A multicenter study of physician mindfulness and health care quality

Mary Catherine Beach, Debra Roter, Philip (Todd) Korthuis, Ronald M. Epstein, Victoria Sharp, Neda Ratanawongsa, Jonathon Cohn, Susan Eggly, Andrea Sankar, Richard D. Moore, Somnath (Som) Saha

Research output: Contribution to journalArticle

89 Citations (Scopus)

Abstract

Purpose Mindfulness (ie, purposeful and nonjudgmental attentiveness to one's own experience, thoughts, and feelings) is associated with physician well-being. We sought to assess whether clinician self-rated mindfulness is associated with the quality of patient care. Methods We conducted an observational study of 45 clinicians (34 physicians, 8 nurse practitioners, and 3 physician assistants) caring for patients infected with the human immunodeficiency virus (HIV) who completed the Mindful Attention Awareness Scale and 437 HIV-infected patients at 4 HIV specialty clinic sites across the United States. We measured patient-clinician communication quality with audio-recorded encounters coded using the Roter Interaction Analysis System (RIAS) and patient ratings of care. Results: In adjusted analyses comparing clinicians with highest and lowest tertile mindfulness scores, patient visits with high-mindfulness clinicians were more likely to be characterized by a patient-centered pattern of communication (adjusted odds ratio of a patient-centered visit was 4.14; 95% CI, 1.58-10.86), in which both patients and clinicians engaged in more rapport building and discussion of psychosocial issues. Clinicians with high-mindfulness scores also displayed more positive emotional tone with patients (adjusted β = 1.17; 95% CI, 0.46- 1.9). Patients were more likely to give high ratings on clinician communication (adjusted prevalence ratio [APR] = 1.48; 95% CI, 1.17-1.86) and to report high overall satisfaction (APR = 1.45; 95 CI, 1.15-1.84) with high-mindfulness clinicians. There was no association between clinician mindfulness and the amount of conversation about biomedical issues. Conclusions: Clinicians rating themselves as more mindful engage in more patient-centered communication and have more satisfied patients. Interventions should determine whether improving clinician mindfulness can also improve patient health outcomes.

Original languageEnglish (US)
Pages (from-to)421-428
Number of pages8
JournalAnnals of Family Medicine
Volume11
Issue number5
DOIs
StatePublished - Sep 2013

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Mindfulness
Quality of Health Care
Multicenter Studies
Physicians
Communication
HIV
Patient Care
Physician Assistants
Nurse Practitioners
Observational Studies
Emotions

Keywords

  • Acquired immunodeficiency syndrome
  • HIV
  • Mindfulness
  • Patient-physician communication
  • Patient-physician relations

ASJC Scopus subject areas

  • Family Practice
  • Medicine(all)

Cite this

A multicenter study of physician mindfulness and health care quality. / Beach, Mary Catherine; Roter, Debra; Korthuis, Philip (Todd); Epstein, Ronald M.; Sharp, Victoria; Ratanawongsa, Neda; Cohn, Jonathon; Eggly, Susan; Sankar, Andrea; Moore, Richard D.; Saha, Somnath (Som).

In: Annals of Family Medicine, Vol. 11, No. 5, 09.2013, p. 421-428.

Research output: Contribution to journalArticle

Beach, MC, Roter, D, Korthuis, PT, Epstein, RM, Sharp, V, Ratanawongsa, N, Cohn, J, Eggly, S, Sankar, A, Moore, RD & Saha, SS 2013, 'A multicenter study of physician mindfulness and health care quality', Annals of Family Medicine, vol. 11, no. 5, pp. 421-428. https://doi.org/10.1370/afm.1507
Beach, Mary Catherine ; Roter, Debra ; Korthuis, Philip (Todd) ; Epstein, Ronald M. ; Sharp, Victoria ; Ratanawongsa, Neda ; Cohn, Jonathon ; Eggly, Susan ; Sankar, Andrea ; Moore, Richard D. ; Saha, Somnath (Som). / A multicenter study of physician mindfulness and health care quality. In: Annals of Family Medicine. 2013 ; Vol. 11, No. 5. pp. 421-428.
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