Physician gender and patient centered communication: The moderating effect of psychosocial and biomedical case characteristics

Shin, Dong Wook; Roter, Debra; Roh, Yong Kyun; Hahm, Sang Keun; Cho, Belong; Park, Hoon Ki

doi:10.1016/j.pec.2014.10.008

Cited by 32 publications

(32 citation statements)

References 19 publications

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“…Future research should examine why female physicians were less likely to discuss glaucoma-related vision loss. Our results are contrary to prior work which has found that female physicians tend to be more patient-centered than male physicians [35, 36]. Future research using larger physician samples should examine how ophthalmologist gender is associated with communication during glaucoma visits to help understand why we found results that are contrary to prior work [35, 36].…”

Section: Discussioncontrasting

confidence: 99%

Glaucoma patient-provider communication about vision quality-of-life

Sleath

Sayner

Vitko

et al. 2017

Patient Education and Counseling

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Objective The purpose of this study was to: (a) describe the extent to which ophthalmologists and glaucoma patients discuss vision quality-of-life during office visits, and (b) examine the association between patient and ophthalmologist characteristics and provider-patient communication about vision quality-of-life. Methods Patients with glaucoma who were newly prescribed or on glaucoma medications were recruited at six ophthalmology clinics. Patients' visits were video-tape recorded and quality-of-life communication variables were coded. Generalized estimating equations were used to analyze the data. Results Two hundred and seventy-nine patients participated. Specific glaucoma quality-of-life domains were discussed during only 13% of visits. Older patients were significantly more likely to discuss one or more vision quality-of-life domains than younger patients. African American patients were significantly less likely to make statements about their vision quality-of-life and providers were less likely to ask them one or more vision quality-of-life questions than non-African American patients. Conclusion Eye care providers and patients infrequently discussed the patient's vision quality-of-life during glaucoma visits. African American patients were less likely to communicate about vision quality-of-life than non-African American patients. Practice Implications Eye care providers should make sure to discuss vision quality-of-life with glaucoma patients.

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Section: Discussioncontrasting

confidence: 99%

Glaucoma patient-provider communication about vision quality-of-life

Sleath

Sayner

Vitko

et al. 2017

Patient Education and Counseling

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“…This consideration might help to explain the significantly larger number of expressions of emotional distress from older people received by female nurses than by their male colleagues. In a previous study, female physicians were found to be more engaged in emotional discussion and to facilitate more patient‐centered dialogue than male physicians (Shin et al, ). It is important to be aware of existing differences (i.e.…”

Section: Discussionmentioning

confidence: 92%

Emotional communication with older people: A cross‐sectional study of home care

Höglander

Sundler

Spreeuwenberg

et al. 2019

Nursing & Health Sciences

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The aim of this study was to explore the influence of characteristics of nurses and older people on emotional communication in home care settings. A generalized, linear, mixed model was used to analyze 188 audio‐recorded home care visits coded with Verona Coding Definitions of Emotional Sequences. The results showed that most emotional distress was expressed by older females or with female nurses. The elicitation of an expression of emotional distress was influenced by the nurses' native language and profession. Older women aged 65–84 years were given the most space for emotional expression. We found that emotional communication was primarily influenced by sex for nurses and older people, with an impact on the frequency of expressions of and responses to emotional distress. Expressions of emotional distress by older males were less common and could risk being missed in communication. The results have implications for students' and health professionals' education in increasing their knowledge of and attentiveness to the impacts of their and others' characteristics and stereotypes on emotional communication with older people.

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“…(The negative effect of DMR on involvement in use of treatment tools would have been greater if the effect of patient centricity had not been present.) The link between a patient‐centric approach and SDM has been observed in numerous studies …”

Section: Discussionmentioning

confidence: 93%

“…The link between a patient-centric approach and SDM has been observed in numerous studies. [60][61][62] We tested whether trust has a moderating effect on the relationships between decision-making style, approach to patient care, and patient participation. No significant influences were detected (P > .05), which is reinforced by an earlier qualitative study, 63 which involved interviews with 15 immunologists in the United States, 14 of them had 10 or more years of experience in treating PID.…”

Section: Multi-groupmentioning

confidence: 99%

Shared decision making: Does a physician's decision‐making style affect patient participation in treatment choices for primary immunodeficiency?

Lamb

Wang

Lyytinen

2019

Evaluation Clinical Practice

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Overall health care spending in the United States is equivalent to more than 15% of GDP, yet outcomes rank below the top 25 in most quality categories when compared with other Organization for Economic Cooperation and Development (OECD) countries. The majority of spending is consumed by small patient populations with chronic diseases. Experts believe increased patient‐physician shared decision making (SDM) should result in better overall longitudinal care but understanding the physician's role in facilitating SDM is limited. Structural equation modelling was applied to results of a 2016 questionnaire‐based survey of 330 US physicians who treat approximately 55% of primary immune deficiency requiring immune globulin therapy; it tested the relationship between slow/rational vs fast/intuitive decision‐making styles and SDM as mediated by patient‐centric care and moderated by physician's trust in the patient. The results showed a statistically significant relationship between slow/rational decision making and SDM. The results also suggest differences related to age, gender, education, and race but no differences related to trust.

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Physician gender and patient centered communication: The moderating effect of psychosocial and biomedical case characteristics

Cited by 32 publications

References 19 publications

Glaucoma patient-provider communication about vision quality-of-life

Glaucoma patient-provider communication about vision quality-of-life

Emotional communication with older people: A cross‐sectional study of home care

Shared decision making: Does a physician's decision‐making style affect patient participation in treatment choices for primary immunodeficiency?

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