کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3814343 1246009 2011 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The impact of patient-centered communication on patients’ decision making and evaluations of physicians: A randomized study using video vignettes
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
The impact of patient-centered communication on patients’ decision making and evaluations of physicians: A randomized study using video vignettes
چکیده انگلیسی

ObjectiveTo assess the impact of patient-centered communication (PCC) behaviors on patients’ evaluations of physicians and acceptance of clinical recommendations.MethodsWe 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.ResultsPatients 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.ConclusionPatients expressed greater confidence in physicians who used more PCC behaviors, and greater willingness to accept an evidence-based recommendation.Practice implicationsPCC may make physicians more effective in the delivery of evidence-based care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Patient Education and Counseling - Volume 84, Issue 3, September 2011, Pages 386–392
نویسندگان
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