The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Communication Patterns of Primary Care Physicians
Abstract
OBJECTIVES: To use audiotape analysis to describe communication patterns in primary care, to relate these to ideal relationship types as described in the literature, and to explore the patterns' relationships with physician and patient characteristics and satisfaction. DESIGN: Description of routine communication in primary care based on audiotape analysis and patient and physician exit questionnaires. SETTING: A total of 11 ambulatory clinics and private practices. PARTICIPANTS: The participants were 127 physicians and 537 patients coping with ongoing problems related to disease. MAIN OUTCOMES MEASURES: Roter Interactional Analysis System (RIAS) and patient and physician exit satisfaction questionnaires. RESULTS: Cluster analysis revealed 5 distinct communication patterns: (1) "narrowly biomedical," characterized by closed-ended medical questions and biomedical talk occurring in 32% of visits; (2) "expanded biomedical," like the restricted pattern but with moderate levels of psychosocial discussion occurring in 33% of the visits; (3) "biopsychosocial," reflecting a balance of psychosocial and biomedical topics (20% of the visits); (4) "psychosocial," characterized by psychosocial exchange (8% of visits); and (5) "consumerist," characterized primarily by patient questions and physician information giving (8% of visits). Biomedically focused visits were used more often with more sick, older, and lower income patients by younger, male physicians. Physician satisfaction was lowest in the narrowly biomedical pattern and highest in the consumerist pattern, while patient satisfaction was highest in the psychosocial pattern. CONCLUSIONS: Primary care communication patterns range from narrowly biomedical to consumerist patterns and parallel the ideal forms of patient-physician relationships described in the literature.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Patients approached in the narrowly biomedical pattern (characterised by low amount of talk about psychosocial issues, high percentage of biomedical talk and a high percentage of question asking by the physician; low patient communication control; physician directed, guided) were more likely to be poorer (p<0.02)than patients approached in other patterns.(35)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [35]
In the citing paper
“Studies of patient-centered care suggest significant benefits in terms of patient satisfaction and medical outcomes.110–114”
From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [113]
Citations
Cites
Four Models of the Physician-Patient Relationship
Emanuel, E. J. (1992) · JAMA · doi:10.1001/jama.1992.03480160079038 · Cited by 2,453
Expanding Patient Involvement in Care
Greenfield, S., Kaplan, S. H., & Ware, J. E. (1985) · Annals of Internal Medicine · doi:10.7326/0003-4819-102-4-520 · Cited by 1,459
Patient-Centered Medicine: Transforming the Clinical Method
Stewart, M., Brown, J. B., Weston, W. W., McWhinney, I. R., McWilliam, C. L., & Freeman, T. R. (1995) · Cited by 1,299
ROTER, D. L. (1995) · Archives of Internal Medicine · doi:10.1001/archinte.155.17.1877 · Cited by 651
Self-citationKaplan, S. H., Gandek, B., Greenfield, S., Rogers, W., & Ware, J. E. (1995) · Medical Care · doi:10.1097/00005650-199512000-00002 · Cited by 580
Somatic presentation of DSM-III psychiatric disorders in primary care
Bridges, K. W., & Goldberg, D. P. (1985) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(85)90064-9 · Cited by 534
The relationship of physician medical interview style to patient satisfaction.
Bertakis, K. D., ROTER, D. L., & Putnam, S. M. (1991) · PubMed · Cited by 501
Self-citationHall, J. A., Irish, J. T., Roter, D., Ehrlich, C. M., & Miller, L. H. (1994) · Health Psychology · doi:10.1037/0278-6133.13.5.384 · Cited by 427
Self-citationWhat is a successful doctor-patient interview? a study of interactions and outcomes
Stewart, M. (1984) · Social Science & Medicine · doi:10.1016/0277-9536(84)90284-3 · Cited by 403
The Medical Interview: The Three-Function Approach
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-115-6-501_2 · Cited by 309
Cited by
Sorted by citations
Items 201–300 of 938
The REDE Model of Healthcare Communication: Optimizing Relationship as a Therapeutic Agent
Windover, A. K., Boissy, A. R., Rice, T. W., Gilligan, T. D., Velez, V., & Merlino, J. I. (2014) · Journal of Patient Experience · doi:10.1177/237437431400100103 · Cited by 91
Patient Satisfaction and Discussion of Smoking Cessation During Clinical Visits
Solberg, L. I., Boyle, R. G., Davidson, G. B., Magnan, S. J., & Carlson, C. L. (2001) · Mayo Clinic Proceedings · doi:10.1016/s0025-6196(11)63119-4 · Cited by 90
Hudson, P., Schofield, P. E., Kelly, B. J., Hudson, R. E., O’Connor, M., Kristjanson, L. J., Ashby, M. D., & Aranda, S. K. (2006) · Palliative Medicine · doi:10.1177/0269216306071814 · Cited by 89
Beach, M. C., Saha, S., Korthuis, P. T., Sharp, V., Cohn, J., Wilson, I. B., Eggly, S. S., Cooper, L. A., ROTER, D. L., Sankar, A., et al. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1310-4 · Cited by 89
“925 Provider Characteristics Age, Mean (SD) 45 (6) 44 (5) 0.”
