Cited by 409Patient-Provider Communication in HealthcarePatient Satisfaction in HealthcarePrimary Care and Health Outcomes

Doctor–patient communication and the quality of care

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Bensing, Jozien·1991·Social Science & Medicine

Abstract

In this article a comparison is made between three independent sources of assessment of medical consultations. A panel of 12 experienced general practitioners rated 103 consultations with hypertensive patients on the quality of psychosocial care. There was a wide consensus between the judges, resulting in a high reliability score. Two contrasting groups were formed: consultations that were rated high and those rated low in quality of psychosocial care. A comparison was made between this general assessment of the quality of psychosocial care and a more detailed assessment of the same consultations on nine much used communication variables made by trained psychologists. Knowledge about doctor-patient communication proved to predict very well as to which quality group the consultations belonged. A very high percentage (95%) was predicted accurately, solely on the basis of these nine communication variables. Affective behaviour, and especially nonverbal affective behaviour had the strongest predictive power. In the last part of the study a third source of assessment, i.e. patients' satisfaction was compared with both other sources. Much lower relationships were found, although most were in the predicted direction. Affective behavior seems to be the most important in determining patient's satisfaction. The implications of these findings are discussed.

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Crossref · 10.1016/0277-9536(91)90047-g

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Authors
Bensing, J.
Corresponding author
Bensing, Jozien
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
1991-01
Volume
32
Issue
11
Pages
1301-1310
ISSN
0277-9536 (ISSN-L)
OpenAlex
W2153769200
Cited by
407
References
71
Citations by year
2026: 2 · 2025: 5 · 2024: 6 · 2023: 9 · 2022: 16 · 2021: 8 · 2020: 10 · 2019: 14 · 2018: 10 · 2017: 7 · 2016: 11 · 2015: 14 · 2014: 14 · 2013: 22 · 2012: 14
FWCI
19.26
Type
journal article
Language
en
Open access
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
  • Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Keywords
physician-patient communication, quality of care, psychosocial care, hypertension, affective behaviour, nonverbal communication, patient satisfaction, general practitioners, communication variables, inter-rater reliability
MeSH terms
Adult, Affect, Aged, Communication, Consumer Behavior, Evaluation Studies as Topic, Female, Humans, Hypertension, Interviews as Topic, Male, Middle Aged, Netherlands, Physician-Patient Relations, Quality of Health Care, Reproducibility of Results

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