The effect of a relationship-centered communication program on patient experience and provider wellness

Altamirano, Jonathan; Kline, Merisa; Schwartz, Rachel; Fassiotto, Magali; Maldonado, Yvonne; Weimer‐Elder, Barbette

doi:10.1016/j.pec.2021.10.025

Cited by 14 publications

(9 citation statements)

References 15 publications

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“…Thirdly, using mediating analysis, this study found that patient experiences mediate the relationship between system characteristics (information quality, peer communication, and system quality) and value co-creation behavior (participation and citizenship behavior). Consistent with prior works, the role of experience was also confirmed in this study [8]. Functional experiences and emotional experiences play partial mediating roles in system characteristics and patient value co-creation behavior.…”

Section: Discussionsupporting

confidence: 91%

“…It is affirmed that by providing services for users, online healthcare platforms could increase patient experiences to a large extent. For example, some programs have been conducted to enhance patient experiences [8]. In addition, it was shown that patient experiences in online healthcare platforms influence the well-being of patients positively (to some extent) [18].…”

Section: The Characteristics Of Online Healthcare Platforms and Patie...mentioning

confidence: 99%

“…For online healthcare platforms, how to increase the value and maintain the development of the platforms are prominent. Moreover, the patient's functional and emotional experiences could help to increase positive feelings [8] and further value co-creation. Value co-creation could help to enhance the competitiveness of platforms, promoting further patient value co-creation.…”

Section: Introductionmentioning

confidence: 99%

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Can Patients Co-Create Value in an Online Healthcare Platform? An Examination of Value Co-Creation

Ding

You

Zhang

et al. 2022

IJERPH

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With the development of online healthcare services, patients could receive support and create value with other users on online healthcare platforms. However, little research has been conducted on the internal mechanisms of patient value co-creation from the perspective of online healthcare platforms. To analyze patient value co-creation in online healthcare platforms, this study explores the underlying mechanisms of patient value co-creation among patients. The results show that value co-creation includes patient citizenship behavior and participation behavior. Information quality, peer communication, and system quality influence functional experiences and emotional experiences. In addition, functional experiences and emotional experiences could influence patient value co-creation. This study clarifies the mechanism of value co-creation among patients and provides insight into value co-creation in online healthcare platforms.

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Section: Discussionsupporting

confidence: 91%

Section: The Characteristics Of Online Healthcare Platforms and Patie...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Can Patients Co-Create Value in an Online Healthcare Platform? An Examination of Value Co-Creation

Ding

You

Zhang

et al. 2022

IJERPH

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“…In addition, Kett and colleagues found that many of these specialized centers lack full-time psychosocial professionals, which can make the challenge of communication with patients even greater [2]. Our data affirm prior evidence that, in trying to overcome institutional limitations, some clinicians feel pressured to provide counseling outside their scope of expertise [28].…”

Section: Results In the Context Of What Is Knownsupporting

confidence: 80%

“We All Want to Be Able to Tell You Something Hopeful”: Clinicians’ Experiences Providing Maternal-Fetal Surgery Counseling

Wilpers¹,

Hyatt²,

Bahtiyar³

et al. 2023

Fetal Diagn Ther

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INTRODUCTION: Prenatal counseling about maternal-fetal surgery can be traumatic and confusing for pregnant people. It can also be technically and emotionally complex for clinicians. As maternal-fetal surgery rapidly advances and becomes more common, more evidence is needed to inform counseling practices. The objective of this study was to develop a deeper understanding of the methods clinicians currently use to train for and provide counseling, as well as their needs and recommendations for future education and training. METHODS: We used interpretive description methods and interviewed interprofessional clinicians who regularly counsel pregnant people about maternal-fetal surgery. RESULTS: We conducted 20 interviews with participants from 17 different sites who were maternal-fetal medicine specialists (30%), pediatric surgeons (30%), nurses (15%), social workers (10%), a genetic counselor (5%), a neonatologist (5%), and a pediatric subspecialist (5%). Most were female (70%), non-Hispanic White (90%), and practiced in the Midwest (50%). We identified four overarching themes: 1) Contextualizing maternal-fetal surgery counseling; 2) Establishing shared understanding; 3) Supporting decision-making; and 4) Training for maternal-fetal surgery counseling. Within these themes, we identified key practice differences among professions, specialties, institutions, and regions. DISCUSSION/CONCLUSION: Participants are committed to practicing informative and supportive counseling to empower pregnant people to make autonomous decisions about maternal-fetal surgery. Nevertheless, our findings indicate a dearth of evidence-based communication practices and guidance. Participants identified significant systemic limitations affecting pregnant people’s decision-making options related to maternal-fetal surgery.

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“…Although clinicians spend more than two thirds of the patient-encounter time in intrapersonal communication, only a minority of them focus on patient centered care entailing personal, emotional, and psychological needs of patients [ 22 , 25 ]. Patient-centered communication improves both patient experience and provider wellness [ 26 ]. Despite much evidence regarding the centrality of communication to patient experience, health outcomes, and clinicians wellness, communication is an insufficient organizational strategy [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Personalized Communication with Patients at the Emergency Department—An Experimental Design Study

Gabay

Gere

Zemel³

et al. 2022

JPM

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Communication of clinicians at the emergency department is a barrier to patient satisfaction due to lack of human connection, lack of control over the situation, low health literacy, deficient information, poor support at a time of uncertainty all affecting perceived quality of care. This explorative study tests drivers of patient satisfaction with communication of clinicians at the emergency department. The sample comprises 112 Americans from the New York greater area, who visited an emergency department in the past year. A conjoint-based experimental design was performed testing six messages in six categories. The categories encompass acknowledged aspects of communication with health providers enabling to compare among them when exploring communication at the ED by patient preferences. Respondents rated messages by the extent to which it drives their satisfaction with communication of clinicians at the emergency department. Based on the similarity of patients’ response patterns to each message, three significantly distinct mindsets of patient preferences regarding communication exchanges with clinicians at the emergency department emerged. Different conduct and communication messages drive the satisfaction of members of each mindset with the communication of clinicians at the emergency department. The strong performing messages for one mindset are irrelevant for members of other mindsets. Clinicians may identify the patient-belonging to a mindset and communicate using mindset-tailored messages. This novel strategy may enable clinicians to implement patient-centered communication, by mindset, promoting patient satisfaction and enabling clinicians to better cope with patients in the chaotic emergency department environment.

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The effect of a relationship-centered communication program on patient experience and provider wellness

Cited by 14 publications

References 15 publications

Can Patients Co-Create Value in an Online Healthcare Platform? An Examination of Value Co-Creation

Can Patients Co-Create Value in an Online Healthcare Platform? An Examination of Value Co-Creation

“We All Want to Be Able to Tell You Something Hopeful”: Clinicians’ Experiences Providing Maternal-Fetal Surgery Counseling

Personalized Communication with Patients at the Emergency Department—An Experimental Design Study

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