CoChat
Sign Up
Cited by 530Patient-Provider Communication in HealthcareHealth Policy Implementation SciencePrimary Care and Health Outcomes

The DOI matches its Crossref record; 182 of the 182 references it cites were found in a registry or an index.

Interventions for providers to promote a patient-centred approach in clinical consultations

Lewin, Simon, Skea, Zoe, Entwistle, Vikki A, Zwarenstein, Merrick, Dick, Judy·2001·Cochrane Database of Systematic Reviews
DOI 10.1002/14651858.cd003267
Open this paper in CoChat — free account

Abstract

BACKGROUND: Communication problems in health care may arise as a result of health care providers focusing on diseases and their management, rather than people, their lives and their health problems. Patient-centred approaches to care are increasingly advocated by consumers and clinicians and incorporated into training for health care providers. The effects of interventions that aim to promote patient-centred care need to be evaluated. OBJECTIVES: To assess the effects of interventions for health care providers that aim to promote patient-centred approaches in clinical consultations. SEARCH STRATEGY: We searched Medline (1966 - Dec 1999); Health Star (1975 - Dec 1999); PsycLit (1887- Dec 1999); Cinahl (1982 - Dec 1999); Embase (1985-Dec 1999) and the bibliographies of studies assessed for inclusion. SELECTION CRITERIA: Randomised controlled trials, controlled clinical trials, controlled before and after studies, and interrupted time series studies of interventions for health care providers that promote patient-centred care in clinical consultations. Patient-centred care was defined as a philosophy of care that encourages: (a) shared control of the consultation, decisions about interventions or management of the health problems with the patient, and/or (b) a focus in the consultation on the patient as a whole person who has individual preferences situated within social contexts (in contrast to a focus in the consultation on a body part or disease). The participants were health care providers, including those in training. DATA COLLECTION AND ANALYSIS: Two reviewers independently extracted data onto a standard form and assessed study quality for each study. We extracted all outcomes other than health care providers' knowledge, attitudes and intentions. MAIN RESULTS: 17 studies met the inclusion criteria. These studies display considerable heterogeneity in terms of the interventions themselves, the health problems or health concerns on which the interventions focused, the comparisons made and the outcomes assessed. All included studies used training for health care providers as an element of the intervention. Ten studies evaluated training for providers only, while the remaining studies utilised multi-faceted interventions where training for providers was one of several components. The health care providers were mainly primary care physicians (general practitioners or family doctors) practising in community or hospital outpatient settings. In two studies, the providers also included nurses. There is fairly strong evidence to suggest that some interventions to promote patient-centred care in clinical consultations may lead to significant increases in the patient centredness of consultation processes. 12 of the 14 studies that assessed consultation processes showed improvements in some of these outcomes. There is also some evidence that training health care providers in patient-centred approaches may impact positively on patient satisfaction with care. Of the eleven studies that assessed patient satisfaction, six demonstrated significant differences in favour of the intervention group on one or more measures. Few studies examined health care behaviour or health status outcomes. REVIEWER'S CONCLUSIONS: Interventions to promote patient-centred care within clinical consultations may significantly increase the patient centredness of care. However, there is limited and mixed evidence on the effects of such interventions on patient health care behaviours or health status; or on whether these interventions might be applicable to providers other than physicians. Further research is needed in these areas.

