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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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“Also included were ratings of one’s physical health, age, education, and household income as covariates, given past research suggesting their impact on people’s opinions about their health care providers (Hall et al., 1988).”
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“Yet more patient-centred activities can increase patient satisfaction, understanding of information and adherence (Hall et al. 1988).”
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“12,14,15 Recently, the Midwest AIDS Training and Education Partners (MATEP) Adherence Initiative developed a dynamic, stage-based model for provider–patient communication about adher-ences issues in HIV/AIDS care.”
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Background“Difficult Patients” as Family Physicians Perceive Them
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“Relationshipcentered communication and care improved patient compliance (17), health outcomes (18, 19), and patients’ and doctors’ satisfaction (17), while the number of malpractice claims reduced (20–22).”
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Alruwaili, A., el-Fetoh, N., Alruwaili, T. A. S., Alanazi, W., al-Hazmi, H., Alanazi, N. A., Alshammari, H., Alshammari, A., & Alrwaili, A. H. (2018) · The Egyptian Journal of Hospital Medicine · doi:10.12816/ejhm.2018.10738 · Cited by 14
“Improving communication will improve parents’ perceptions of the benefits and risks of vaccines [9, 10] .”
BackgroundAazh, H. (2016) · Journal of Phonetics & Audiology · doi:10.4172/2471-9455.1000110 · Cited by 14
“A meta-analysis found that patient’s adherence to treatment was predicted by greater clinician information giving discussions [50].”
BackgroundResultWhat matters most to patients? Participative provider care and staff courtesy
de Ven, A. H. V. (2014) · Patient Experience Journal · doi:10.35680/2372-0247.1016 · Cited by 22
Satisfaction of Patients by Nurse's Communication Styles
Jeong, S. (2013) · doi:10.15715/kjhcom.2013.8.1.35 · Cited by 14
Problems and Processes in Medical Encounters: The CASES method of dialogue analysis
Laws, M. B., Taubin, T., Bezreh, T., Lee, Y., Beach, M., & Wilson, I. B. (2013) · Patient Education and Counseling · doi:10.1016/j.pec.2012.12.012 · Cited by 14
“Observational studies of clinical interactions have found that measurable features of communication are associated with more patient satisfaction [1-4], better compliance and recall of information [5], and improved health outcomes [6, 7].”
BackgroundLoignon, C., Haggerty, J. L., Fortin, M., Bedos, C. P., Barbeau, D., & Allen, D. (2010) · BMC Health Services Research · doi:10.1186/1472-6963-10-320 · Cited by 16
“Health professionals, physicians or dentists, spend less time with lowincome patients and find it difficult to deal with their non-compliance with treatments [1-4].”
BackgroundPoison control center communication and impact on patient adherence
Ellington, L., Matwin, S., Jasti, S., Williamson, J., Crouch, B., Caravati, M., & Dudley, W. N. (2008) · Clinical toxicology · doi:10.1080/15563650701338914 · Cited by 14
Counseling for Depression by Primary Care Providers
Meredith, L., & Mazel, R. M. (2000) · International Journal of Psychiatry in Medicine · doi:10.2190/t0yp-u28q-52q4-g28m · Cited by 14
“However, our sample size is comparable to many other studies analyzing verbal behavior between patients and providers during medical visits [37].”
ResultSocial Pharmacology: Unresolved Critical Issues
Lilja, J., & Larsson, S. (1994) · International Journal of the Addictions · doi:10.3109/10826089409047958 · Cited by 14
Client personality characteristics predict satisfaction with cognitive behavior therapy.
Green, S., Hadjistavropoulos, T., & Sharpe, D. (2008) · Journal of Clinical Psychology · doi:10.1002/jclp.20429 · Cited by 14
Quigley, D. D., Qureshi, N., Talamantes, E., & Predmore, Z. (2025) · Journal of general internal medicine · doi:10.1007/s11606-025-09414-9 · Cited by 13
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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