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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]
Citations
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Characteristics and Correlates of Word Use in Physician-Patient Communication
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ResultCommunication and Adherence: Moving From Prediction to Understanding
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ResultA proposed physician-patient cycle model
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Improving Health Outcomes Through Patient Empowerment
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“Patients desire adequate information with clear instructions in non-technical language (Cameron, 1996), and are known to be more compliant when physicians give them more information and positive comments (Hall, Roter, and Katz, 1988).”
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Exploring Patient-Provider Interactions in a Native American Community
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BackgroundThe effect of physician disclosure of financial incentives on trust.
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The behaviors of AIDS patients toward their nurses.
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English for the Workplace: Doing Patient-Centred Care in Medical Communication.
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An evaluation of physicians’ engagement of children with asthma in treatment-related discussions
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“Although it is clear that older children participate more than younger children (Cox et al., 2009; Hall et al., 1988; McPherson and RedSell, 2009; Pantell et al., 1982; Stivers, 2012; Tates et al., 2002; van Dulmen, 1998), children as young as 2 years old have been able to competently communicate…”
BackgroundResultInfluentialTHE POTENTIAL VALUE OF ERECTILE DYSFUNCTION INQUIRY AND MANAGEMENT
D, R. S. M., & Mulhall, J. P. (2003) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2003.tb10567.x · Cited by 29
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“In patientclinician interaction, gesture has been linked to warm and expressive likability [65] and helps to build rapport as well as serve as a sign of nonverbal encouragement to patients [70].”
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What do older people value when they visit their general practitioner? A qualitative study
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BackgroundAsymmetrical Talk between Physicians and Patients: A Quantitative Discourse Analysis
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BackgroundMethodFeasibility of an Audiotape Intervention for Patients with Cancer
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“: (1) so sad that nothing could cheer you up, (2) nervous, (3) restless or fidgety, (4) hopeless, (5) that everything was an effort, and (6) worthless.”
BackgroundHIV Stigma and Discrimination Persist, Even in Health Care.
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“Studies show that patients’ adherence to prescribed treatment correlates with increased physician disclosure [8, 9].”
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Self-citationThe Medical Interview: Differences Between Adult and Geriatric Outpatients
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Assessment of the physician-caregiver relationship scales (PCRS).
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“For dominance, verbal indicators were the physician’s proportion of total visit talk [24,54,55] and the physician’s proportion of total information gathering (measured by summing the number of utterances coded as questions about medical, therapeutic, lifestyle or psychosocial concerns) during medical visits [9,19].”
BackgroundAre sex disparities in COVID-19 a predictable outcome of failing men’s health provision?
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Acceptance of a pre-visit intervention to engage teens in pediatric asthma visits
Sleath, B., Carpenter, D. M., Davis, S. A., Watson, C., Lee, C., Loughlin, C., Garcia, N., Etheridge, D., Rivera-Duchesne, L., Reuland, D. S., et al. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.05.013 · Cited by 23
“Prior work in the providercommunication area found that patient involvement during visits can improve satisfaction, adherence to recommendations, and patient health outcomes [2, 4, 7, 15, 29-32].”
BackgroundFeng, B., Bell, R., Jerant, A., & Kravitz, R. (2011) · Health Communication · doi:10.1080/10410236.2010.550020 · Cited by 23
“Further, the amount of information physicians provide to their patients during clinical visits tends to be positively related with patient satisfaction with visit (eg, Comstock, Hooper, Goodwin, & Goodwin, 1982 ; Hall, Roter, & Katz, 1988 ).”
BackgroundPatient expectations on lipid-lowering drugs.
Lytsy, P., & Westerling, R. (2007) · Patient Education and Counseling · doi:10.1016/j.pec.2007.03.004 · Cited by 23
The Video-Based Test of Communication Skills: Description, Development, and Preliminary Findings
Mazor, K., Haley, H. L., Sullivan, K. M., & Quirk, M. (2007) · Teaching and learning in medicine · doi:10.1080/10401330701333357 · Cited by 23
Helme, D., & Harrington, N. (2004) · Patient Education and Counseling · doi:10.1016/j.pec.2003.10.004 · Cited by 23
“Since sociologist Milton Davis first attempted to correlate noncompliance with patient demographic characteristics in the 1960s, thousands of studies on noncompliance have appeared in the medical, nursing and social scientific literature [9,14,20,40,41].”
BackgroundPatient-Centered Attitudes and Communication Skills in Medical Students after Clerkship
Choi, C.-J., Kim, J. M., & Park, Y. (2004) · Korean journal of medical education · doi:10.3946/kjme.2004.16.2.169 · Cited by 23
“환자 중 심적 면담의 장점은 환자가 지닌 문제에 대한 공감 대를 쉽게 형성함으로써 환자와 의사간의 관계형성 이 용이하고, 환자와 의사의 진료만족도가 향상되고 (Roter et al, 1987; Hall et al, 1988), 환자의 순응도 가 향상되고 (Lazare, 1973; Hall et al, 1988), 의료소 송을 줄이고 (Vacainno, 1977; Huycke & Huycke, 1994), 건강결과가 좋다는데 있다 (Egbert et al, 1964; Shear et al, 1983).”
Consumer/provider communication research: directions for development.
Kreps, G. L., Arora, N. K., & Nelson, D. (2003) · Patient Education and Counseling · doi:10.1016/s0738-3991(03)00070-3 · Cited by 23
“It is imperative for health care providers to use their communication skills to elicit clear reports of symptoms to accurately diagnose health problems, for consumers to share their personal health experiences with those caring for them, and for consumers and providers to exchange relevant health information throughou…”
BackgroundFactors Related to Client Satisfaction with Community-Based Respite Services
Townsend, D., & Kosloski, K. D. (2002) · Home Health Care Services Quarterly · doi:10.1300/j027v21n03_05 · Cited by 23
“Hall, Roter, and Katz (1988) performed a meta-analysis on provider behaviors in medical encounters and examined the relationship between satisfaction, compliance, recall of information, social class, gender, and age.”
BackgroundMethodDeciphering the Physician—Older Patient Interaction
Irish, J. T. (1997) · International Journal of Psychiatry in Medicine · doi:10.2190/cq97-y82h-6p2e-9bj4 · Cited by 23
Ranabhat, C. L., & Jakovljević, M. (2023) · Sustainability · doi:10.3390/su15021372 · Cited by 27
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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