Patient and Visit Characteristics Related to Physicians??? Participatory Decision-Making Style: Results from the Medical Outcomes Study
Abstract
This article identifies the characteristics of patients and office visits associated with decreased mutual decision-making between physicians and patients. In the baseline cross-sectional survey of the Medical Outcomes Study we measured specific patient characteristics hypothesized to influence participatory decision-making (PDM) styles of physicians. We related these characteristics to the PDM style scores for their physicians. The study was conducted in solo practices, multi-specialty groups, and health maintenance organizations in Boston, Chicago, and Los Angeles. Over a 9-day period in 1986, 8,316 patients were sampled from the practices of 344 participating Medical Outcome Study physicians, representing general internal medicine, family practice, cardiology and endocrinology. Physicians' PDM style was measured using a 3-item scale included on the baseline questionnaire completed by patients after office visits to their Medical Outcome Study physicians. We found that the elderly (age 75 and older) and young adult (younger than age 30) patients, patients with high school education or less, minority patients, and male patients had the least participatory visits with their physicians. We also found that male patients seeing male physicians had the least participatory visits compared with male patients seeing female physicians, and compared with female patients seeing physicians of either gender. Our data indicated that PDM style increased as duration or tenure of the physici…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Kaplan et al. found patients with high school education or less were significantly less involved in treatment decisions, less given sense of control, and less asked to take responsibility for care than patients with post-graduate college education.
“The results indicate that patients with a high school education or less were significantly less involved in treatment decisions, less given a sense of control over treatment decisions and less asked to take responsibility for care than patients with post-graduate college education.(33)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [33]
Cites
Meta-analysis of correlates of provider behavior in medical encounters
Hall, J. A., Roter, D. L., & Katz, N. R. (1988) · Medical Care · doi:10.1097/00005650-198807000-00002 · Cited by 1,069 · see citing works
The Exclusion of the Elderly and Women From Clinical Trials in Acute Myocardial Infarction
Gurwitz, J. H. (1992) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1992.03490110055029 · Cited by 532 · see citing works
Formal education as a marker for increased mortality and morbidity in rheumatoid arthritis
Pincus, T., & Callahan, L. F. (1985) · Journal of Chronic Diseases · doi:10.1016/0021-9681(85)90095-5 · Cited by 198 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
The effect of patient race and socio-economic status on physicians' perceptions of patients
van Ryn, M., & Burke, J. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00338-x · Cited by 1,509 · see citing works
Patient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race
Cooper, L. A., Roter, D. L., Johnson, R. L., Ford, D. E., Steinwachs, D. M., & Powe, N. R. (2003) · Annals of Internal Medicine · doi:10.7326/0003-4819-139-11-200312020-00009 · Cited by 1,371 · see citing works
The unequal burden of pain: confronting racial and ethnic disparities in pain
Green, C. R., Anderson, K. O., Baker, T. A., Campbell, L. C., Decker, S., Fillingim, R. B., Kaloukalani, D. A., Lasch, K. E., Myers, C., Tait, R. C., et al. (2003) · Pain Medicine · doi:10.1046/j.1526-4637.2003.03034.x · Cited by 1,248 · see citing works
Communication Patterns of Primary Care Physicians
Roter, D. L. (1997) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1997.03540280088045 · Cited by 939 · see citing works
Cooper, L. A., Roter, D. L., Carson, K. A., Beach, M. C., Sabin, J. A., Greenwald, A. G., & Inui, T. S. (2012) · American Journal of Public Health · doi:10.2105/ajph.2011.300558 · Cited by 815 · see citing works
Heisler, M., Bouknight, R. R., Hayward, R. A., Smith, D. M., & Kerr, E. A. (2002) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2002.10905.x · Cited by 717 · see citing works
Socio-economic status of the patient and doctor–patient communication: does it make a difference?