Self-citationIs physician self-disclosure related to patient evaluation of office visits?
Beach, M. C., ROTER, D. L., Rubin, H. R., Frankel, R. M., Levinson, W. S., & Ford, D. E. (2004) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2004.40040.x · Cited by 89
Self-citationThe Effect of Patient Race and Blood Pressure Control on Patient-Physician Communication
Cené, C. W., ROTER, D. L., Carson, K. A., Miller, E. R., & Cooper, L. A. (2009) · Journal of General Internal Medicine · doi:10.1007/s11606-009-1051-4 · Cited by 88
Self-citationGordon, H. S., Street, R. L., Kelly, P. A., Souchek, J., & Wray, N. P. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2004.12.021 · Cited by 88
Wright, K. B., Bylund, C. L., Ware, J., Parker, P. A., Query, J. L., & Baile, W. F. (2006) · Medical Education Online · doi:10.3402/meo.v11i.4594 · Cited by 89
Loh, A., Simón, D., Hennig, K., Hennig, B., Härter, M. C., & Elwyn, G. J. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2006.04.006 · Cited by 89
“Findings suggest deficient physician–patient communication regarding the level of patient participation [9,10].”
BackgroundAllergic Reactions to Anisakis simplex Parasitizing Seafood
Moreno‐Ancillo, Á., Caballero, T., Cabañas, R., Contreras, J., Martín-Barroso, J.-A., Barranco, P., & López-Serrano, M. C. (1997) · Annals of Allergy Asthma & Immunology · doi:10.1016/s1081-1206(10)63009-8 · Cited by 89
Determinants of physicians’ patient-centred behaviour in the medical specialist encounter
Zandbelt, L. C., Smets, E. M. A., Oort, F. J., Godfried, M. H., & de Haes, J. C. J. M. (2006) · Social Science & Medicine · doi:10.1016/j.socscimed.2006.01.024 · Cited by 88
Bauchat, J. R., Seropian, M., & Jeffries, P. R. (2016) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2016.04.003 · Cited by 87
Discussing adjuvant cancer therapy.
Leighl, N., Gattellari, M., Butow, P., Brown, R. F., & Tattersall, M. (2001) · Journal of Clinical Oncology · doi:10.1200/jco.2001.19.6.1768 · Cited by 89
Social and Cultural Factors Influence African American Men’s Medical Help Seeking
Griffith, D. M., Allen, J. O., & Gunter, K. (2010) · Research on Social Work Practice · doi:10.1177/1049731510388669 · Cited by 87
“…approaches tend to be effective for communication between providers and patients (Platt et al., 2001) and have been associated with better patient recall of information, treatment adherence, satisfaction with care, and health outcomes (Hall, Roter, & Katz, 1988; Roter et al., 1997; Stewart, 1995).”
BackgroundSpooner, K. K., Salemi, J. L., Salihu, H. M., & Zoorob, R. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.12.007 · Cited by 87
“There is also inconsistency in reported associations between educational attainment and patient perceptions of provider communication [5–29,33].”
BackgroundResultInfluentialExploring healthcare communication models in private physiotherapy practice
Hiller, A., Guillemin, M., & Delany, C. M. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.07.029 · Cited by 102
Analyzing medical dialogues: strength and weakness of Roter’s interaction analysis system (RIAS)
Sandvik, M., Eide, H., Lind, M., Graugaard, P. K., Torper, J., & Finset, A. (2002) · Patient Education and Counseling · doi:10.1016/s0738-3991(02)00014-9 · Cited by 85
“RIAS has proved to be highly reliable when applied by trained coders, and the system has proved to be clinically meaningful in a number of empirical studies [4,5].”
BackgroundCan shared decision-making reduce medical malpractice litigation? A systematic review
Durand, M., Moulton, B. W., Cockle, E., Mann, M. K., & Elwyn, G. J. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-0823-2 · Cited by 85
“Ample evidence suggests that patients are less likely to sue their physician when the relationship is satisfactory and the provider displays person-centered communication skills [17,32-34].”
