Disentangling physician sex and physician communication style: Their effects on patient satisfaction in a virtual medical visit

Mast, Marianne Schmid; Hall, Judith A.; Roter, Debra

doi:10.1016/j.pec.2007.03.020

Cited by 141 publications

(68 citation statements)

References 28 publications

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“…In contrast to research conducted in other areas of health care [7,40,41], the use of a particular interaction style during the history taking phase was not associated with the audiologist's gender or years of experience. This finding suggests that it may have been the patient who drove the psychosocial exchange and the audiologist responded somewhat accordingly.…”

Section: Discussioncontrasting

confidence: 92%

Audiologist-patient communication profiles in hearing rehabilitation appointments

Meyer

Barr

Khan

et al. 2017

Patient Education and Counseling

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Highlights Audiology consultations remain clinician-centred.  Three-quarters of appointments began with a biopsychosocial interaction.  All appointments ended with a biomedical interaction dominated by hearing aid talk.  Audiologist-patient communication was not associated with decision to trial HAs. Audiologist-patient communication in hearing rehabilitation 2 AbstractObjective. To profile the communication between audiologists and patients in initial appointments on a biomedical-psychosocial continuum; and explore the associations between these profiles and 1) characteristics of the appointment and 2) patients' decisions to pursue hearing aids.Methods. Sixty-three initial hearing assessment appointments were filmed and audiologistpatient communication was coded using the Roter Interaction Analysis System. A hierarchical cluster analysis was conducted to profile audiologist-patient communication, after which regression modelling and Chi-squared analyses were conducted.Results. Two distinct audiologist-patient communication profiles were identified during both the history taking phase (46 = biopsychosocial profile, 15 = psychosocial profile) and diagnosis and management planning phase (45 = expanded biomedical profile, 11 = narrowly biomedical profile). Shorter appointments were significantly more likely to be associated with a narrowly biomedical interaction during the diagnosis and management planning phase. No significant associations were found between audiologist-patient communication profile and patients' decisions to pursue hearing aids. Conclusion.Initial audiology consultations appear to remain clinician-centred. Three quarters of appointments began with a biopsychosocial interaction; however, 80% ended with an expanded biomedical interaction.Practice Implications. Findings suggest that audiologists could consider modifying their communication in initial appointments to more holistically address the needs of patients.

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Section: Discussioncontrasting

confidence: 92%

Audiologist-patient communication profiles in hearing rehabilitation appointments

Meyer

Barr

Khan

et al. 2017

Patient Education and Counseling

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“…However, there is evidence to suggest that patient gender can influence the type of information given by pharmacists during counselling 21. Pharmacist/counter assistant gender may also influence communication during consultations22, but pharmacy personnel gender was not recorded in this current study.…”

Section: Discussionmentioning

confidence: 72%

It’s not what you do it’s the way that it’s measured: quality assessment of minor ailment management in community pharmacies

Inch

Porteous

Maskrey

et al. 2016

International Journal of Pharmacy Practice

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BackgroundEffective management of minor ailments in community pharmacies could reduce the burden on alternative high‐cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies.ObjectiveTo explore the appropriateness of minor ailment management in community pharmacies.SettingProspective, observational study of simulated patient (SP) visits to community pharmacies in Grampian (Scotland) and East Anglia (England).MethodEighteen pharmacies (nine per centre) were recruited within a 25‐mile radius of Aberdeen or Norwich. Consultations for four minor ailments were evaluated: back pain; vomiting/diarrhoea; sore throat; and eye discomfort. Each pharmacy received one SP visit per ailment (four visits/pharmacy; 72 visits total). Visits were audio‐recorded and SPs completed a data collection form immediately after each visit.Primary Outcome MeasureEach SP consultation was assessed for appropriateness against product licence, practice guidelines and study‐specific consensus standards developed by a multi‐disciplinary consensus panel.ResultsEvaluable data were available for 68/72 (94.4%) visits. Most (96%) visits resulted in the sale of a product; advice alone was the outcome of three visits. All product sales complied with the product licence, 52 (76%) visits complied with practice guidelines and seven visits achieved a ‘basic’ standard according to the consensus standard.ConclusionAppropriateness of care varied according to the standard used. Pharmacy‐specific quality standards are needed which are realistic and relevant to the pharmacy context and which reflect legal and clinical guidelines to promote the safe and effective management of minor ailments in this setting.

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“…This means that ANOVAs without controlling for VP gender, AP gender, age, health status, and experience with physicians yielded the same results for the caring and dominance main effects as well as the interaction between caring and dominance. Gender effects from both VPs and APs are described in detail elsewhere 30 and Entries are frequencies.…”

Section: Resultsmentioning

confidence: 99%

Caring and Dominance Affect Participants’ Perceptions and Behaviors During a Virtual Medical Visit

2008

Self Cite

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BACKGROUND: Physician communication style affects patients' perceptions and behaviors. Two aspects of physician communication style, caring and dominance, are often related in that a high caring physician is usually not dominant and vice versa.OBJECTIVE: This research was aimed at testing the sole or joint impact of physician caring and physician dominance on participant perceptions and behavior during the medical visit. PARTICIPANTS AND DESIGN:In an experimental design, analog patients (APs) (167 university students) interacted with a computer-generated virtual physician on a computer screen. Participants were randomly assigned to 1 of 4 experimental conditions (physician communication style: high dominance and low caring, high dominance and high caring, low dominance and low caring, or low dominance and high caring). The APs' verbal and nonverbal behavior during the visit as well as their perception of the virtual physician were assessed. RESULTS: Analog patients were able to distinguish dominance and caring dimensions of the virtual physician's communication. Moreover, APs provided less medical information, spoke less, and agreed more when interacting with a high-dominant compared to a lowdominant physician. They also talked more about emotions and were quicker in taking their turn to speak when interacting with a high-caring compared to a lowcaring physician.CONCLUSIONS: Dominant and caring physicians elicit different emotional and behavioral responses from APs. Physician dominance reduces patient engagement in the medical dialog and produces submissiveness, whereas physician caring increases patient emotionality.

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Disentangling physician sex and physician communication style: Their effects on patient satisfaction in a virtual medical visit

Cited by 141 publications

References 28 publications

Audiologist-patient communication profiles in hearing rehabilitation appointments

Audiologist-patient communication profiles in hearing rehabilitation appointments

It’s not what you do it’s the way that it’s measured: quality assessment of minor ailment management in community pharmacies

Caring and Dominance Affect Participants’ Perceptions and Behaviors During a Virtual Medical Visit

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