Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension

Swain, Sunayana; Hariharan, Meena; Rana, Suvashisa; Chivukula, Usha; Thomas, Marlyn

doi:10.1007/s12646-014-0291-5

Cited by 22 publications

(23 citation statements)

References 21 publications

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“…AO could not, however, account for medical advice adherence or other health behaviours. These findings also reflect the findings of previous research, which has found that perceived expectations of doctors interrelate with PQOC [ 40 ].…”

Section: Discussionsupporting

confidence: 90%

“…Since past literature has found that individuals’ AOs interrelates with their perceptions and behaviours [ 38 , 39 ], it was expected that this is also true within the domain of health. Further, patient’s perceptions of doctors’ expectations have been found to be interrelated with the doctor-patient relationship [ 40 ], which can in turn influence the quality of care and, health behaviours and quality of life of the patient [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

“…H1 was therefore supported: AO significantly interrelates with patients’ perceived expectations of their doctor. As mentioned previously, patients’ perceived expectations of their doctor can play an important role in shaping the doctor-patient relationship [ 11 , 40 ]. Thus, the interrelation between AO and patients’ perceived expectations of their doctor is an important factor to be considered when assessing the quality of a doctor-patient relationship which, as mentioned, tends to be both complex and suboptimal [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

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Investigating patients with an immigration background in Canada: relationships between individual immigrant attitudes, the doctor-patient relationship, and health outcomes

Whittal

Lippke

2015

BMC Public Health

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Background: Increasing immigration in the world today leads to more intercultural interactions. This is a particularly crucial fact in doctor-patient relationships, which often become more complex and suboptimal within an intercultural context. Since acculturation is a particularly important factor in this process, and the doctor-patient relationship is a key component in patient health outcomes, this study investigates the interrelation of individual immigrant acculturation orientations with the quality of the doctor-immigrant patient relationship, the patients' perceived quality of care, and how this relates to immigrant health behaviours and quality of life of the patients. Methods: 171 immigrant patients of various backgrounds participated in a paper and pencil questionnaire to assess the role of acculturation orientations (AO) on patients' perceived expectations of their doctor, perceived quality of care (PQOC), health behaviours and quality of life. Data were analyzed using ANOVA, regression and correlation procedures with SPSS statistical software. Results: Significant correlations were found between all AOs and measures of the participant feeling connected to the host or home culture, thereby verifying the measure of AO. All four AOs were significantly interrelated directly with the patient's perception of what the doctor expects of him/her, and the patients' quality of life. Patients' perceived expectations of their doctors were significantly related to the patients' PQOC, and PQOC was associated with improved health behaviours (adherence to doctor recommendations, physical activity maintenance self-efficacy). Conclusions: AO may be an important factor in the doctor-immigrant patient relationship, via a complex process involving the patients' perceptions of doctors' expectations and perceived quality of care. This has important implications, since such an understanding can be used to create interventions for both doctors and immigrant patients to learn about their own AO, how it can relate to the quality of their relationship, and ultimately, the quality of care, health and quality of life of the patient.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Investigating patients with an immigration background in Canada: relationships between individual immigrant attitudes, the doctor-patient relationship, and health outcomes

Whittal

Lippke

2015

BMC Public Health

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“…Increasing access to appropriate clinical care, supported by broad public health initiatives such as promoting use of community health workers to educate patients may help address the lack of awareness of risks from uncontrolled hypertension (7). Moreover, encouraging health care providers to more effectively communicate the dangers of uncontrolled hypertension can improve adherence to medications and prognosis (10). Additionally, risk awareness initiatives should tailor interventions to people with both diabetes and hypertension given the concurrent and heightened CVD and chronic kidney disease risks uncontrolled hypertension poses for them.…”

Section: Discussionmentioning

confidence: 99%

Public Awareness of Health-Related Risks From Uncontrolled Hypertension

et al. 2018

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Uncontrolled hypertension, a common disorder, is associated with increased long-term risk of several serious conditions. Awareness of the health risks of uncontrolled hypertension is not well understood. We used data from a nationwide panel survey to assess the awareness of risk associated with uncontrolled hypertension, stratified by cardiovascular disease risk factors. Awareness of increased risk from uncontrolled hypertension was high for some outcomes (heart attack, heart failure, stroke), and low for others (kidney disease, dementia). Several disparities in awareness were found. Complementary clinical and public health interventions could be instituted to increase awareness and target people who are high risk.

