Meta-analysis of correlates of provider behavior in medical encounters
Abstract
This article summarizes the results of 41 independent studies containing correlates of objectively measured provider behaviors in medical encounters. Provider behaviors were grouped a priori into the process categories of information giving, questions, competence, partnership building, and socioemotional behavior. Total amount of communication was also included. All correlations between variables within these categories and external variables (patient outcome variables or patient and provider background variables) were extracted. The most frequently occurring outcome variables were satisfaction, recall, and compliance, and the most frequently occurring background variables were the patient's gender, age, and social class. Average correlations and combined significance levels were calculated for each combination of process category and external variable. Results showed significant relations of small to moderate average magnitude between these external variables and almost all of the provider behavior categories. A theory of provider-patient reciprocation is proposed to account for the pattern of results.
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Healthcare professionals tend to involve low SES patients less in their consultations by giving them less information, spending less time building rapport with them and listening less attentively.
“Furthermore healthcare professionals tend to involve low SES patients less in their consultations by giving them less information, spending less time building rapport with them and listening less attentively (9,11,12).”
From High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics (2018) · cites this paper as [9]
Hall et al. found a positive relationship between patient's social class and information giving.
“This study revealed a positive relationship between patient's social class (measured by income, education or other, non-specified social class indices) and information giving.”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [24]
Hall et al. meta-analysis found none of the affective behaviour determinants (social talk, positive/negative talk) related to any determinant of patients' social class.
“Although a link between these aspects of affective behaviour and the patients' satisfaction and compliance can be identified, none of these determinants were found to be related to any determinant of the patients' social class.(24)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [24]
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The effects of communication skills training on patients' participation during medical interviews.
Cegala, D., McClure, L., Marinelli, T. M., & Post, D. M. (2000) · Patient Education and Counseling · doi:10.1016/s0738-3991(00)00093-8 · Cited by 218 · see citing works
The power of compassion: truth-telling among American doctors in the care of dying patients.
Miyaji, N. T. (1993) · Social Science & Medicine (1967) · doi:10.1016/0277-9536(93)90008-r · Cited by 215 · see citing works
Cognitive and affective reassurance and patient outcomes in primary care: A systematic review
Pincus, T., Holt, N., Vogel, S., Underwood, M., Savage, R., Walsh, D., & Taylor, S. (2013) · Pain · doi:10.1016/j.pain.2013.07.019 · Cited by 214 · see citing works
“Practitioner–patient collaboration has been found to predicts treatment adherence, but the effect size is small [2,23,24]; meeting patient expectations has a modest effect on satisfaction, but the evidence is inconclusive for other outcomes [54].”
Cegala, D. J., Street, R. L., & Clinch, C. R. (2007) · Health Communication · doi:10.1080/10410230701307824 · Cited by 190 · see citing works
“Previous research has shown that patients are more compliant and satisfied when physicians communicate in a patient-centered manner (DiMatteo, Hays, & Sherbourne, 1992; Hall & Dornan, 1988; Hall et al., 1988).”
BackgroundPatients as Reliable Reporters of Medical Care Process: Recall of Ambulatory Encounter Events
Brown, J., & Adams, M. E. (1992) · Medical Care · doi:10.1097/00005650-199205000-00003 · Cited by 208 · see citing works
Jefferson, L., Bloor, K., Birks, Y., Hewitt, C. E., & Bland, M. (2013) · Journal of Health Services Research and Policy · doi:10.1177/1355819613486465 · Cited by 204 · see citing works
“The communication that takes place during medical consultations is integral to the care that patients receive and research suggests that it may relate to a number of patient outcomes including patient satisfaction, recall, treatment adherence, understanding of information and health outcomes.(1,2) Additionally, doctor…”
BackgroundOral health literacy: the new imperative to better oral health.
Horowitz, A., & Kleinman, D. (2008) · Dental Clinics of North America · doi:10.1016/j.cden.2007.12.001 · Cited by 203 · see citing works
Schmittdiel, J., Grumbach, K., Selby, J., & Quesenberry, C. (2000) · Journal of general internal medicine · doi:10.1046/j.1525-1497.2000.91156.x · Cited by 203 · see citing works
Adherence to Medication Regimens: Updating a Complex Medical Issue
O'brien, M. K., Petrie, K., & Raeburn, J. (1992) · Medical Care Review · doi:10.1177/002570879204900403 · Cited by 202 · see citing works
Communicative styles and adaptations in physician–parent consultations
Street, R. L. (1992) · Social Science & Medicine · doi:10.1016/0277-9536(92)90289-3 · Cited by 196 · see citing works
A Review of Evidence on the Conceptual Elements Informing Client-Centred Practice
Sumsion, T., & Law, M. (2006) · Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · doi:10.1177/000841740607300303 · Cited by 193 · see citing works
“They concluded that “partnership building occurs when the provider goes beyond soothing or informing the patient and tries to elevate the patient’s status within the relationship and to increase the likelihood of patient participation” (Hall et al., 1988, p. 663).”
BackgroundSalander, P. (2002) · Social Science & Medicine (1967) · doi:10.1016/s0277-9536(01)00198-8 · Cited by 192 · see citing works
- Authors
- Hall, J. A., Roter, D. L., & Katz, N. R.
- Affiliations
- Northeastern University (US)
- Johns Hopkins University (US)
- Harvard University (US)
- Corresponding author
- Hall, Judith A.
- Venue
- Medical Care
- Published
- 1988-07
- Volume
- 26
- Issue
- 7
- Pages
- 657-675
- ISSN
- 0025-7079 (ISSN-L)
- OpenAlex
- W2071796477
- Cited by
- 1,069
- References
- 0
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 15 · 2023: 16 · 2022: 16 · 2021: 17 · 2020: 16 · 2019: 23 · 2018: 31 · 2017: 25 · 2016: 24 · 2015: 34 · 2014: 29 · 2013: 44 · 2012: 43
- FWCI
- 8.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- provider behavior, healthcare encounters, patient-provider communication, information giving, provider competence, partnership development, social-emotional behavior, patient satisfaction, medication adherence, patient characteristics
- MeSH terms
- Adult, Ambulatory Care, Bibliographies as Topic, Communication, Consumer Behavior, Female, Humans, Male, Patient Compliance, Physician-Patient Relations, Professional-Patient Relations, Mental Recall, Social Class
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