Overview

Integrity signals

Registry

Crossref · 10.1002/14651858.cd003267

Cites

182 of 182 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

Citations

Cites

Show all 181 references

Research works printed but not linked: 24

  1. Robbins, 1979, Interpersonal skills training: evaluation in an internal medicine residency, Journal of Medical Education, 54, 885
  2. Baile, 1997, Improving physician-patient communication in cancer care, Journal of Cancer Education, 12, 166
  3. Baile, 1999, Communication skills training in oncology, American Cancer Society, 86, 887
  4. Blaasvaer, 1998, A patient-centred approach to health care: the effects on health-related behaviour, consultation satisfaction and psychological well-being, Tidsskr Nor Loegeforen nr, 118, 370
  5. Fine, 1977, Empathy in the doctor-patient relationship: skill training for medical students, Journal of Medical Education, 52, 752
  6. Finnema, 2000, The effect of emotion-oriented care on nursing home residents with dementia and their nursing assistants: a randomized clinical trial, 135
  7. Jacob, 1988, Putting research into practice: the impact of interpersonal skills training on responses to patients' emotional concerns by nursing staff in a general hospital, The Florida Nurse, 36, 18
  8. Jacob MR The impact of interpersonal skills training on responses to patients' emotional concerns by nursing staff in a general hospital A dissertation submitted to the graduate faculty of the University of Georgia in partial fulfillment of the requirements for the degree, Doctor of Education 1987
  9. Ockene, Brief physician- and nurse practitioner-delivered counseling for high-risk drinkers, Archives of Internal Medicine, 159, 2198
  10. Saltmarche, 1998, An educational approach for patient-focused care, Journal of Nursing Staff Development, 14, 81
  11. Ter Horst, 1980, Communication skills training by means of videotaped interaction of dental students with their patients. Development, realisation and evaluation of a trial educational method, Ned Tijdschr Tandheelkd, 87, 480
  12. Ward, 1975, Reducing emotional distance: a new method to teach interviewing skills, Journal of Medical Education, 50, 605
  13. Armstrong, 1982, The Doctor-Patient Relationship:1930-80
  14. Bjartveit, 1987, Handbook for the cardiovascular disease survey., 160
  15. Bradley, 1994, Handbook of psychology and diabetes: a guide to psychological measurement in diabetes research and management
  16. Godin, 1985, A simple method to assess exercise behaviour in the community, Canadian Journal of Applied Sport Sciences, 10, 141
  17. Kinmonth, 1996, Developing a training programme in patient-centred consulting for evaluation in a randomised controlled trial; diabetes care from diagnosis in British primary care, Patient Education and Counselling, 29, 75, 10.1016/0738-3991(96)00936-6 · DOI
  18. Maere, 1991, Physical activity among adults in a Norwegian county, Tidsskr Nor Laegeforen, 111, 3695
  19. McWhinney, 1989, The need for a transformed clinical method
  20. Murphy E Lay health concepts and response to medical advice about lifestyle modification: the case of people with a diagnosis of non insulin dependent diabetes [Dissertation], Southhampton: University of Southampton 1992
  21. Roter, 1991, The Roter Interactional Analysis System (RIAS) Coding Manual
  22. Roter, 1997, The Roter Interaction Analysis System (RIAS) Coding Manual
  23. Stiles, 1978, Manual for a taxonomy of verbal response modes
  24. Wolf MH Patient beliefs, personality traits, health perceptions, and response biases are predictors of medical interview satisfaction PhD dissertation, University of North Carolina at Chapel Hill 1980

Cited by

Sorted by citations

Items 401–500 of 527

Related

See all

Metadata

Authors
Lewin, S., Skea, Z., Entwistle, V. A., Zwarenstein, M., & Dick, J.
Affiliations
  • London School of Hygiene & Tropical Medicine (GB)
  • University of Dundee (GB)
  • Sunnybrook Health Science Centre (CA)
  • South African Medical Research Council (ZA)
ORCID
Venue
Cochrane Database of Systematic Reviews
Publisher
John Wiley & Sons, Ltd
Published
2001-10-23
Issue
4
Pages
CD003267-CD003267
ISSN
1361-6137 (ISSN-L)
DOI
10.1002/14651858.cd003267
OpenAlex
W2896717180
Cited by
530
References
181
Citations by year
2026: 8 · 2025: 4 · 2024: 8 · 2023: 8 · 2022: 13 · 2021: 19 · 2020: 16 · 2019: 24 · 2018: 22 · 2017: 21 · 2016: 17 · 2015: 28 · 2014: 28 · 2013: 45 · 2012: 38
Type
reference entry
Language
en
Update notices
new_version (2012-12-12)
Open access
closed
Locations
  • Cochrane Database of Systematic Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Keywords
patient-centered care, medical consultation, health professions education, shared decision-making, consultation process, provider-patient communication, primary care physicians, nurse training, multi-faceted intervention
MeSH terms
Clinical Trials as Topic, Health Personnel, Humans, Patient Participation, Physician-Patient Relations, Patient-Centered Care

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