedicinePredictors of patient satisfaction
861 Citations2001Jeffrey L. Jackson, Judith Chamberlin +1 more
A lack of unmet expectations was a powerful predictor of satisfaction at all time-points and reflected aspects of symptom outcome (symptom resolution, need for repeat visits, functional status).
Journal of General Internal MedicineThe relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management
722 Citations2002Michele Heisler, Reynard R. Bouknight +3 more
For patients receiving diabetes care across 25 Veterans’ Affairs facilities, ratings of providers’ communication effectiveness were more important than a participatory decision-making style in predicting diabetes self-management, raising the possibility that both provider styles enhance self- management through increased patient understanding or self-confidence.
Medical CareMethods For Measuring Patient Satisfaction With Specific Medical Encounters
593 Citations1988John E. Ware, Ron D. Hays
In both studies, the E5 scales showed greater response variability and better predicted whether patients intended to return to the same doctor in the future, recommend the doctor to a friend, and comply with the medical regimen.
Medical CarePatient Trust
445 Citations2004Kevin Fiscella, Sean Meldrum +5 more
Physician verbal behavior during an SP encounter is associated with trust reported by SPs and patients and research is needed to determine whether interventions designed to enhance physicians’ exploration patients’ experiences of disease and illness improves trust.
Oxford University Press eBooksPhysician–Patient Communication
335 Citations2012Judith A. Hall, Debra Roter
Medical CareSatisfaction, Gender, and Communication in Medical Visits
315 Citations1994Judith A. Hall, Julie T. Irish +3 more
Investigating the relation of physician gender, patient gender, and physician age to patient satisfaction, and the correlations between communication behaviors and satisfaction separately for different combinations of patient and physician gender suggested that gender-related values and expectations influence patients' reactions to physicians' behavior.
Journal of Clinical EpidemiologyThe difficult doctor-patient relationship: Somatization, personality and psychopathology
265 Citations1994Steven R. Hahn, Kenneth S. Thompson +3 more
The Difficult Doctor-Patient Relationship Questionnaire (DDPRQ), composed of 30 Likert items, completed by physicians after encounters with patients, was developed and was shown to be a reliable, practical instrument.
Annals of Internal MedicineThe Effect of Unmet Expectations among Adults Presenting with Physical Symptoms
216 Citations2001Jeffrey L. Jackson, Kurt Kroenke
To determine the frequency of symptom-related patient concerns and expectations and to assess the relationship between expectations and patient-centered outcomes, a general medicine walk-in clinic at Walter Reed Army Medical Center was used.
PubMedConcerns and expectations in patients presenting with physical complaints. Frequency, physician perceptions and actions, and 2-week outcome.
141 Citations1997Richard L. Marple, Kurt Kroenke +3 more
Diabetes CareProvider-Patient Communication and Metabolic Control
96 Citations1993Richard L. Street, Veronica Piziak +5 more
Patients experienced poorer metabolic control after interacting with nurses who were more controlling and directive in their communication with patients and providers' attempts to exert considerable control during consultations with NIDDM patients may be counterproductive and contribute to poorer outcomes.
Military MedicinePatient Satisfaction and Quality of Care
86 Citations1997Jeffrey L. Jackson, Kurt Kroenke
Patient satisfaction is focused on, exploring its historical roots, its evolution as an outcome measure, and its potential utilities and weaknesses in quality assessment.
Journal of General Internal MedicineDoes patient-centered care improve provision of preventive services?
80 Citations2004Stephen Flach, Kimberly D. McCoy +4 more
Improved communication between patients and providers, and continuity of care are associated with increased provision of preventive Services Task Force-recommended interventions, while other aspects of PCC are not strongly related to delivery of preventive services.
Preliminary Tests of a 6-Item General Health Survey: A Patient Application
71 Citations1992John E. Ware, Eugene C. Nelson +2 more
Controlled Clinical TrialsPredictors of Adherence to Behavior Change Interventions in the Elderly
62 Citations2000S. Nicole Culos‐Reed, W. Jack Rejeski +3 more
Considering factors at the individual, interpersonal, and environmental level may enhance adherence to interventions in the elderly and a collaborative practitioner-participant relationship is also essential.
Military MedicinePatients, Diagnoses, and Procedures in a Military Internal Medicine Clinic: Comparison with Civilian Practices
41 Citations1999Jeffrey L. Jackson, Jeffrey Strong +2 more
The practice content of military and civilian practices appears to be more similar than different.
Military MedicineA Psychometric Comparison of Military and Civilian Medical Practices
33 Citations1999Jeffrey L. Jackson, Patrick G. O’Malley +1 more
The psychometric properties of patient care in military and civilian internal medicine ambulatory settings are remarkably similar, and these data support mutual generalizability of primary care research findings with respect to Psychometric properties betweenmilitary and civilian populations.
Military MedicineComparison of Discharge Diagnoses and Inpatient Procedures between Military and Civilian Health Care Systems
20 Citations1999Jeffrey L. Jackson, Eme Y. Cheng +2 more
There were similar rank orderings of diagnosis-related groupings and procedures performed during hospitalization and the practice content of military and civilian inpatients appear to be more similar than different.