Doctor–patient communication and the quality of care
Open accessAbstract
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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Communication between patient and physician has a strong influence on the patient's satisfaction and compliance.
“The communication between patient and physician has a strong influence on the patient's satisfaction and compliance.(13)(14)(15)(16)(17)(18)(19)20)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [15]
Both verbal and non-verbal behaviour of physicians during consultation seem to correlate positively with patient satisfaction.
“When looking at the impact of components of physicians' behaviour during consultation, both verbal behaviour and non-verbal behaviour seem to correlate positively with patient satisfaction.(13,14,15,16)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [15]
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Self-citationBensing, J. M., Hulsman, R. L., & Schreurs, K. M. G. (1999) · Medical Care · doi:10.1097/00005650-199910000-00011 · Cited by 126 · see citing works
Self-citationOperational efficiency and patient‐centered health care: A view from online physician reviews
Ko, D., Mai, F., Shan, Z., & Zhang, D. (2019) · Journal of Operations Management · doi:10.1002/joom.1028 · Cited by 123 · see citing works
Teaching and assessing communication skills in Maastricht: the first twenty years
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Spirituality, religion, and healing in palliative care
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Vamvakas, E. C., & Carven, J. H. (1998) · PubMed · Cited by 114 · see citing works
Racial Differences in How Patients Perceive Physician Communication Regarding Cardiac Testing
Collins, T. C., Clark, J. A., Petersen, L. A., & Kressin, N. R. (2002) · Medical Care · doi:10.1097/00005650-200201001-00004 · Cited by 113 · see citing works
Factors in Client–Clinician Interaction That Influence Hearing Aid Adoption
Poost-Foroosh, L., Jennings, M. B., Shaw, L. E., Meston, C. N., & Cheesman, M. F. (2011) · Trends in Amplification · doi:10.1177/1084713811430217 · Cited by 107 · see citing works
Uitterhoeve, R., Bensing, J. M., Dilven, E., Donders, R., deMulder, P., & van Achterberg, T. (2009) · Psycho-Oncology · doi:10.1002/pon.1434 · Cited by 106 · see citing works
Self-citationvan Weert, J. C. M., van Dulmen, A. M., Spreeuwenberg, P. M. M., Ribbe, M. W., & Bensing, J. M. (2004) · Patient Education and Counseling · doi:10.1016/j.pec.2004.07.013 · Cited by 105 · see citing works
Self-citationPhysician–patient communication and patient satisfaction in Japanese cancer consultations
Ishikawa, H., Takayama, T., Yamazaki, Y., Seki, Y., & Katsumata, N. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00173-3 · Cited by 104 · see citing works
Dibbelt, S., Schaidhammer-Placke, M., Fleischer, C., & Greitemann, B. (2009) · Patient Education and Counseling · doi:10.1016/j.pec.2009.07.031 · Cited by 101 · see citing works
van Campen, C. (1998) · British journal of rheumatology · doi:10.1093/rheumatology/37.4.362 · Cited by 100 · see citing works
Feltz-Cornelis, C. M. V. D., Os, T. W. D. P. V., van Marwijk, H., & Leentjens, A. F. G. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.10.012 · Cited by 99 · see citing works
Communication in End-Stage Cancer: Review of the Literature and Future Research
Trice, E. D., & Prigerson, H. G. (2009) · Journal of Health Communication · doi:10.1080/10810730902806786 · Cited by 97 · see citing works
van den Brink-Muinen, A., Verhaak, P., Bensing, J., Bahrs, O., Deveugele, M., Gask, L., Leiva, F., Mead, N., Messerli, V., Oppizzi, L., et al. (2000) · Patient Education and Counseling · doi:10.1016/s0738-3991(99)00098-1 · Cited by 107 · see citing works
Self-citationImpact of Telemedicine on Patient Satisfaction and Perceptions of Care Quality in Radiation Oncology
Shaverdian, N., Gillespie, E. F., Cha, E., Kim, S. Y., Benvengo, S., Chino, F. L., Kang, J. J., Li, Y., Atkinson, T. M., Lee, N. Y., et al. (2021) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2020.7687 · Cited by 96 · see citing works
End-of-life communication in the intensive care unit
Levin, T. T., Moreno, B., Silvester, W., & Kissane, D. W. (2010) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2010.04.007 · Cited by 95 · see citing works
Oliveira, V. C., Refshauge, K., Ferreira, M., Pinto, R., Beckenkamp, P., Negrão, R., & Ferreira, P. (2012) · Journal of Physiotherapy · doi:10.1016/s1836-9553(12)70123-6 · Cited by 84 · see citing works
Collective AIDS activism and individuals' perceived self-advocacy in physician-patient communication
Brashers, E., Haas, M. J., Klingle, S., & Neidig, L. (2000) · Human Communication Research · doi:10.1111/j.1468-2958.2000.tb00762.x · Cited by 91 · see citing works
Bredmar, P. L. M. (1996) · Research on Language and Social Interaction · doi:10.1207/s15327973rlsi2904_3 · Cited by 91 · see citing works
Consulting room computers and their effect on general practitioner-patient communication
Noordman, J., Verhaak, P., van Beljouw, I., & van Dulmen, S. (2010) · Family Practice · doi:10.1093/fampra/cmq058 · Cited by 90 · see citing works
van Dulmen, A. M., Verhaak, P. F. M., & Bilo, H. J. G. (1997) · Patient Education and Counseling · doi:10.1016/s0738-3991(96)00965-2 · Cited by 90 · see citing works
Doctors'non-verbal behaviour in consultations: look at the patient before you look at the computer
Silverman, J., & Kinnersley, P. (2010) · British Journal of General Practice · doi:10.3399/bjgp10x482293 · Cited by 90 · see citing works
Cegala, D. J. (1997) · Journal of Health Communication · doi:10.1080/108107397127743 · Cited by 90 · see citing works
Facilitation of Patient Involvement in Care: Development and Validation of a Scale
Martin, L. R., Matteo, M. R. D., & Lepper, H. S. (2001) · Behavioral Medicine · doi:10.1080/08964280109595777 · Cited by 89 · see citing works
Communication in general practice: differences between European countries
van den Brink-Muinen, A., Verhaak, P., Bensing, J. M., Bahrs, O., Deveugele, M. I., Gask, L. L., Mead, N., Leiva-Fernández, F., Perez, A. R., Messerli, V., et al. (2003) · Family Practice · doi:10.1093/fampra/cmg426 · Cited by 89 · see citing works
Self-citationHow do paediatricians communicate with children and parents?
