Journal ArticleDOI
The Clinician-Patient Partnership Paradigm: Outcomes Associated With Physician Communication Behavior
Noreen M. Clark,Michael D. Cabana,Bin Nan,Z. Molly Gong,Kathryn K. Slish,Nancy Adair Birk,Niko Kaciroti +6 more
TLDR
The specific clinician communication behaviors predicted reduced health care use and positive perceptions of quality of care and tailoring according to needs.Abstract:
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 ≤ .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 ≤ .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 leng...read more
Citations
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Journal ArticleDOI
A systematic review of evidence on the links between patient experience and clinical safety and effectiveness
TL;DR: The data presented display that patient experience is positively associated with clinical effectiveness and patient safety, and support the case for the inclusion of patient experience as one of the central pillars of quality in healthcare.
Journal ArticleDOI
Examining the Role of Patient Experience Surveys in Measuring Health Care Quality
Rebecca Anhang Price,Marc N. Elliott,Alan M. Zaslavsky,Ron D. Hays,William G. Lehrman,Lise Rybowski,Susan Edgman-Levitan,Paul D. Cleary +7 more
TL;DR: Patient experience measures that are collected using psychometrically sound instruments, employing recommended sample sizes and adjustment procedures, and implemented according to standard protocols are appropriate complements for clinical process and outcome measures in public reporting and pay-for-performance programs.
Journal ArticleDOI
The importance of physician listening from the patients' perspective: enhancing diagnosis, healing, and the doctor-patient relationship.
TL;DR: It is recommended that a module on listening should lead to a discussion not only about the skill required in listening attentively, but also to the values, beliefs, attitudes, and intentions of physicians who choose to listen to their patients.
Journal ArticleDOI
Care delivery and self‐management strategies for children with epilepsy
TL;DR: There is currently limited evidence for the effectiveness of interventions to improve the health and quality of life in people with epilepsy, and it is not possible to advocate any single model of service provision.
Journal ArticleDOI
Participation and health – a research review of child participation in planning and decision‐making
TL;DR: It is concluded that when participation is successful, it may have beneficial side effects, chief among these are that participation may improve children’s safety, increase the success of care arrangements and increase feelings of well-being for children involved.
References
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Journal ArticleDOI
Impact of Education for Physicians on Patient Outcomes
Noreen M. Clark,Molly Gong,M. Anthony Schork,David Evans,Dietrich W. Roloff,Martin E. Hurwitz,Lois A. Maiman,Robert B. Mellins +7 more
TL;DR: The interactive seminar based on theories of self-regulation led to patient-physician encounters that were of shorter duration, had significant impact on the prescribing and communications behavior of physicians, led to more favorable patient responses to physicians' actions, and led to reductions in health care utilization.
Journal ArticleDOI
Shared Decision Making and the Experience of Partnership in Primary Care
George W. Saba,Sabrina T. Wong,Dean Schillinger,Alicia Fernandez,Carol P. Somkin,Clifford Wilson,Kevin Grumbach +6 more
TL;DR: Combining direct observation and assessment of the subjective experience of partnership suggests that communication behavior does not ensure an experience of collaboration, and a positive subjective experience for patients and physicians in primary care does not reflect full communication.
Journal ArticleDOI
Long-term effects of asthma education for physicians on patient satisfaction and use of health services
Noreen M. Clark,Molly Gong,MA Schork,Niko Kaciroti,David Evans,Dietrich W. Roloff,Martin E. Hurwitz,Lois A. Maiman,Robert B. Mellins +8 more
TL;DR: It is concluded that interactive asthma seminars for paediatricians had significant long-term benefits for their asthma care.
Journal ArticleDOI
Management of chronic disease by practitioners and patients: are we teaching the wrong things?
Noreen M. Clark,Molly Gong +1 more
TL;DR: It is argued that neither patients nor practitioners are taught the skills that will most enable each to carry out his or her role and responsibility for disease management, and disease control, especially asthma, depends on the quality of partnership between patient and physician.
Journal ArticleDOI
From a relationship to encounter : an examination of longitudinal and lateral dimensions in the doctor-patient relationship
TL;DR: It is argued that while patients should be educated on how to use their time with physicians effectively and efficiently and physicians should continue to improve their communication with patients, it is not the physician or the patient that needs to change but rather the pressures and constraints of the organizational context within which the doctor-patient encounter takes place.