BackgroundCommunicating With Patients: Skills Assessment in US Colleges of Pharmacy
Kimberlin, C. L. (2006) · American Journal of Pharmaceutical Education · doi:10.1016/s0002-9459(24)07710-6 · Cited by 84
The Quality of Therapeutic Alliance between Patient and Provide Predicts General Satisfaction
Kim, S. C., Kim, S., & Boren, D. (2008) · Military Medicine · doi:10.7205/milmed.173.1.85 · Cited by 83
Decision-making regarding total knee replacement surgery: A qualitative meta-synthesis
O'Neill, T., Jinks, C., & Ong, B. N. (2007) · BMC Health Services Research · doi:10.1186/1472-6963-7-52 · Cited by 85
“The importance attached to the doctor-patient relationship has received a great deal of interest in health services research, and there has been a large amount of research conducted on the topic [32-35].”
BackgroundContraceptive counseling in managed care: preventing unintended pregnancyin adults
Weisman, C. S., Maccannon, D. S., Henderson, J. T., Shortridge, E. F., & Orso, C. L. (2002) · Women s Health Issues · doi:10.1016/s1049-3867(01)00147-5 · Cited by 84
van den Brink-Muinen, A., van Dulmen, S., Messerli, V., & Bensing, J. M. (2002) · Patient Education and Counseling · doi:10.1016/s0738-3991(02)00178-7 · Cited by 84
“Roter [22] found in her study on communication patterns in primary care in the United States five distinctive communication patterns, four of which can be compared with the three patterns found in the present European study.”
Activation, Self-management, Engagement, and Retention in Behavioral Health Care
Alegria, M. M., Carson, N. J., Flores, M. W., Li, X., Shi, P., Lessios, A. S., Polo, A. J., Allen, M., Fierro, M., Interian, A., et al. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.4519 · Cited by 83
The Basic Science of Patient–Physician Communication: A Critical Scoping Review
Forsey, J., Ng, S., Rowland, P., Freeman, R., Li, C., & Woods, N. N. (2021) · Academic Medicine · doi:10.1097/acm.0000000000004323 · Cited by 83
Mothers' and Clinicians' Perspectives on Breastfeeding Counseling During Routine Preventive Visits
Taveras, E. M., Li, R., Grummer‐Strawn, L. M., Richardson, M. K., Marshall, R., Rêgo, V. H., Miroshnik, I. L., & Lieu, T. A. (2004) · PEDIATRICS · doi:10.1542/peds.113.5.e405 · Cited by 83
Time use in clinical encounters: are African-American patients treated differently?
Oliver, M. N., Goodwin, M. A., Gotler, R. S., Gregory, P. M., & Stange, K. C. (2001) · PubMed Central · Cited by 83
Genetic counselors’ implicit racial attitudes and their relationship to communication.
Schaa, K. L., ROTER, D. L., Biesecker, B. B., Cooper, L. A., & Erby, L. H. (2015) · Health Psychology · doi:10.1037/hea0000155 · Cited by 83
“Lower verbal dominance has been linked empirically to greater patient-centered care in primary care contexts, which in turn, is associated with better health outcomes (Roter et al, 1997; Stewart, 1995).”
BackgroundSelf-citationPieterse, A., van Dulmen, A., Beemer, F., Bensing, J., & Ausems, M. (2007) · Journal of Genetic Counseling · doi:10.1007/s10897-006-9048-1 · Cited by 87
“…that seeing a more dominant doctor lowers satisfaction (Bertakis et al. , 1991); and that longer visits (Hall et al. , 1988; Mead et al. , 2002), doctor eye gaze (Bensing, 1991; reviewed by Hall et al. , 1988), and discussion of psychosocial topics (Roter et al. , 1997) increase satisfaction.”
Zatzick, D., Kang, S., Hinton, W. L., Kelly, R. H., Hilty, D. M., Franz, C. E., Le, L., & Kravitz, R. L. (2001) · Medical Care · doi:10.1097/00005650-200104000-00004 · Cited by 82
The moderators of patient satisfaction
Tucker, J. L. (2002) · Journal of Management in Medicine · doi:10.1108/02689230210428625 · Cited by 81
Kunneman, M., Engelhardt, E. G., ten Hove, F. L., Marijnen, C. A. M., Portielje, J. E. A., Smets, E. M. A., de Haes, J. C. J. M., Stiggelbout, A. M., & Pieterse, A. H. (2015) · Acta Oncologica · doi:10.3109/0284186x.2015.1068447 · Cited by 85
The Communication Patterns of Internal Medicine and Family Practice Physicians
Paasche‐Orlow, M. K., & ROTER, D. L. (2003) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.16.6.485 · Cited by 80
“Work status Full time 131 (46) 157 (57) Part time 17 (6) 13 (5) Unemployed 42 (15) 31 (11) Retired 84 (29) 55 (20) Disabled 8 (3) 7 (3) Other 4 (1) 14 (5) .”