Wassmer, E., Minnaar, G., Aal, N. A., Atkinson, M., Gupta, E., Yuen, S. C.-S., & Rylance, G. (2004) · Acta Paediatrica · doi:10.1111/j.1651-2227.2004.tb02637.x · Cited by 86 · see citing works
The enigma of doctor-patient relationship
Gowda, M., Harbishettar, V., Krishna, K. R., & Srinivasa, P. (2019) · Indian Journal of Psychiatry · doi:10.4103/psychiatry.indianjpsychiatry_96_19 · Cited by 85 · see citing works
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Pieterse, 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 · see citing works
Self-citationNicolai, J., Buchholz, A., Seefried, N., Reuter, K., Härter, M. C., Eich, W., & Bieber, C. S. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.11.019 · Cited by 81 · see citing works
Montague, E. N. H., & Asan, O. (2013) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2013.11.003 · Cited by 80 · see citing works
The impact of matching the patient's vocabulary: a randomized control trial
Williams, N. (2004) · Family Practice · doi:10.1093/fampra/cmh610 · Cited by 79 · see citing works
Caris-Verhallen, W. M. C. M., Kerkstra, A., Bensing, J. M., & Grypdonck, M. H. F. (2000) · Patient Education and Counseling · doi:10.1016/s0738-3991(99)00094-4 · Cited by 76 · see citing works
Self-citationEide, H., Graugaard, P. K., Holgersen, K., & Finset, A. (2003) · Patient Education and Counseling · doi:10.1016/s0738-3991(02)00225-2 · Cited by 75 · see citing works
van Dulmen, S., Tromp, F., Grosfeld, F. J. M., ten Cate, O., & Bensing, J. M. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.06.016 · Cited by 73 · see citing works
Self-citationIshikawa, H., Hashimoto, H., Kinoshita, M., Fujimori, S., Shimizu, T., & Yano, E. (2006) · Medical Education · doi:10.1111/j.1365-2929.2006.02628.x · Cited by 74 · see citing works
van Dijk, L., Heerdink, E. R., Somai, D., van Dulmen, S., Sluijs, E. M., de Ridder, D. T. D., Griens, A. M. G. F., & Bensing, J. M. (2007) · BMC Health Services Research · doi:10.1186/1472-6963-7-51 · Cited by 72 · see citing works
Self-citationDentist—Patient Communication: A Review of Relevant Models
Sondell, K., & Söderfeldt, B. (1997) · Acta Odontologica Scandinavica · doi:10.3109/00016359709115403 · Cited by 71 · see citing works
Beach, W. A., & Dozier, D. M. (2015) · Journal of Health Communication · doi:10.1080/10810730.2015.1018644 · Cited by 69 · see citing works
Encounters with Anna Thompson: The consumer's experience of neuropsychological assessment
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Meeting patient's expectations in primary care consultations in Lithuania.
Žėbienė, E., Razgauskas, E., Basys, V., Baubinienė, A., Gurevičius, R., Padaiga, Ž., & Švab, I. (2004) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzh006 · Cited by 72 · see citing works
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 · see citing works
Barnsley, J. M., Williams, A. P., Cockerill, R. W., & Tanner, J. K. (1999) · PubMed Central · Cited by 66 · see citing works
Cure-oriented versus care-oriented attitudes in medicine
Valck, C. D., Bensing, J. M., Bruynooghe, R., & Batenburg, V. (2001) · Patient Education and Counseling · doi:10.1016/s0738-3991(00)00201-9 · Cited by 66 · see citing works
Self-citationJoking or Decision-Making? Affective and Instrumental Behaviour in Doctor-Parent-Child Communication
Tates, K., Meeuwesen, L., Bensing, J. M., & Elbers, E. (2002) · Psychology and Health · doi:10.1080/08870440290029548 · Cited by 65 · see citing works
Self-citationNurse-elderly patient communication in home care and institutional care: an explorative study
Caris-Verhallen, W. M. C. M., Kerkstra, A., van der Heijden, P. G. M., & Bensing, J. M. (1998) · International Journal of Nursing Studies · doi:10.1016/s0020-7489(97)00039-4 · Cited by 65 · see citing works
Self-citationQUOTE-HIV: an instrument for assessing quality of HIV care from the patients' perspective
Hekkink, C. F. (2003) · BMJ Quality & Safety · doi:10.1136/qhc.12.3.188 · Cited by 64 · see citing works
Quality of rheumatoid arthritis care: the patient's perspective
Jacobi, C. E. (2004) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzh009 · Cited by 64 · see citing works
- 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
- green
- www.nivel.nl
- Licence
- 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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