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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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“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]
In the citing paper
“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]
In the citing paper
“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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Trust and Distrust Among Appalachian Women Regarding Cervical Cancer Screening: A Qualitative Study
McAlearney, A., Oliveri, J. M., Post, D., Song, P. H., Jacobs, E., Waibel, J., Harrop, J. P., Steinman, K. J., & Paskett, E. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2011.02.023 · Cited by 63
“While prior research has indicated that physician use of patient-centered communication is related to positive patient outcomes [4–6,50–53,7–9,54], we believe ours is the first study to link patient-centeredness, patients’ perceptions of the healthcare provider, and trust.”
Gremigni, P., Sommaruga, M., & Peltenburg, M. (2008) · Patient Education and Counseling · doi:10.1016/j.pec.2007.12.008 · Cited by 73
“Among these skills, patient-centered communication (PCC) has been recognised as integral to effective healthcare and positively affecting patients’ satisfaction, adherence, and health [6–9].”
BackgroundThe outpatient medical encounter and elderly patients.
Roter, D. (2000) · Clinics in Geriatric Medicine · doi:10.1016/s0749-0690(05)70011-2 · Cited by 63
Self-citationLevy, C., Fish, R., & Kramer, A. (2005) · Journal of The American Geriatrics Society · doi:10.1111/j.1532-5415.2005.00523.x · Cited by 62
Piccolo, L. D., Saltini, A., Zimmermann, C., & Dunn, G. (2000) · Psychological Medicine · doi:10.1017/s003329179900197x · Cited by 54
“…of attendance (Karlsson et al. 1995) are all aspects related to the quality of communication in medical visits, and to outcome measures such as doctor and patient satisfaction and the recognition of emotional distress (Hall et al. 1988; 1994a, b ; Olfson et al. 1995; Ormel & Tiemens, 1995).”
BackgroundMethodInfluentialPatients' Perceptions of Physicians Communication and Outcomes of the Accrual to Trial Process
Grant, C. H., Cissna, K. N., & Rosenfeld, L. B. (2000) · Health Communication · doi:10.1207/s15327027hc1201_02 · Cited by 62
Girón, M., Beviá, B., Medina, E., & Talero, M. S. (2002) · Revista Española de Salud Pública · doi:10.1590/s1135-57272002000500016 · Cited by 61
Measurement, determinants, barriers, and interventions for exercise adherence: a scoping review
Mahmood, A., Nayak, P., Deshmukh, A., English, C., N, M., Solomon M, J., & B, U. (2023) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2022.09.014 · Cited by 60
Reducing and Mitigating Human Error in Medicine
Morrow, D. G., North, R., & Wickens, C. (2005) · Reviews of Human Factors and Ergonomics · doi:10.1518/155723405783703019 · Cited by 60
Metadata
- 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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