Willems, S., De Maesschalck, S., Deveugele, M., Derese, A., & De Maeseneer, J. (2005) · Patient Education and Counseling · doi:10.1016/j.pec.2004.02.011 · Cited by 582 · see citing works
The social gradient in doctor-patient communication
Verlinde, E., De Laender, N., De Maesschalck, S., Deveugele, M., & Willems, S. (2012) · International Journal for Equity in Health · doi:10.1186/1475-9276-11-12 · Cited by 307 · see citing works
Cooper, L. A., Beach, M. C., Johnson, R. L., & Inui, T. S. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2006.00305.x · Cited by 247 · see citing works
Haskard, K. B., Williams, S. L., DiMatteo, M. R., Rosenthal, R., White, M. K., & Goldstein, M. G. (2008) · Health Psychology · doi:10.1037/0278-6133.27.5.513 · Cited by 153 · see citing works
What do women want? Women's experiences of infertility treatment
Malin, M., Hemminki, E., Räikkönen, O., Sihvo, S., & Perälä, M.-L. (2001) · Social Science & Medicine · doi:10.1016/s0277-9536(00)00317-8 · Cited by 135 · see citing works
Personality and Health Care Decision-Making Style
Flynn, K. E., & Smith, M. A. (2007) · The Journals of Gerontology: Series B · doi:10.1093/geronb/62.5.p261 · Cited by 142 · see citing works
Laws, M. B., Lee, Y., Taubin, T., Rogers, W. H., & Wilson, I. B. (2018) · PLOS ONE · doi:10.1371/journal.pone.0191940 · Cited by 118 · see citing works
Self-citationAn Assessment of Attitudes, Behaviors, and Outcomes of Patients with Type 2 Diabetes
Daly, J. M., Hartz, A. J., Xu, Y., Levy, B. T., James, P. A., Merchant, M. L., & Garrett, R. E. (2009) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2009.03.080114 · Cited by 101 · see citing works
Clinical decision-making: physicians' preferences and experiences
Murray, E., Pollack, L., White, M., & Lo, B. (2007) · BMC Family Practice · doi:10.1186/1471-2296-8-10 · Cited by 100 · see citing works
Helping Patients Improve Their Health-Related Behaviors: What System Changes Do We Need?
Bodenheimer, T. (2005) · Disease Management · doi:10.1089/dis.2005.8.319 · Cited by 88 · see citing works
Brief Report: What types of internet guidance do patients want from their physicians?
Diaz, J. A., Sciamanna, C. N., Evangelou, E., Stamp, M. J., & Ferguson, T. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.0115.x · Cited by 83 · see citing works
Race/Ethnicity and Health Care Communication: Does Patient-Provider Concordance Matter?
Sweeney, C. F., Zinner, D., Rust, G., & Fryer, G. E. (2016) · Medical Care · doi:10.1097/mlr.0000000000000578 · Cited by 54 · see citing works
Mack, D. S., Hunnicutt, J., Jesdale, B., & Lapane, K. (2018) · Journal of Pain Research · doi:10.2147/jpr.s158128 · Cited by 31 · see citing works
Alexander, J., Hearld, L., & Mittler, J. N. (2014) · Medical Care Research and Review · doi:10.1177/1077558714541967 · Cited by 24 · see citing works
- Authors
- Kaplan, S. H., Gandek, B., Greenfield, S., Rogers, W., & Ware, J. E.
- Affiliations
- Tufts Medical Center (US)
- Venue
- Medical Care
- Published
- 1995-12
- Volume
- 33
- Issue
- 12
- Pages
- 1176-1187
- ISSN
- 0025-7079 (ISSN-L)
- OpenAlex
- W1977734707
- Cited by
- 580
- References
- 3
- Citations by year
- 2025: 8 · 2024: 11 · 2023: 5 · 2022: 7 · 2021: 11 · 2020: 11 · 2019: 12 · 2018: 21 · 2017: 9 · 2016: 19 · 2015: 16 · 2014: 26 · 2013: 23 · 2012: 17
- FWCI
- 20.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- eScholarship@UMassChan (submittedVersion)
- Funders
- U.S. Public Health Service
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- participatory decision-making, physician-patient communication, physician-patient relationship, interpersonal care, patient characteristics, minority patients, educational attainment, relationship duration, chronic disease management, Medical Outcomes Study
- MeSH terms
- Adult, Aged, Appointments and Schedules, Boston, Chicago, Cross-Sectional Studies, Decision Making, Demography, Female, Humans, Longitudinal Studies, Male, Middle Aged, Office Visits, Patient Participation, Physician-Patient Relations, Surveys and Questionnaires, Sex Factors, Los Angeles
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
