Cited by 766Patient-Provider Communication in HealthcarePrimary Care and Health OutcomesPatient Satisfaction in Healthcare

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Preferences of patients for patient centred approach to consultation in primary care: observational study

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Little, Paul, Everitt, Hazel, Williamson, Ian, Warner, Greg, Moore, Michael, Gould, Clare, Ferrier, Kate, Payne, Sheila·2001·BMJ

DOI 10.1136/bmj.322.7284.468PMC PMC26564

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Abstract

Objective: To identify patient's preferences for patient centred consultation in general practice. Design: Questionnaire study. Setting: Consecutive patients in the waiting room of three doctors' surgeries. Main outcome measures: Key domains of patient centredness from the patient perspective. Predictors of preferences for patient centredness, a prescription, and examination. Results: 865 patients participated: 824 (95%) returned the pre-consultation questionnaire and were similar in demographic characteristic to national samples. Factor analysis identified three domains of patient preferences: communication (agreed with by 88-99%), partnership (77-87%), and health promotion (85-89%). Fewer wanted an examination (63%), and only a quarter wanted a prescription. As desire for a prescription was modestly associated with desire for good communication (odds ratio 1.20; 95% confidence interval 0.85 to 1.69), partnership (1.46; 1.01 to 2.09), and health promotion (1.61; 1.12 to 2.31) this study may have underestimated preferences for patient centredness compared with populations with stronger preferences for a prescription. Patients who strongly wanted good communication were more likely to feel unwell (very, moderately, and slightly unwell; odds ratios 1, 0.56, 0.39 respectively, z trend P<0.001), be high attenders (1.70; 1.18 to 2.44), and have no paid work (1.84; 1.21 to 2.79). Strongly wanting partnership was also related to feeling unwell, worrying about the problem, high attendance, and no paid work; and health promotion to high attendance and worry. Conclusion: Patients in primary care strongly want a patient centred approach, with communication, partnership, and health promotion. Doctors should be sensitive to patients who have a strong preference for patient centredness—those vulnerable either psychosocially or because they are feeling unwell.

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Authors: Little, P., Everitt, H., Williamson, I., Warner, G., Moore, M., Gould, C., Ferrier, K., & Payne, S.
Affiliations: University of Southampton (GB)
Corresponding author: Little, Paul
ORCID: Little, Paul
Everitt, Hazel
Moore, Michael
Venue: BMJ
Publisher: BMJ
Published: 2001-02-24
Volume: 322
Issue: 7284
Pages: 468
ISSN: 0007-1447 (ISSN-L)
0959-8138
1468-5833
DOI: 10.1136/bmj.322.7284.468
PMC: PMC26564
OpenAlex: W2147489153
Cited by: 766
References: 27
Citations by year: 2026: 5 · 2025: 16 · 2024: 37 · 2023: 15 · 2022: 25 · 2021: 41 · 2020: 25 · 2019: 27 · 2018: 24 · 2017: 40 · 2016: 33 · 2015: 31 · 2014: 40 · 2013: 49 · 2012: 39
FWCI: 60.84
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
Locations: BMJ (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Lancaster EPrints (Lancaster University) (submittedVersion)
ePrints Soton (University of Southampton) (submittedVersion)
HighWire Press Open Archive (submittedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
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 › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
Keywords: patient-centered care, patient preferences, primary care visits, physician-patient communication, patient partnership, health promotion, physical examination, general practice, patient vulnerability, psychosocial factors
MeSH terms: Adolescent, Adult, England, Factor Analysis, Statistical, Family Practice, Female, Health Promotion, Humans, Male, Middle Aged, Physician-Patient Relations, Drug Prescriptions, Primary Health Care, Surveys and Questionnaires, Patient Satisfaction, Patient-Centered Care

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