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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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“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]
In the citing paper
“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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Metadata
- 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 › Medicine › Family Practice › 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
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 ›
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