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The impact of general practitioners' patient-centredness on patients' post-consultation satisfaction and enablement

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  • Mead, Nicola
  • Bower, Peter
  • Hann, Mark

Abstract

The concept of patient-centredness is complex, but is generally seen as an approach that emphasises, on the part of the health professional, attention to patients' psychosocial (as well as physical) needs, the use of psychotherapeutic behaviours to convey a sense of partnership and positive regard, and active facilitation of patients' involvement in decision-making about their care. To date, there is little consistent evidence that doctors' use of a 'patient-centred' consulting style leads to better patient outcomes. However, previous studies have been limited by a lack of conceptual clarity and methodological consensus, and by the absence of a clear theoretical framework linking patient-centredness to outcomes. In this study, three specific, conceptually distinct dimensions of a patient-centred consulting style were operationalised: the 'biopsychosocial perspective', 'sharing power and responsibility' and the 'therapeutic alliance'. These dimensions were measured in terms of three 'socio-emotional' and two 'task-relevant' general practitioner (GP) behaviours using in-depth observational techniques applied to 173 videotaped GP consultations. Theoretically-derived hypotheses were tested concerning relationships between these patient-centred behaviours and two different consultation outcomes: patient satisfaction and enablement. Multivariate regression showed that GPs' patient-centred behaviours did not predict either outcome. The robustness of these findings is considered within the context of study strengths and weaknesses, and implications for future research are discussed.

Suggested Citation

  • Mead, Nicola & Bower, Peter & Hann, Mark, 2002. "The impact of general practitioners' patient-centredness on patients' post-consultation satisfaction and enablement," Social Science & Medicine, Elsevier, vol. 55(2), pages 283-299, July.
  • Handle: RePEc:eee:socmed:v:55:y:2002:i:2:p:283-299
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    Cited by:

    1. Augustine Adomah-Afari & Theophilus Maloreh-Nyamekye, 2019. "Enhancing Patient Satisfaction - Relationship Marketing Strategies of Two Specialist Hospitals in Accra, Ghana," International Journal of Social and Administrative Sciences, Asian Economic and Social Society, vol. 4(2), pages 213-231, June.
    2. Rathert, Cheryl & Mittler, Jessica N. & Vogus, Timothy J. & Lee, Yuna S.H., 2023. "Better outcomes through patient – Provider therapeutic connections? An exploratory study of proposed mediating variables," Social Science & Medicine, Elsevier, vol. 338(C).
    3. Mara Gorli & Serena Barello, 2021. "Patient Centredness, Values, Equity and Sustainability: Professional, Organizational and Institutional Implications," Sustainability, MDPI, vol. 13(23), pages 1-7, November.
    4. Jacobi Elliott & Heather McNeil & Jessica Ashbourne & Kelsey Huson & Veronique Boscart & Paul Stolee, 2016. "Engaging Older Adults in Health Care Decision-Making: A Realist Synthesis," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 9(5), pages 383-393, October.
    5. Zandbelt, Linda C. & Smets, Ellen M.A. & Oort, Frans J. & de Haes, Hanneke C.J.M., 2005. "Coding patient-centred behaviour in the medical encounter," Social Science & Medicine, Elsevier, vol. 61(3), pages 661-671, August.
    6. Hubert, Philipp & Abdel Hadi, Sascha & Mojzisch, Andreas & Häusser, Jan Alexander, 2022. "The effects of organizational climate on adherence to guidelines for COVID-19 prevention," Social Science & Medicine, Elsevier, vol. 292(C).
    7. Achim Siegel & Anna T. Ehmann & Ingo Meyer & Oliver Gröne & Wilhelm Niebling & Peter Martus & Monika A. Rieger, 2019. "PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version)," IJERPH, MDPI, vol. 16(23), pages 1, December.
    8. Tian, Xiaoli & Zhang, Sai, 2022. "Expert or experiential knowledge? How knowledge informs situated action in childcare practices," Social Science & Medicine, Elsevier, vol. 307(C).
    9. Greenfield, Geva & Pliskin, Joseph S. & Feder-Bubis, Paula & Wientroub, Shlomo & Davidovitch, Nadav, 2012. "Patient–physician relationships in second opinion encounters – The physicians’ perspective," Social Science & Medicine, Elsevier, vol. 75(7), pages 1202-1212.
    10. Lee, Yin-Yang & Lin, Julia L., 2010. "Do patient autonomy preferences matter? Linking patient-centered care to patient-physician relationships and health outcomes," Social Science & Medicine, Elsevier, vol. 71(10), pages 1811-1818, November.
    11. Mendick, Nicola & Young, Bridget & Holcombe, Christopher & Salmon, Peter, 2010. "The ethics of responsibility and ownership in decision-making about treatment for breast cancer: Triangulation of consultation with patient and surgeon perspectives," Social Science & Medicine, Elsevier, vol. 70(12), pages 1904-1911, June.

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