Self-citationAsymmetry in action: Sequential resources in the negotiation of a prescription request
Robinson, J. D. (2001) · Text and Talk · doi:10.1515/text.1.21.1-2.19 · Cited by 81
“Second, patterns of communication characterized by high frequencies of question asking by doctors are negatively correlated with patients' satisfaction (Roter et al. 1997).”
BackgroundCaring and Dominance Affect Participants’ Perceptions and Behaviors During a Virtual Medical Visit
Mast, M. S., Hall, J. A., & Roter, D. (2008) · Journal of general internal medicine · doi:10.1007/s11606-008-0512-5 · Cited by 77
Self-citationAnalyzing the Process and Content of Genetic Counseling in Familial Breast Cancer Consultations
Butow, P. N., & Lobb, E. A. (2004) · Journal of Genetic Counseling · doi:10.1023/b:jogc.0000044201.73103.4f · Cited by 77
“A recent paper has described a whole-consultation coding system for genetic counseling (Liede et al., 2000) using a method similar to that used by Roter and colleagues (Roter et al., 1997).”
MethodMcGuire, R., McCabe, R., & Priebe, S. (2001) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270170007 · Cited by 76
“The communicative interaction is dominated by the patient, who asks most of the questions during the interviewing process, and makes most of the decisions (Eisenthal et al. 1979; Buijs et al. 1984; Ong et al. 1995; Roter et al. 1997; Shelton 1998).”
BackgroundMethodInfluentialBieber, C. S., Müller, K. G., Nicolai, J., Hartmann, M., & Eich, W. (2010) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-010-9189-0 · Cited by 75
A Perspective on the Patient's Role in Treatment Decisions
Sepucha, K., & Mulley, A. G. (2008) · Medical Care Research and Review · doi:10.1177/1077558708325511 · Cited by 79
“In addition, the quality of communication between patients and physicians, especially around decision making, is poor (Ford, Fallowfield, & Lewis, 1994; Marvel, Epstein, Flowers, & Beckman, 1999; Roter et al., 1997; Suchman, Markakis, Beckman, & Frankel, 1997; White, Levinson, & Roter, 1994).”
Problematic Hospital Experiences among Adult Patients with Sickle Cell Disease
Lattimer, L., Haywood, C., Lanzkron, S., Ratanawongsa, N., Bediako, S. M., & Beach, M. (2010) · Journal of health care for the poor and underserved · doi:10.1353/hpu.2010.0940 · Cited by 76
The Effects of Perceived Discrimination on Diabetes Management
Ryan, A. M., Gee, G. C., & Griffith, D. M. (2008) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2008.0005 · Cited by 74
Haq, C. L., Steele, D. J., Marchand, L. R., Seibert, C. S., & Brody, D. (2004) · PubMed · Cited by 74
Baur, C. (2000) · Health Communication · doi:10.1207/s15327027hc1203_02 · Cited by 74
“…technically competent and humane physician is echoed in other typologies of the physician–patient relationship as well as in empirical studies of patient preferences (Pellegrino & Thomasma, 1988; Reiser & Rosen, 1984; Rosenberg, Lussier, & Beaudoin, 1997; Roter & Hall, 1992; Roter et al., 1997).”
BackgroundAfrican American Women and Prenatal Care
Dahlem, C. H., Villarruel, A. M., & Ronis, D. L. (2014) · Western Journal of Nursing Research · doi:10.1177/0193945914533747 · Cited by 80
Egnew, T. R., & Wilson, H. J. (2009) · Patient Education and Counseling · doi:10.1016/j.pec.2009.08.012 · Cited by 73
“Studies of medical communication indicate that achieving empathy improves patient satisfaction [3], increases adherence [4], reduces complaints [5], and can have beneficial physiological effects [6].”
