Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease
Abstract
Growing interest in the doctor-patient relationship focuses attention on the specific elements of that relationship that affect patients' health outcomes. Data are presented for four clinical trials conducted in varied practice settings among chronically ill patients differing markedly in sociodemographic characteristics. These trials demonstrated that "better health" measured physiologically (blood pressure or blood sugar), behaviorally (functional status), or more subjectively (evaluations of overall health status) was consistently related to specific aspects of physician-patient communication. We conclude that the physician-patient relationship may be an important influence on patients' health outcomes and must be taken into account in light of current changes in the health care delivery system that may place this relationship at risk.
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Better communication seems to have a positive influence on overall health outcome.
“In this perspective better communication (e.g. more question asking by the physician and by the patient, more information giving, shared decision making, more affective behaviour, …) seems to have a positive influence.(19,21)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [21]
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References 54 · Cited by 2,043
- Authors
- Kaplan, S. H., Greenfield, S., & Ware, J. E.
- Affiliations
- Tufts Medical Center (US)
- Venue
- Medical Care
- Published
- 1989-03
- Volume
- 27
- Issue
- Supplement
- Pages
- S110-S127
- ISSN
- 0025-7079 (ISSN-L)
- OpenAlex
- W2088020509
- Cited by
- 2,043
- References
- 54
- Citations by year
- 2026: 16 · 2025: 28 · 2024: 38 · 2023: 36 · 2022: 44 · 2021: 97 · 2020: 58 · 2019: 65 · 2018: 44 · 2017: 58 · 2016: 64 · 2015: 82 · 2014: 62 · 2013: 84 · 2012: 93
- FWCI
- 40.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- eScholarship@UMassChan (submittedVersion)
- Funders
- National Institutes of Health (AM27547)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Keywords
- physician-patient relationship, physician-patient communication, chronic disease, health outcomes, blood pressure control, glycemic control, functional status, patient-reported health status, health care delivery reform
- MeSH terms
- Adult, Affect, Aged, Chronic Disease, Clinical Trials as Topic, Communication, Consumer Behavior, Health Status, Humans, Middle Aged, Outcome and Process Assessment, Health Care, Physician-Patient Relations, Random Allocation, Tape Recording
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