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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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BackgroundAn examination of adherence strategies and challenges in poison control communication.
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Responsible Health Communication
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“Introduction The quality of the interaction between a patient and healthcare professional affects patient satisfaction, adherence, information recall, and understanding [1-3].”
BackgroundSelf-citationCommunication in Cognitive Behavioral Therapy
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“This has repercussions on healthcare interactions, si nce physicians devote less time, provide less information, and do less reinforcement of treatment compliance with these patients [24,31].”
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“In fact, patients who receive more information from their physicians are more satisfied and more likely to follow medical regimens.(36) This study has several limitations.”
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“…to the more usually observed association of clinician information-giving with positive patient evaluations and positive mood in medical encounters (Hall et al., 1988), Explanation exchanges had negative correlations with several of the evaluative rating scales (including global ratings of warmth…”
ResultStress, Depression, Mental Illness, and Men's Health
Agochukwu, N. Q., & Wittmann, D. A. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-816665-9.00010-x · Cited by 10
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“, communication and consultation, protection and skilled technique, and confidentiality categories), which is consistent with a previous study [24] indicating that taskoriented behaviors are related to information giving, question asking, and technical competence.”
ResultIrshad, H. A., Mahar, M. U., Jahangir, A., Aamir, S., Jamil, M. A., Ahsan, K., Taufiq, M., Ahmed, A., Golani, S., Amir, S., et al. (2024) · BMC Health Services Research · doi:10.1186/s12913-023-10519-2 · Cited by 5
“Consequently, the alignment of health care practices in a way that patient’s experiences can meet their expectations has gained recognition as one of the key pillars of quality primary medical care [3].”
BackgroundFraser, B., Korenblum, C., Mah, K., Watt, S., Malfitano, C., Rydall, A., Schimmer, A., Zimmermann, C., & Rodin, G. (2018) · Psycho-Oncology · doi:10.1002/pon.4919 · Cited by 5
“Previous research has demonstrated that female patients may receive more information and engage in more patient‐provider communication than male patients.(27,28) The variable of disease onset refers to whether the disease is newly diagnosed or relapsed.”
Background[Chronically Ill Patients' Perception of Hospital Nurses].
Lee, B., Lee, M. A., & Eo, Y.-S. (2018) · Journal of Korean Academy of Nursing · doi:10.4040/jkan.2018.48.3.311 · Cited by 5
Reich, C. M., Hack, S. M., Klingaman, E. A., Brown, C. H., Fang, L.-J., Dixon, L., Jahn, D., & Kreyenbuhl, J. (2017) · International journal of psychiatry in clinical practice · doi:10.1080/13651501.2017.1375530 · Cited by 5
Getting on the Same Page: Opportunities to Improve Parent-Provider Communication.
Kelly, M. M., & Hoonakker, P. (2017) · Hospital Pediatrics · doi:10.1542/hpeds.2017-0080 · Cited by 5
Sadati, A. K., Lankarani, K. B., & Hemmati, S. (2016) · Shiraz E-Medical Journal · doi:10.17795/semj38269 · Cited by 5
Marcinowicz, L., Pawlikowska, T., Konstantynowicz, J., & Chlabicz, S. (2014) · Patient · doi:10.1007/s40271-014-0056-1 · Cited by 5
“For example, the doctor providing advice/information should be reciprocated by patient compliance [3, 6].”
Background
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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