Literature DB >> 480298

The doctor/patient relationship and its effect upon outcome.

M A Stewart, I R McWhinney, C W Buck.   

Abstract

The study of 299 chronically ill patients examined the doctor/patient relationship by asking two questions: first, what factors affect the quality of the relationship and secondly, does the doctor/patient relationship affect outcome for the patient? The doctor/patient relationship was measured by indicators of the doctor's awareness of the patient's problems.The following factors were found to be positively associated with the doctor's awareness: a small number of patient problems, a large number of recent visits, and the patient, rather than the doctor, initiating the consultation. The patient's age and education, the completeness of family care, and duration of care were not found to influence awareness. After eliminating the effect of confounding variables, the relationship between the doctor's awareness and the patient's recovery was maintained for some groups of patients. Awareness did not significantly affect the patient's satisfaction. We list some practical recommendations to aid doctors in increasing their knowledge of their patients.

Entities:  

Mesh:

Year:  1979        PMID: 480298      PMCID: PMC2159129     

Source DB:  PubMed          Journal:  J R Coll Gen Pract        ISSN: 0035-8797


  17 in total

1.  The accuracy of recording patient problems in family practice.

Authors:  B G Bentsen
Journal:  J Med Educ       Date:  1976-04

2.  OLD PEOPLE AT HOME. THEIR UNREPORTED NEEDS.

Authors:  J WILLIAMSON; I H STOKOE; S GRAY; M FISHER; A SMITH; A MCGHEE; E STEPHENSON
Journal:  Lancet       Date:  1964-05-23       Impact factor: 79.321

3.  Improving doctor-patient communication in general practice.

Authors:  P Ley; M A Whitworth; C E Skilbeck; R Woodward; R J Pinsent; L A Pike; M E Clarkson; P B Clark
Journal:  J R Coll Gen Pract       Date:  1976-10

4.  Some methodological problems in studying consultations in general practice.

Authors:  A Cartwright; S Lucas; M O'Brien
Journal:  J R Coll Gen Pract       Date:  1976-12

5.  Physicians' knowledge of and response to patients' problems.

Authors:  M A Stewart; C W Buck
Journal:  Med Care       Date:  1977-07       Impact factor: 2.983

6.  A field experiment to evaluate various outcomes of continuity of physician care.

Authors:  M H Becker; R H Drachman; J P Kirscht
Journal:  Am J Public Health       Date:  1974-11       Impact factor: 9.308

7.  Scale for the measurement of "satisfaction" with medical care: modifications in content, format and scoring.

Authors:  S J Zyzanski; B S Hulka; J C Cassel
Journal:  Med Care       Date:  1974-07       Impact factor: 2.983

8.  Health services research: a working model.

Authors:  B Starfield
Journal:  N Engl J Med       Date:  1973-07-19       Impact factor: 91.245

9.  Beyond diagnosis: an approach to the integration of behavioral science and clinical medicine.

Authors:  I R McWhinney
Journal:  N Engl J Med       Date:  1972-08-24       Impact factor: 91.245

10.  Direct and indirect measures of patient satisfaction with physicians' services.

Authors:  M A Stewart; J Wanklin
Journal:  J Community Health       Date:  1978
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  43 in total

Review 1.  Consensus statement from the workshop on the teaching and assessment of communication skills in Canadian medical schools.

Authors: 
Journal:  CMAJ       Date:  1992-10-15       Impact factor: 8.262

Review 2.  Congruence research in behavioral medicine: methodological review and demonstration of alternative methodology.

Authors:  L Alison Phillips
Journal:  J Behav Med       Date:  2012-02-18

3.  Impact of the Doctor-Patient Relationship.

Authors:  Fallon E Chipidza; Rachel S Wallwork; Theodore A Stern
Journal:  Prim Care Companion CNS Disord       Date:  2015-10-22

4.  Patient-physicians' information exchange in outpatient cardiac care: time for a heart to heart?

Authors:  Urmimala Sarkar; Dean Schillinger; Kirsten Bibbins-Domingo; Anna Nápoles; Leah Karliner; Eliseo J Pérez-Stable
Journal:  Patient Educ Couns       Date:  2010-10-28

Review 5.  Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials.

Authors:  Simon J Griffin; Ann-Louise Kinmonth; Marijcke W M Veltman; Susan Gillard; Julie Grant; Moira Stewart
Journal:  Ann Fam Med       Date:  2004 Nov-Dec       Impact factor: 5.166

Review 6.  Doctor-patient communication: the Toronto consensus statement.

Authors:  M Simpson; R Buckman; M Stewart; P Maguire; M Lipkin; D Novack; J Till
Journal:  BMJ       Date:  1991-11-30

7.  Strategies to enhance patient adherence: making it simple.

Authors:  Ashish Atreja; Naresh Bellam; Susan R Levy
Journal:  MedGenMed       Date:  2005-03-16

8.  Measuring differences between patients' and physicians' health perceptions: the patient-physician discordance scale.

Authors:  Maida J Sewitch; Michal Abrahamowicz; Patricia L Dobkin; Robyn Tamblyn
Journal:  J Behav Med       Date:  2003-06

9.  The influence of patient-practitioner agreement on outcome of care.

Authors:  B Starfield; C Wray; K Hess; R Gross; P S Birk; B C D'Lugoff
Journal:  Am J Public Health       Date:  1981-02       Impact factor: 9.308

10.  The feasibility and value of using patient satisfaction ratings to evaluate internal medicine residents.

Authors:  R Tamblyn; S Benaroya; L Snell; P McLeod; B Schnarch; M Abrahamowicz
Journal:  J Gen Intern Med       Date:  1994-03       Impact factor: 5.128

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