The DOI matches its Crossref record; 96 of the 97 references it cites were found in a registry or an index.
The impact of general practitioners’ patient-centredness on patients’ post-consultation satisfaction and enablement
Abstract
The concept of patient-centredness is complex, but is generally seen as an approach that emphasises, on the part of the health professional, attention to patients' psychosocial (as well as physical) needs, the use of psychotherapeutic behaviours to convey a sense of partnership and positive regard, and active facilitation of patients' involvement in decision-making about their care. To date, there is little consistent evidence that doctors' use of a 'patient-centred' consulting style leads to better patient outcomes. However, previous studies have been limited by a lack of conceptual clarity and methodological consensus, and by the absence of a clear theoretical framework linking patient-centredness to outcomes. In this study, three specific, conceptually distinct dimensions of a patient-centred consulting style were operationalised: the 'biopsychosocial perspective', 'sharing power and responsibility' and the 'therapeutic alliance'. These dimensions were measured in terms of three 'socio-emotional' and two 'task-relevant' general practitioner (GP) behaviours using in-depth observational techniques applied to 173 videotaped GP consultations. Theoretically-derived hypotheses were tested concerning relationships between these patient-centred behaviours and two different consultation outcomes: patient satisfaction and enablement. Multivariate regression showed that GPs' patient-centred behaviours did not predict either outcome. The robustness of these findings is considered within the context of study strengths and weaknesses, and implications for future research are discussed.
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“Studies of patient-centered care suggest significant benefits in terms of patient satisfaction and medical outcomes.110–114”
From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [112]
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Epstein, R. M., Franks, P., Fiscella, K., Shields, C. G., Meldrum, S. C., Kravitz, R. L., & Duberstein, P. R. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2005.02.001 · Cited by 1,211
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Self-citationSocio-economic status of the patient and doctor–patient communication: does it make a difference?
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Metadata
- Authors
- Mead, N., Bower, P., & Hann, M.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Mead, Nicola
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2002-07
- Volume
- 55
- Issue
- 2
- Pages
- 283-299
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2122228946
- Cited by
- 275
- References
- 97
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 8 · 2022: 6 · 2021: 14 · 2020: 4 · 2019: 13 · 2018: 12 · 2017: 12 · 2016: 11 · 2015: 15 · 2014: 13 · 2013: 14 · 2012: 16
- FWCI
- 27.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (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
- patient-centredness, general practitioners, patient satisfaction, enablement, biopsychosocial perspective, therapeutic relationship, shared decision-making, physician-patient relationship, general practitioner visits
- MeSH terms
- Adolescent, Adult, Aged, Communication, Cooperative Behavior, Decision Making, Empathy, Family Practice, Female, Humans, Male, Middle Aged, Patient Participation, Physician-Patient Relations, Physicians, Family, Multivariate Analysis, Patient Satisfaction, Outcome Assessment, Health Care, Patient-Centered Care, Self Efficacy
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