BackgroundThe patient–physician relationship: an account of the physician’s perspective
Berger, R., Bulmash, B., Drori, N., Ben‐Assuli, O., & Herstein, R. (2020) · Israel Journal of Health Policy Research · doi:10.1186/s13584-020-00375-4 · Cited by 77
Changes in empathy during Medical Education: An example from Turkey
İğde, F. A., & Şahin, M. K. (2017) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.335.13074 · Cited by 71
Certainty and uncertainty in genetic counselling: A qualitative case study
Smith, J. A., Michie, S., Allanson, A., & Elwy, A. R. (2000) · Psychology and Health · doi:10.1080/08870440008400284 · Cited by 71
Swenson, S. L., Zettler, P., & Lo, B. (2005) · Patient Education and Counseling · doi:10.1016/j.pec.2005.02.019 · Cited by 70
“One version depicted a biomedical communication style; the second, a ‘‘patient-centered’’ style [24,25].”
BackgroundCooper, L. A., Ghods, B. K., Ford, D. E., ROTER, D. L., Primm, A. B., Larson, S. M., Gill, J. M., Noronha, G. J., Shaya, E. K., & Wang, N. (2012) · Health Services Research · doi:10.1111/j.1475-6773.2012.01435.x · Cited by 69
“simulated patient at baseline, fully analyzed using the Roter Interaction Analysis System (RIAS), a widely used coding system for patient-provider communication (RIAS Works; Roter et al. 1997).”
MethodInfluentialSelf-citationCvengros, J. A., Christensen, A. J., Hillis, S. L., & Rosenthal, G. E. (2007) · Annals of Behavioral Medicine · doi:10.1007/bf02879908 · Cited by 69
Empathy in healthcare interpreting: going beyond the notion of role
Merlini, R., & Gatti, M. (2015) · OpenstarTs (Univeristy of Trieste https://www.units.it/) · Cited by 68
Uhlenhake, E. E., Kurkowski, D., & Feldman, S. R. (2010) · Journal of Dermatological Treatment · doi:10.3109/09546630903085328 · Cited by 68
Seible, D. M., Kundu, S., Azuara, A., Cherry, D. R., Arias, S. J., Nalawade, V. V., Cruz, J., Arreola, R., Martı́nez, M. E., Nodora, J., et al. (2021) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2021.05.122 · Cited by 67
Allen, M., Cook, B. L., Carson, N. J., Interian, A., Roche, M. J. L., & Alegria, M. M. (2015) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-015-0655-8 · Cited by 67
“Provider communication also influences activation through communication styles that elicit patients’ opinions and facilitate patient involvement in care (Roter et al. 1997).”
Effects of continuing paediatric education in interpersonal communication skills
van Dulmen, A. M., & Holl, R. A. (2000) · European Journal of Pediatrics · doi:10.1007/s004310051316 · Cited by 67
“This con®rms the ®ndings from recent studies in primary care [26, 27] and accords with the argumentation of Stewart et al.”
MethodClinician style and examination room computers: a video ethnography.
Ventres, W., Kooienga, S., Marlin, R., Vuckovic, N. H., & Stewart, V. T. (2005) · PubMed · Cited by 66
Moret, L., Rochedreux, A., Chevalier, S., Lombrail, P., & Gasquet, I. (2007) · Patient Education and Counseling · doi:10.1016/j.pec.2007.09.011 · Cited by 66
“The quality of the information delivered to the patient can be assessed in particular from the way in which wordings are suited to understanding, and from the clarity of explanations on diagnosis, on complementary investigations required, and on treatment recommended [4–6].”
BackgroundExploring and Validating Patient Concerns: Relation to Prescribing for Depression
Epstein, R. M., Shields, C. G., Franks, P. J., Meldrum, S. C., Feldman, M. D., & Kravitz, R. L. (2007) · The Annals of Family Medicine · doi:10.1370/afm.621 · Cited by 66
Shoemaker, S. J., de Oliveira, D. R., Alves, M. R., & Ekstrand, M. J. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2011.02.007 · Cited by 65
“approaches to patient education have been evolving to a more participative role in which the decision-making about treatments is shared between the patient and practitioners [57–61].”
BackgroundOgden, J., Ambrose, L., Khadra, A., Manthri, S., Symons, L., Vass, A., & Williams, M. (2002) · Patient Education and Counseling · doi:10.1016/s0738-3991(01)00200-2 · Cited by 65
“For example, some studies have used coding frames such as the Stiles verbal response mode system [12] or the Roter index [13] as a means to code whether a particular doctor is behaving in a patient centred fashion [14,15].”
