The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature.

Objective
To explore and evaluate the most common factors causing therapeutic non-compliance.

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Factors affecting therapeutic compliance: A review from the patient's perspective.

This article summarizes the results of 41 independent studies containing correlates of objectively measured provider behaviors in medical encounters. Provider behaviors were grouped a priori into the process categories of information giving, questions, competence, partnership building, and socioemotional behavior. Total amount of communication was also included. All correlations between variables within these categories and external variables (patient outcome variables or patient and provider background variables) were extracted. The most frequently occurring outcome variables were satisfaction, recall, and compliance, and the most frequently occurring background variables were the patient's gender, age, and social class. Average correlations and combined significance levels were calculated for each combination of process category and external variable. Results showed significant relations of small to moderate average magnitude between these external variables and almost all of the provider behavior categories. A theory of provider-patient reciprocation is proposed to account for the pattern of results.

Meta-analysis of correlates of provider behavior in medical encounters.

This report was compiled on behalf of the staff at the Northern General Hospital, Sheffield, the staff at the Royal Hallamshire Hospital, Sheffield, and the many people who helped at the scene. The efforts of hundreds of professionals and volunteers were vital and greatly appreciated. We thank Neil Appleyard, David Edbrooke, David Dawson, Stuart Yates, Ian Winston, John Duncan, G A Baker, Charlie Cooper, Kath Sherry, Tim Shaw, and A Moss for access to the neuropsychological reports on some of the survivors.

https://www.bmj.com/content/bmj/303/6814/1385.full.pdf

Doctor-patient communication: the Toronto consensus statement.

Patient non-compliance: deviance or reasoned decision-making?

The effects of physician communications skills on patient satisfaction; Recall, and adherence

Objectives: To delineate the arrangements that allow vocational trainees in general practice to provide longitudinal care for patients.Methods: A brief questionnaire was sent to representatives of all member-nations of the European Academy of Teachers in General Practice (EURACT) in December 1995.Results: Representatives of 23 of the 26 membernations returned completed questionnaires. Thirteen reported that typical trainees spend 12 or more consecutive months partly or entirely in a longitudinalcare setting. In 16 countries, some patients recognise trainees as their longitudinal-care physicians. All 16 report arrangements to inform patients of their relationships with trainees and to assure that patients see their trainee-physicians at most encounters. Common barriers to allowing trainees to provide longitudinal care include short duration of trainee stay and resistance by either patients or trainees.Conclusions: In many vocational programmes of EURACT nations, GP trainees function as longitudinal-care ph...

Randol Barker

Papers

The effects of physician communications skills on patient satisfaction; Recall, and adherence

Arrangements that allow general practice trainees to provide longitudinal care for patients