TY - JOUR
T1 - The impact of patient-centered communication on patients' decision making and evaluations of physicians
T2 - A randomized study using video vignettes
AU - Saha, Somnath
AU - Beach, Mary Catherine
N1 - Funding Information:
This research was supported by the Robert Wood Johnson Foundation, through its Generalist Physician Faculty Scholars Program. Dr. Saha was additionally supported by the United States Department of Veterans Affairs. The views expressed in this article are those of the authors and not necessarily those of the United States Department of Veterans Affairs or the Robert Wood Johnson Foundation.
PY - 2011/9
Y1 - 2011/9
N2 - Objective: To assess the impact of patient-centered communication (PCC) behaviors on patients' evaluations of physicians and acceptance of clinical recommendations. Methods: We randomized 248 patients to view video-recorded, standardized vignettes, depicting a cardiologist using a high vs. low degree of PCC while recommending bypass surgery to a patient with angina and 3-vessel coronary artery disease. We compared patients' ratings of the physician and their decision making in response to the physician's recommendation, for high vs. low PCC vignettes. Results: Patients viewing high PCC vignettes rated the video physician more favorably overall (3.01 vs. 2.12, p< 0.001) and as more competent (3.22 vs. 2.66, p< 0.001) and trustworthy (2.93 vs. 2.28, p< 0.001) than those viewing the low PCC version (0-4 range for all scales). Patients viewing the high PCC version more frequently said they would undergo bypass surgery (96% vs. 74%, p< 0.001) if they were the patient in the video. Conclusion: Patients expressed greater confidence in physicians who used more PCC behaviors, and greater willingness to accept an evidence-based recommendation. Practice implications: PCC may make physicians more effective in the delivery of evidence-based care.
AB - Objective: To assess the impact of patient-centered communication (PCC) behaviors on patients' evaluations of physicians and acceptance of clinical recommendations. Methods: We randomized 248 patients to view video-recorded, standardized vignettes, depicting a cardiologist using a high vs. low degree of PCC while recommending bypass surgery to a patient with angina and 3-vessel coronary artery disease. We compared patients' ratings of the physician and their decision making in response to the physician's recommendation, for high vs. low PCC vignettes. Results: Patients viewing high PCC vignettes rated the video physician more favorably overall (3.01 vs. 2.12, p< 0.001) and as more competent (3.22 vs. 2.66, p< 0.001) and trustworthy (2.93 vs. 2.28, p< 0.001) than those viewing the low PCC version (0-4 range for all scales). Patients viewing the high PCC version more frequently said they would undergo bypass surgery (96% vs. 74%, p< 0.001) if they were the patient in the video. Conclusion: Patients expressed greater confidence in physicians who used more PCC behaviors, and greater willingness to accept an evidence-based recommendation. Practice implications: PCC may make physicians more effective in the delivery of evidence-based care.
KW - Communication
KW - Decision making
KW - Patient-centered care
KW - Physician-patient relations
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U2 - 10.1016/j.pec.2011.04.023
DO - 10.1016/j.pec.2011.04.023
M3 - Article
C2 - 21600723
AN - SCOPUS:80051785899
SN - 0738-3991
VL - 84
SP - 386
EP - 392
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -