OBJECTIVE: To identify physician communication behaviors associated with perceptions of quality of care and predictive of positive patient outcomes. PATIENTS AND METHODS: A total of 452 families seeing 48 pediatricians for a child's asthma participated. Perceptions and health care use were assessed at baseline and after 12 months through interviews and medical records. The measures used were 10 physician communication behaviors and 6 items describing physician's performance, asthma office visits, emergency department visits, and hospitalization. RESULTS: Positive perceptions of physicians' performance were related to (P < or = .05) careful listening, inquiring about at-home management, nonverbal attention, interactive conversation, tailoring short-term goals, and long-term therapeutic plan. Loss in health care use was predicted (P < or = .05) by interactive conversation, short-term goals, criteria for decision making, long-term treatment plan, and tailoring according to needs. The use of these techniques did not lengthen the patient visit. A clinician-patient partnership paradigm is provided based on these findings. CONCLUSIONS: The specific clinician communication behaviors predicted reduced health care use and positive perceptions of quality of care.
RCT Entities:
OBJECTIVE: To identify physician communication behaviors associated with perceptions of quality of care and predictive of positive patient outcomes. PATIENTS AND METHODS: A total of 452 families seeing 48 pediatricians for a child's asthma participated. Perceptions and health care use were assessed at baseline and after 12 months through interviews and medical records. The measures used were 10 physician communication behaviors and 6 items describing physician's performance, asthma office visits, emergency department visits, and hospitalization. RESULTS: Positive perceptions of physicians' performance were related to (P < or = .05) careful listening, inquiring about at-home management, nonverbal attention, interactive conversation, tailoring short-term goals, and long-term therapeutic plan. Loss in health care use was predicted (P < or = .05) by interactive conversation, short-term goals, criteria for decision making, long-term treatment plan, and tailoring according to needs. The use of these techniques did not lengthen the patient visit. A clinician-patient partnership paradigm is provided based on these findings. CONCLUSIONS: The specific clinician communication behaviors predicted reduced health care use and positive perceptions of quality of care.
Authors: Rebecca Anhang Price; Marc N Elliott; Alan M Zaslavsky; Ron D Hays; William G Lehrman; Lise Rybowski; Susan Edgman-Levitan; Paul D Cleary Journal: Med Care Res Rev Date: 2014-07-15 Impact factor: 3.929
Authors: Michelle Trivedi; Vicki Fung; Elyse O Kharbanda; Emma K Larkin; Melissa G Butler; Kelly Horan; Tracy A Lieu; Ann Chen Wu Journal: J Asthma Date: 2017-07-14 Impact factor: 2.515
Authors: Kori B Flower; Asheley C Skinner; H Shonna Yin; Russell L Rothman; Lee M Sanders; Alan Delamater; Eliana M Perrin Journal: Acad Pediatr Date: 2017-01-17 Impact factor: 3.107
Authors: Roberta E Goldman; Amy Sullivan; Anthony L Back; Stewart C Alexander; Robin K Matsuyama; Stephanie J Lee Journal: Patient Educ Couns Date: 2009-01-09