MethodProblems of Quality and Equity in Pain Management: Exploring the Role of Biomedical Culture
Crowley‐Matoka, M., Saha, S. S., Dobscha, S. K., & Burgess, D. J. (2009) · Pain Medicine · doi:10.1111/j.1526-4637.2009.00716.x · Cited by 63
Yedidia, M. J. (2006) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2006.06.007 · Cited by 62
Can Physicians Improve Patient Satisfaction with Long Waiting Times?
Feddock, C. A., Hoellein, A. R., Griffith, C. H., Wilson, J. F., Bowerman, J. L., Becker, N. S., & Caudill, T. S. (2005) · Evaluation & the Health Professions · doi:10.1177/0163278704273084 · Cited by 62
“Patients are also more satisfied if their physician spends time on psychosocial issues (Roter et al., 1997), explains the cause of the patient’s problem (Jackson et al., 2001), or chats with the patient about nonmedical issues (Gross et al., 1998).”
BackgroundEnhancing parent–provider communication in ambulatory pediatric practice
Hart, C. N., Drotar, D., Gori, A., & Lewin, L. O. (2005) · Patient Education and Counseling · doi:10.1016/j.pec.2005.08.007 · Cited by 62
“On the other hand, given research that suggests that communication skills are fairly consistent across visits [38], we believe that both the small number of visits and the taping of the additional visits are reasonable proxies for physician behavior at follow-up.”
BackgroundProvider Characteristics Desired by African American Women in Prenatal Care
Lori, J. R., Dahlem, C. H., & Martyn, K. K. (2010) · Journal of Transcultural Nursing · doi:10.1177/1043659610387149 · Cited by 62
“Providers were also more likely to adopt a “narrowly biomedical” communication style with African Americans and poorer patients (Roter et al., 1997).”
BackgroundDaetwyler, C. J., Cohen, D. G., Gracely, E. J., & Novack, D. H. (2010) · Medical Teacher · doi:10.3109/0142159x.2010.495759 · Cited by 62
“effective physician–patient communication (Roter et al. 1997).”
A practical framework for encouraging and supporting positive behaviour change in diabetes
Fisher, L., Polonsky, W. H., Hessler, D., & Potter, M. B. (2017) · Diabetic Medicine · doi:10.1111/dme.13414 · Cited by 63
Claramita, M., van Dalen, J., & van der Vleuten, C. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2011.02.002 · Cited by 56
“Some studies using the RIAS method have grouped the 41 utterances into larger categories to analyze findings [6–9,29–31].”
BackgroundMethodChong, W. W., Aslani, P., & Chen, T. F. (2013) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2013.05.006 · Cited by 65
Wissow, L. S., Gadomski, A., ROTER, D. L., Larson, S., Lewis, B., & Brown, J. D. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.03.019 · Cited by 61
“As in our own past work [32], we measured providers’ patient-centeredness using variables from the Roter Interactional Analysis System (RIAS) [33].”
MethodInfluentialSelf-citationTajeu, G. S., Cherrington, A., Andreae, L. J., Prince, C., Holt, C. L., & Halanych, J. H. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302721 · Cited by 60
Carlucci, D., Renna, P., & Schiuma, G. (2012) · Health Care Management Science · doi:10.1007/s10729-012-9211-1 · Cited by 60
Trust and Distrust Among Appalachian Women Regarding Cervical Cancer Screening: A Qualitative Study
McAlearney, A., Oliveri, J. M., Post, D., Song, P. H., Jacobs, E., Waibel, J., Harrop, J. P., Steinman, K. J., & Paskett, E. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2011.02.023 · Cited by 63
“While prior research has indicated that physician use of patient-centered communication is related to positive patient outcomes [4–6,50–53,7–9,54], we believe ours is the first study to link patient-centeredness, patients’ perceptions of the healthcare provider, and trust.”
The myth of standardized workflow in primary care
Holman, G. T., Beasley, J. W., Karsh, B., Stone, J. A., Smith, P. D., & Wetterneck, T. B. (2015) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocv107 · Cited by 60
Skelton, J. (2002) · Family Practice · doi:10.1093/fampra/19.5.484 · Cited by 60
Elander, J., Beach, M. C., & Haywood, C. (2011) · Ethnicity and Health · doi:10.1080/13557858.2011.555520 · Cited by 60
“1997 ), exhibited less non-verbal attention, empathy, courtesy and information-giving (Hooper et al .”
ROTER, D. L., Yost, K. J., O'Byrne, T. J., Branda, M. E., Leppin, A. L., Kimball, B. C., Fernandez, C., Jatoi, A., Kumbamu, A., Montori, V. M., et al. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.06.002 · Cited by 60
“As in prior RIAS-based studies [25-27], a measure reflecting the overall patient-centered nature of the visit was calculated as the ratio of psychosocial, lifestyle, emotional and facilitative exchanges on the part of both the patient and clinician relative to medicallyfocused exchanges.”