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“…It is characteristic of medical expert forums that patients and doctors have never seen each other before and, therefore, have no established doctor-patient relationship. This is relevant because a good doctor-patient relationship has a significant impact on various variables that support therapeutic success [ 19 ], such as patient adherence [ 20 , 21 ] or informed decision making [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Scientific Versus Emotional Wording of Patient Questions on Doctor-Patient Communication in an Internet Forum: A Randomized Controlled Experiment with Medical Students

Bientzle¹,

Griewatz²,

Kimmerle³

et al. 2015

J Med Internet Res

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BackgroundMedical expert forums on the Internet play an increasing role in patient counseling. Therefore, it is important to understand how doctor-patient communication is influenced in such forums both by features of the patients or advice seekers, as expressed in their forum queries, and by characteristics of the medical experts involved.ObjectiveIn this experimental study, we aimed to examine in what way (1) the particular wording of patient queries and (2) medical experts’ therapeutic health concepts (for example, beliefs around adhering to a distinctly scientific understanding of diagnosis and treatment and a clear focus on evidence-based medicine) impact communication behavior of the medical experts in an Internet forum.MethodsAdvanced medical students (in their ninth semester of medical training) were recruited as participants. Participation in the online forum was part of a communication training embedded in a gynecology course. We first measured their biomedical therapeutic health concept (hereinafter called “biomedical concept”). Then they participated in an online forum where they answered fictitious patient queries about mammography screening that either included scientific or emotional wording in a between-group design. We analyzed participants’ replies with regard to the following dimensions: their use of scientific or emotional wording, the amount of communicated information, and their attempt to build a positive doctor-patient relationship.ResultsThis study was carried out with 117 medical students (73 women, 41 men, 3 did not indicate their sex). We found evidence that both the wording of patient queries and the participants’ biomedical concept influenced participants’ response behavior. They answered emotional patient queries in a more emotional way (mean 0.92, SD 1.02) than scientific patient queries (mean 0.26, SD 0.55; t 74=3.48, P<.001, d=0.81). We also found a significant interaction effect between participants’ use of scientific or emotional wording and type of patient query (F 2,74=10.29, P<.01, partial η2=0.12) indicating that participants used scientific wording independently of the type of patient query, whereas they used emotional wording particularly when replying to emotional patient queries. In addition, the more pronounced the medical experts’ biomedical concept was, the more scientifically (adjusted β=.20; F 1,75=2.95, P=.045) and the less emotionally (adjusted β=–.22; F 1,74=3.66, P=.03) they replied to patient queries. Finally, we found that participants’ biomedical concept predicted their engagement in relationship building (adjusted β=–.26): The more pronounced their biomedical concept was, the less they attempted to build a positive doctor-patient relationship (F 1,74=5.39, P=.02).ConclusionsCommunication training for medical experts could aim to address this issue of recognizing patients’ communication styles and needs in certain situations in order to teach medical experts how to take those aspects adequately into account. In addition, communication training should also ma...

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Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension

Cited by 22 publications

References 21 publications

Investigating patients with an immigration background in Canada: relationships between individual immigrant attitudes, the doctor-patient relationship, and health outcomes

Investigating patients with an immigration background in Canada: relationships between individual immigrant attitudes, the doctor-patient relationship, and health outcomes

Public Awareness of Health-Related Risks From Uncontrolled Hypertension

Impact of Scientific Versus Emotional Wording of Patient Questions on Doctor-Patient Communication in an Internet Forum: A Randomized Controlled Experiment with Medical Students

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