Cited by 2,430Patient-Provider Communication in HealthcareEmpathy and Medical EducationInterpreting and Communication in Healthcare

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Doctor-patient communication: A review of the literature

Ong, L.M.L., de Haes, J.C.J.M., Hoos, A.M., Lammes, F.B.·1995·Social Science & Medicine

DOI 10.1016/0277-9536(94)00155-m

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Abstract

Communication can be seen as the main ingredient in medical care. In reviewing doctor-patient communication, the following topics are addressed: (1) different purposes of medical communication; (2) analysis of doctor-patient communication; (3) specific communicative behaviors; (4) the influence of communicative behaviors on patient outcomes; and (5) concluding remarks. Three different purposes of communication are identified, namely: (a) creating a good inter-personal relationship; (b) exchanging information; and (c) making treatment-related decisions. Communication during medical encounters can be analyzed by using different interaction analysis systems (IAS). These systems differ with regard to their clinical relevance, observational strategy, reliability/validity and channels of communicative behavior. Several communicative behaviors that occur in consultations are discussed: instrumental (cure oriented) vs affective (care oriented) behavior, verbal vs non-verbal behavior, privacy behavior, high vs low controlling behavior, and medical vs everyday language vocabularies. Consequences of specific physician behaviors on certain patient outcomes, namely: satisfaction, compliance/adherence to treatment, recall and understanding of information, and health status/psychiatric morbidity are described. Finally, a framework relating background, process and outcome variables is presented.

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Authors: Ong, L. M. L., de Haes, J. C. J. M., Hoos, A. M., & Lammes, F. B.
Affiliations: Amsterdam UMC Location University of Amsterdam (NL)
Venue: Social Science & Medicine
Publisher: Elsevier BV
Published: 1995-04
Volume: 40
Issue: 7
Pages: 903-918
ISSN: 0277-9536 (ISSN-L)
DOI: 10.1016/0277-9536(94)00155-m
OpenAlex: W1967359323
Semantic Scholar: 45e23510ca64b41aade0ae069f039d29417fb400
Cited by: 2,430
References: 105
Citations by year: 2026: 56 · 2025: 76 · 2024: 75 · 2023: 75 · 2022: 87 · 2021: 95 · 2020: 118 · 2019: 101 · 2018: 98 · 2017: 115 · 2016: 108 · 2015: 142 · 2014: 99 · 2013: 124 · 2012: 78
FWCI: 7.70
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Social Science & Medicine (publishedVersion)
PubMed (publishedVersion)
Pure Amsterdam UMC (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
Health Sciences › Health Professions › General Health Professions › Interpreting and Communication in Healthcare
Keywords: physician-patient communication, medical communication, interpersonal relationships, information sharing, treatment decision-making, privacy behavior, controlling behavior, patient satisfaction, medication adherence, psychiatric morbidity
MeSH terms: Communication, Humans, Patient Education as Topic, Physician-Patient Relations, Treatment Outcome

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