MethodSelf-citationBarr, C., Scarinci, N., Hickson, L. M. H., & Meyer, C. (2016) · Seminars in Hearing · doi:10.1055/s-0036-1584412 · Cited by 60
“Such communication can impact the success of a consultation.(43,58,59) For example, Street et al found that patients weremore likely to participate in medical consultations if the clinician used partnership building (e.”
BackgroundWhat do physicians tell patients about themselves?
Beach, M. C., ROTER, D. L., Larson, S., Levinson, W. S., Ford, D. E., & Frankel, R. M. (2004) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2004.30604.x · Cited by 60
Self-citationLübbeke, A., Suvà, D., Perneger, T., & Hoffmeyer, P. J. (2009) · Arthritis Care & Research · doi:10.1002/art.24340 · Cited by 59
“Most of the time, patients receive a large amount of information in a condensed form during the current preoperative medical interview (42,43).”
BackgroundZen and the Art of Physician Autonomy Maintenance
Reinertsen, J. L. (2003) · Annals of Internal Medicine · doi:10.7326/0003-4819-138-12-200306170-00011 · Cited by 59
“( 9-11 ) They want us to practice the art of medicine, altruistically.”
BackgroundThe strangest of all encounters: racial and ethnic discrimination in US health care
James, S. A. (2017) · Cadernos de Saúde Pública · doi:10.1590/0102-311x00104416 · Cited by 66
Dairy farmers' expectations and receptivity regarding animal welfare advice: A focus group study
Croyle, S., Belage, E., Khosa, D. K., LeBlanc, S. J., Haley, D. B., & Kelton, D. F. (2019) · Journal of Dairy Science · doi:10.3168/jds.2018-15821 · Cited by 59
Correspondence Among Patients' Self-Reports, Chart Records, and Audio/Videotapes of Medical Visits
DiMatteo, M. R., Robinson, J. D., Heritage, J. C., Tabbarah, M., Tabbarah, M., & Fox, S. A. (2003) · Health Communication · doi:10.1207/s15327027hc1504_02 · Cited by 61
“A trained research assistant from Roter’s laboratory (who was blind to patients’ self-reports, medical records, and analysis of the videotapes) coded the visits (Roter, 1991; Roter et al., 1997).”
MethodClient communication behaviors with health care providers in Indonesia
Kim, Y. M., Kols, A., Bonnin, C., Richardson, P., & ROTER, D. L. (2001) · Patient Education and Counseling · doi:10.1016/s0738-3991(01)00144-6 · Cited by 58
“As a result, they may have more confidence in and a greater commitment to the treatment plan (Cegala et al. 2000; Greenfield et al. 1985; Greenfield et al. 1988; Kaplan et al. 1989; Ong et al. 1995; Roter 1977; Roter et al. 1997; Stewart 1995).”
BackgroundMethodSelf-citationHahn, S. R., Friedman, D. S., Quigley, H. A., Kotak, S. V., Kim, E., Onofrey, M., Eagan, C. A., & Mardekian, J. (2010) · Ophthalmology · doi:10.1016/j.ophtha.2009.11.026 · Cited by 57
The outpatient medical encounter and elderly patients.
Roter, D. (2000) · Clinics in Geriatric Medicine · doi:10.1016/s0749-0690(05)70011-2 · Cited by 63
Self-citationEffects of Coaching Patients With Lung Cancer to Report Cancer Pain
Wilkie, D. J., Berry, D. L., Cain, K. C., Huang, H.-Y., Mekwa, J., Lewis, F. M., Gallucci, B. B., Lin, Y.-C., Chen, A. C., & Ko, N. (2010) · Western Journal of Nursing Research · doi:10.1177/0193945909348009 · Cited by 57
“Other investigators intervened with patients to facilitate communication between the patient and provider (Roter et al., 1997), and significantly increased the number of direct questions asked by predominantly elderly black women of their health care providers, but the intervention group’s interactions with providers…”
BackgroundCommunication, Decision Making, and Cancer: What African Americans Want Physicians to Know
Williams, S. W., Hanson, L. C., Boyd, C., Green, M. J., Goldmon, M. V., Wright, G., & Corbie-Smith, G. M. (2008) · Journal of Palliative Medicine · doi:10.1089/jpm.2008.0057 · Cited by 57
“4,16,53 Findings from this study can inform physicians and encourage personal reflection and inclusion of effective relationship building interactions for all patients and families living with cancer, regardless of race and culture.”
