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Preferences of patients for patient centred approach to consultation in primary care: observational study
Open accessAbstract
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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“Studies of patient-centered care suggest significant benefits in terms of patient satisfaction and medical outcomes.110–114”
From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [111]
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Metadata
- 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
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2001-02-24
- Volume
- 322
- Issue
- 7284
- Pages
- 468
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- 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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