Patient-physician communication: A descriptive summary of the literature

Roter, Debra; Hall, Judith A.; Katz, Nancy

doi:10.1016/0738-3991(88)90057-2

Cited by 258 publications

(121 citation statements)

References 60 publications

Supporting

Mentioning

106

Contrasting

Unclassified

Order By: Relevance

“…A study of 336 encounters with internists found that doctors often underestimated the desire of poorly educated or lower-class patients for information (Waitzkin 1984). Several studies demonstrate that minority and low-SES patients desire more information than they receive and ask fewer questions than other groups (Shapiro, Najman, Chang, et al 1983;Waitzkin 1985;Roter, Hall, and Katz 1988). The amount of information given may thus be inadequate for lower-SES or minority patients, suggesting a potential mechanism by which they experience poorer health outcomes than their counterparts.…”

Section: Explanations and Informationmentioning

confidence: 99%

Interpersonal Processes of Care in Diverse Populations

1999

View full text Add to dashboard Cite

Persons of lower socioeconomic status and members of racial and ethnic minority groups experience poorer health and increased health risk factors. A framework of interpersonal processes of care specifies distinct components and incorporates the perspective of diverse racial and ethnic or socioeconomic groups. Its dimensions, each with several domains, are communication (general clarity, elicitation of and responsiveness to patient concerns, explanations, empowerment), decision making (responsiveness to patient preferences, consideration of ability and desire to comply), and interpersonal style (friendliness, respectfulness, discrimination, cultural sensitivity, support). All the domains, except cultural sensitivity, were validated through a survey of 603 ethnically diverse, low‐income adults. Confirmation of the framework's usefulness should enable researchers to explore how interpersonal processes might account for observed ethnic and social class differences in health care and health.

show abstract

Section: Explanations and Informationmentioning

confidence: 99%

Interpersonal Processes of Care in Diverse Populations

1999

View full text Add to dashboard Cite

show abstract

“…In an early meta-analysis, Roter, Hall, & Katz (1988) criticized the inconsistent theoretical and operational definitions of the communication process, identifying 247 descriptive variables in 61 studies. Accordingly, a number of instruments have been developed to assess patient provider communication including analysis systems, scales, and direct interviews (Boon & Stewart, 1998;Roter et al, 1988).…”

Section: Measurement Of Communication Processesmentioning

confidence: 99%

“…Observation instruments relied on trained observers to ensure inter-rater reliability to analyze video or audio-taped interactions using Likert-rating scales, checklists of behaviors, or interactional analysis systems (Roter et al, 1988). These systems were linguistically based, focusing on the number and types of utterances observed by a third party coder (Street, 1992;Beckett et al, 2009).…”

Section: Interactional Analysis Systemsmentioning

confidence: 99%

See 1 more Smart Citation

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Howe

Cipher

LeFlore

et al. 2015

Journal of Health Communication

View full text Add to dashboard Cite

“…28,29 As can be seen in the Figure 1, both patients and providers in IM settings face a number of challenges that may contribute to poor communication and incorrect information about alcohol consumption in the context of HCV.…”

Section: Discussionmentioning

confidence: 99%

Communicating About Alcohol Consumption to Nonharmful Drinkers with Hepatitis C: Patient and Provider Perspectives

et al. 2008

View full text Add to dashboard Cite

BACKGROUND:Abstaining from alcohol consumption is generally recommended for patients with Hepatitis C (HCV). However, mixed research findings coupled with a lack of consistent guidelines on alcohol consumption and HCV may influence what healthcare providers tell their HCV patients about drinking. This may be more problematic when advising nonharmful drinkers with HCV, a population for whom consumption would not be a problem in the absence of their HCV diagnosis. OBJECTIVE:This study explores what healthcare providers advise their HCV patients who are drinking alcohol at nonharmful levels about alcohol use and what these patients actually hear. DESIGN:We conducted separate focus groups and interviews about alcohol use and HCV with nonharmful drinkers with HCV (N=50) and healthcare providers (N= 14) at a metropolitan teaching hospital. All focus groups and interviews were audio-taped, transcribed, and analyzed using NVivo, a qualitative data management and analysis program. RESULTS:We found similar themes about HCV and alcohol consumption (stop completely, occasional drink is ok, cut down, and provision of mixed/ambiguous messages), reported by both providers and patients. Patient respondents who reported hearing "stop completely" were more likely to have had their last medical visit at the gastroenterology (GI) clinic as opposed to the internal medicine (IM) clinic. Furthermore, IM providers were more likely to give their recommendations in "medical language" than were GI providers. CONCLUSIONS:To make the best health-related decisions about their disease, HCV patients need consistent information about alcohol consumption. Departments of Internal Medicine can increase provider knowledge about HCV and alcohol use by providing more education and training on HCV.

show abstract

Patient-physician communication: A descriptive summary of the literature

Cited by 258 publications

References 60 publications

Interpersonal Processes of Care in Diverse Populations

Interpersonal Processes of Care in Diverse Populations

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Communicating About Alcohol Consumption to Nonharmful Drinkers with Hepatitis C: Patient and Provider Perspectives

Contact Info

Product

Resources

About