Wissow, L. S., Brown, J. D., & KRUPNICK, J. L. (2010) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3181cda770 · Cited by 56
Communication Analysis of BRCA1 Genetic Counseling
Ellington, L., ROTER, D. L., Dudley, W. N., Baty, B. J., Upchurch, R., Larson, S., Wylie, J. E., Smith, K. R., & Botkin, J. R. (2005) · Journal of Genetic Counseling · doi:10.1007/s10897-005-3660-3 · Cited by 56
“Similar to findings with 127 primary physicians (Roter et al., 1997), our results suggest that health care providers tend to manifest a consistent style of communication across patients.”
ResultSelf-citationTransforming Clinical Practice to Eliminate Racial–Ethnic Disparities in Healthcare
Washington, D. L., Bowles, J., Saha, S., Horowitz, C. R., Moody‐Ayers, S. Y., Brown, A. F., Stone, V. E., Cooper, L. A., & Writing group for the Society of General Internal Medicine, D. I. H. T. F. (2008) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0481-0 · Cited by 56
Wanzer, M. B., Wojtaszczyk, A. M., & Kelly, J. (2009) · Health Communication · doi:10.1080/10410230903263990 · Cited by 56
“Previous research has indicated that effective physician– patient interactions, in which physicians achieved more favorable patient responses to their actions, were actually shorter on average than ineffective interactions (Clark et al., 1998; Roter et al., 1997).”
BackgroundResultWays of experiencing asthma management: Variations among general practitioners in Sweden
Lundborg, C. S. (1999) · Scandinavian Journal of Primary Health Care · doi:10.1080/028134399750002458 · Cited by 56
Influence of race and socioeconomic status on engagement in pediatric primary care
COX, E. D., Nackers, K., Young, H. N., Moreno, M. A., Levy, J. F., & Mangione-Smith, R. M. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2011.09.012 · Cited by 55
“First, to assess engagement in relationship building and information exchange, visit videos were coded with the Roter Interaction Analysis System (RIAS), a widely used and reliable system for assessing communication during a medical interaction [13,25,49–57].”
MethodWhen physician‐expressed uncertainty leads to patient dissatisfaction: a gender study
Cousin, G., Mast, M. S., & Jaunin-Stalder, N. (2013) · Medical Education · doi:10.1111/medu.12237 · Cited by 55
Doctor–Patient Communication in Glaucoma Care
Friedman, D. S., Hahn, S. R., Quigley, H. A., Kotak, S. V., Kim, E., Onofrey, M., Eagan, C. A., & Mardekian, J. (2009) · Ophthalmology · doi:10.1016/j.ophtha.2009.04.052 · Cited by 55
Ishikawa, H., Takayama, T., Yamazaki, Y., Seki, Y., Katsumata, N., & Aoki, Y. (2002) · Patient Education and Counseling · doi:10.1016/s0738-3991(01)00164-1 · Cited by 57
Haskard, K. B., Williams, S. L., DiMatteo, M. R., Heritage, J. C., & Rosenthal, R. (2007) · Journal of Nonverbal Behavior · doi:10.1007/s10919-007-0038-2 · Cited by 58
“scale. The items chosen had been validated in previous studies of provider–patient interactions (Charon et al. 1994 ;D iMatteo et al.2003; Roter et al. 1997 ) and represented dimensions of positivity, dominance, and activity (Osgood et al. 1957).”
Method
Metadata
- Authors
- Roter, D. L.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Roter, Debra L.
- ORCID
- Roter, Debra L.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1997-01-22
- Volume
- 277
- Issue
- 4
- Pages
- 350
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2029615977
- Cited by
- 939
- References
- 18
- Citations by year
- 2026: 4 · 2025: 20 · 2024: 9 · 2023: 16 · 2022: 18 · 2021: 35 · 2020: 24 · 2019: 29 · 2018: 29 · 2017: 41 · 2016: 23 · 2015: 41 · 2014: 28 · 2013: 38 · 2012: 53
- FWCI
- 48.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Keywords
- physician-patient communication, primary care, communication patterns, biomedical communication, biopsychosocial care, patient satisfaction, physician satisfaction, physician-patient relationship, outpatient care, physician characteristics, patient characteristics
- MeSH terms
- Analysis of Variance, Communication, Family Practice, Humans, Physician-Patient Relations, Surveys and Questionnaires, Cluster Analysis, Patient Satisfaction, Personal Autonomy, Paternalism
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
