Examining the validity of the unitary theory of clinical relationships: Comparison of observed and experienced parent–doctor interaction

Young, Bridget; Ward, Jo; Forsey, Mary; Gravenhorst, Katja; Salmon, Peter

doi:10.1016/j.pec.2010.08.027

Cited by 28 publications

(36 citation statements)

References 54 publications

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“…We therefore follow the argument of Di Blasi et al (2001): the results of a metaanalysis would have been like comparing apples with oranges. As previously pointed out by Salmon and Young (2005) and Young et al (2011), the abundance of approaches and the lack of unifying theories hamper the comparability and generalization of studies in this field. Nevertheless, our systematic review showed a large variety of studies investigating all kinds of different factors affecting the physicianpatient relationship and its influence on the patients' health status.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review

Riedl

Schüßler

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

134

111

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Zusammenfassung Der Einfluss dertion gathering, or patient education). We conducted a systematic review including publications from 2000 to 2015 to gather further empirical support. Methods: A systematic review was carried out (with information drawn mainly from Medline, Embase, Cochrane, PsychLit, and Psyndex) to identify RCTs as well as controlled and uncontrolled studies in clinical adult samples. Studies with psychiatric samples and psychologicalpsychotherapeutic interventions were excluded. Results: A total of 17 RCTs, 17 controlled studies, and 8 qualitative studies met the inclusion criteria. The quality of the RCTs and controlled studies was satisfying. In the doctor-patient relationship (building), 60% of the studies showed a positive effect on objective health parameters. Information gathering and provision (patient education) were the most investigated domains with unequivocally positive effects. Communication (skills) showed improved results and enabled treatment-related emotions and behavior. Two studies included an economical evaluation with reduced healthcare costs. Conclusions: A systematic review revealed different domains of the doctor-patient relationship and communication with convincing effects regarding different objective and subjective health outcomes.

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Section: Strengths and Limitationsmentioning

confidence: 99%

The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review

Riedl

Schüßler

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

134

111

View full text Add to dashboard Cite

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“…Observations of interaction can reveal little of the relationship experienced by each party [17][18][19][20][21], and interventions to improve clinical relationships have often produced 'benefits' that communication experts observe in dialogue between patients and practitioners but that patients do not experience [13,22,23]. For example, in studying parents' relationships with doctors caring for their children with leukaemia we compared clinical consultations with how parents and doctors each described their relationship in separate interviews [24]. Findings were inconsistent with the ways in which clinical relationships are usually conceptualised.…”

Section: Introductionmentioning

confidence: 99%

Integrative qualitative communication analysis of consultation and patient and practitioner perspectives: Towards a theory of authentic caring in clinical relationships

Salmon

Mendick

Young

2011

Patient Education and Counseling

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“…De modo geral, os serviços de saúde têm sido bem avaliados pelos cuidadores (Hart, Kelleher, Drotar, & Scholle, 2007;McGraw et al, 2012;B. Young, Ward, Forsey, Gravenhorst, & Salmon, 2011a).…”

Section: Efeitos Da Comunicação Sobre a Vivência Da Tríade Cuidadoresunclassified

Comunicação triádica em pediatria: revisão de literatura

Kohlsdorfi

Costa

2016

Temas Psicol.

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ResumoA comunicação triádica em pediatria tem sido foco de pesquisa nos últimos 20 anos, considerando a relevância de compreender este processo para melhorar a assistência em saúde a crianças e adolescentes. Esta revisão sistemática de literatura teve como objetivo analisar 118 trabalhos sobre este tema, publicados entre 2000 e 2012. Os resultados mostram distribuição regular dos estudos ao longo do período, com prevalência de pesquisas em caráter descritivo e com metodologia quantitativa. A literatura enfatiza que a comunicação promove melhores níveis de adesão aos cuidados, melhoria de sintomas e respostas clínicas, comportamentos colaborativos e adaptação ao tratamento, contudo a focalização de habilidades comunicativas triádicas durante a graduação profi ssional é insufi ciente. Destaca-se que a criança é excluída da interação e as demandas individuais por informação devem ser prioridade. São necessários mais estudos sobre intervenções psicossociais e em caráter longitudinal, que possam contribuir para a compreensão do processo de comunicação em pediatria.Palavras-chave: Revisão de literatura, comunicação pediátrica, relação terapêutica. Triadic communication in Pediatrics:Literature review AbstractTriadic communication in pediatrics has been focused in the last 20 years, considering the relevance of understanding this process in order to improve health assistance to children and adolescents. The main purpose of this systematic literature review was to analyze 118 papers related to this theme, published between 2000 and 2012. Results show a regular distribution of studies along this period, with prevalence of descriptive researches that included quantitative methodology. Literature emphasizes that communication promotes better adherence to healthcare, improvement in symptoms and clinical responses, collaborative behaviors and adaptation to treatment, however the focus on triadic communicative skills during graduation is not suffi cient. The child is excluded from the interaction and tailored demands for information must be a priority. More studies are needed, concerning psychosocial interventions in longitudinal design, which may contribute to understand communicative processes in pediatric settings.

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Examining the validity of the unitary theory of clinical relationships: Comparison of observed and experienced parent–doctor interaction

Cited by 28 publications

References 54 publications

The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review

The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review

Integrative qualitative communication analysis of consultation and patient and practitioner perspectives: Towards a theory of authentic caring in clinical relationships

Comunicação triádica em pediatria: revisão de literatura

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