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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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Oths, K. (1994) · Culture, Medicine and Psychiatry · doi:10.1007/bf01384878 · Cited by 39
The doctor and the patient--how is a clinical encounter perceived?
Adams, R., Price, K., Tucker, G., Nguyen, A., & Wilson, D. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2011.04.002 · Cited by 39
Kelly, E. P., McGee, J., Obeng-Gyasi, S., Herbert, C., Azap, R. A., Abbas, A., & Pawlik, T. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06382-8 · Cited by 38
Tarn, D. M., Mattimore, T. J., Bell, D. S., Kravitz, R. L., & Wenger, N. S. (2012) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2012.03969.x · Cited by 33
Cox, E. D., Smith, M. A., Brown, R. L., & Fitzpatrick, M. (2009) · Health Communication · doi:10.1080/10410230902804141 · Cited by 38
“These variables were created by aggregating coded utterances representative of each task based on meta-analysis of correlations with health outcomes ( Hall, Roter, & Katz, 1988 ) and prior work with the Roter Interaction Analysis System ( Roter & Larson, 2001 ; Wissow et al, 1998 ).”
MethodManaged care, primary care, and the patient-practitioner relationship
Forrest, C., Shi, L.-Y., von Schrader, S., & Ng, J. (2002) · Journal of general internal medicine · doi:10.1046/j.1525-1497.2002.10309.x · Cited by 38
Oral, R., Coohey, C., Zarei, K., Conrad, A., Nielsen, A., Wibbenmeyer, L. A., Segal, R., Wojciak, A. S., Jennissen, C. A., & Peek-Asa, C. L. (2020) · The Turkish Journal of Pediatrics · doi:10.24953/turkjped.2020.06.002 · Cited by 46
Küper, A. M., & Merle, R. (2019) · Frontiers in Veterinary Science · doi:10.3389/fvets.2019.00056 · Cited by 50
“This supports earlier findings that satisfaction in medical decisions is subject to the amount of information given by providers and a relationship- and pet-centered care with respect for the pet owner’s perspective and opinion (13, 83).”
BackgroundHartgerink, J. M., Cramm, J. M., Bakker, T. J. E. M., Mackenbach, J. P., & Nieboer, A. P. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-0982-1 · Cited by 40
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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