Cited by 311Patient-Provider Communication in HealthcareHealth disparities and outcomesInterpreting and Communication in Healthcare

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The social gradient in doctor-patient communication

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Verlinde, Evelyn, De Laender, Nele, De Maesschalck, Stéphanie, Deveugele, Myriam, Willems, Sara·2012·International Journal for Equity in Health

DOI 10.1186/1475-9276-11-12PMC PMC3317830

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Abstract

OBJECTIVE: In recent years, the importance of social differences in the physician-patient relationship has frequently been the subject of research. A 2002 review synthesised the evidence on this topic. Considering the increasing importance of social inequalities in health care, an actualization of this review seemed appropriate. METHODS: A systematic search of literature published between 1965 and 2011 on the social gradient in doctor-patient communication. In this review social class was determined by patient's income, education or occupation. RESULTS: Twenty original research papers and meta-analyses were included. Social differences in doctor-patient communication were described according to the following classification: verbal behaviour including instrumental and affective behaviour, non-verbal behaviour and patient-centred behaviour. CONCLUSION: This review indicates that the literature on the social gradient in doctor-patient communication that was published in the last decade, addresses new issues and themes. Firstly, most of the found studies emphasize the importance of the reciprocity of communication.Secondly, there seems to be a growing interest in patient's perception of doctor-patient communication. PRACTICE IMPLICATIONS: By increasing the doctors' awareness of the communicative differences and by empowering patients to express concerns and preferences, a more effective communication could be established.

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Authors: Verlinde, E., De Laender, N., De Maesschalck, S., Deveugele, M., & Willems, S.
Affiliations: Ghent University (BE)
Corresponding author: Verlinde, Evelyn
ORCID: Deveugele, Myriam
Willems, Sara
Venue: International Journal for Equity in Health
Publisher: Springer Science and Business Media LLC
Published: 2012
Volume: 11
Issue: 1
Pages: 12
ISSN: 1475-9276 (ISSN-L)
DOI: 10.1186/1475-9276-11-12
PMC: PMC3317830
OpenAlex: W2008405683
Cited by: 307
References: 62
Citations by year: 2026: 13 · 2025: 21 · 2024: 32 · 2023: 24 · 2022: 28 · 2021: 31 · 2020: 34 · 2019: 27 · 2018: 27 · 2017: 13 · 2016: 15 · 2015: 13 · 2014: 15 · 2013: 12
FWCI: 2.00
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: International Journal for Equity in Health (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Social Sciences › Health › Health disparities and outcomes
Health Sciences › Health Professions › General Health Professions › Interpreting and Communication in Healthcare
Keywords: social gradient, physician-patient communication, social class, income, occupation, verbal behavior, nonverbal behavior, patient perspectives, patient empowerment
MeSH terms: Acculturation, Affective Symptoms, Communication, Humans, Physician-Patient Relations, Social Behavior, Social Class, Verbal Behavior, Models, Statistical, Patient-Centered Care, Cultural Diversity, Health Status Disparities, Social Participation

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The social gradient in doctor-patient communication

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