Patient Exposition and Physician Explanation in Initial Medical Interviews and Outcomes of Clinic Visits

To replicate an earlier study and explore associations between verbal behaviors in patient-physician interactions and outcomes of care, 102 visits to a medicine walk-in clinic were tape-recorded, transcribed, and coded according to the Verbal Response Mode (VRM) system. Questionnaires given before and after the clinic visit and telephone interviews 1 week and 4 weeks after the visit were used to measure patient satisfaction, compliance, and change in symptoms. Data were collected on patients' sociodemographic characteristics, illness characteristics, and health beliefs. Two verbal exchanges were examined: in the medical history, the Patient Exposition exchange, which was measured as the frequency with which patients make statements about their illnesses in their own words; and in the conclusion, the Physician Explanation exchange, which was measured as the percentage of physician statements that are factual. These verbal indexes showed correlations with patient satisfaction, thus replicating the earlier study, but no significant correlations with compliance. Analysis of variance showed that the association between verbal exchanges and patient satisfaction remained after controlling for physician differences and for patient age, education, and belief in the controllability of the illness

Compliance (psychology) · Exposition (narrative) · Family medicine · Patient satisfaction · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Psychology · Psychology of Social Influence · Social Psychology

• Funding Cultural Adaptations to Promote Effective and Efficient Mental Health Service Provision

  Open Access•Lynda E Frost, Rick Ybarra•The Foundation Review•2011

  Incluir item

• Patient Portal Advertisements

  Open Access•Phoebe Elers, Frances Nelson et al.•Sites a journal of social…•2017

  Incluir item

• Instrumental and Affective Aspects of Physician Behavior

  Jozien M Bensing, Johan Dronkers•Medical Care•1992

  Incluir item

• Effects of Modeling on Patient Communication, Satisfaction, and Knowledge

  Lynda A Anderson, Brenda Mcevoy Devellis et al.•Medical Care•1987

  Incluir item

• Older Patients?? Health Status and Satisfaction With Medical Care in an HMO Population

  Judith A Hall, Michael Feldstein et al.•Medical Care•1990

  Incluir item

• The Relationship Between Patients?? Satisfaction With Their Physicians and Perceptions About Interventions They Desired and Received

  David S Brody, Suzanne M Miller et al.•Medical Care•1989

  Incluir item

• Evaluating Medical Interview Process Components

  William B Stiles•Medical Care•1989

  Incluir item

• How does communication heal? Pathways linking clinician–patient communication to health outcomes

  Open Access•Richard L Street, Gregory Makoul et al.•Patient Education and Counseling•2009

  Incluir item

• The Influence of the Patient-Clinician Relationship on Healthcare Outcomes

  Open Access•John M Kelley, Gordon Kraft-Todd et al.•PLoS ONE•2014

  Incluir item

• The Structure of Patients' Presenting Concerns

  J Heritage, Jeffrey D Robinson•Health Communication•2006

  Incluir item

• Defining Cultural Competence

  J R Betancourt

  Incluir item

• Exploring the Role of Provider–Patient Communication in Women’s Sexual Health and Pre-Exposure Prophylaxis Care in the Primary Care Settings in New York State of the United States

  Open Access•Chen Zhang, Kevin Fiscella et al.•International Journal of…•2022

  Incluir item

• Defining cultural competence

  Open Access•Joseph R Betancourt, Alexander R Green et al.•Public Health Reports•2003

  Incluir item

• The Relationship Between Cultural Competence Education and Increasing Diversity in Nursing Schools and Practice Settings

  Open Access•Dula F Pacquiao, Dula Pacquiao•Journal of Transcultural Nursing•2007

  Incluir item

• Between Orders and Relationships

  Agustina Ramón Michel, Sonia Ariza Navarrete•Soundings An Interdisciplinary…•2022

  Incluir item

• Responsible Health Communication

  Open Access•Wies Weijts•American Behavioral Scientist•1994

  Incluir item

• Verbal exchanges in medical interviews

  Open Access•William B Stiles, Samuel M Putnam•Social Science & Medicine•1992

  Incluir item

• Verbal Exchange Structure of General Practice Consultations with Patients Presenting Psychological Problems

  Open Access•John D Cape, John Cape et al.•Journal of Health Psychology•1998

  Incluir item

• Multi-dimensional interaction analysis

  Open Access•Rita Charon, Michele G Greene et al.•Social Science & Medicine•1994

  Incluir item

• Doctor-patient communication and the quality of care

  Open Access•Jozien M Bensing, Jozien Bensing•Social Science & Medicine•1991

  Incluir item

• The structure of patients' presenting concerns

  Open Access•Jeffrey D Robinson, J Heritage•Social Science & Medicine•2005

  Incluir item

• A model of empathic understanding and adherence to treatment regimens in practitioner-patient relationships

  Open Access•Roger W Squier•Social Science & Medicine•1990

  Incluir item

• Verbal exchanges in medical interviews

  Open Access•Samuel M Putnam, William B Stiles•Social Science & Medicine•1993

  Incluir item

• Older patient satisfaction with communication during an initial medical encounter

  Open Access•Michele G Greene, Ronald D Adelman et al.•Social Science & Medicine•1994

  Incluir item

• Children in chronic pain

  Open Access•I Clemente, Seung Hee Lee et al.•Social Science & Medicine•2008

  Incluir item

• Meta-analysis of satisfaction with medical care

  Open Access•Judith A Hall, Michael C Dornan•Social Science & Medicine•1988

  Incluir item

• Goal-setting in clinical medicine

  Open Access•Elizabeth H Bradley, Sidney T Bogardu et al.•Social Science & Medicine•1999

  Incluir item

• Reduction of Postoperative Pain by Encouragement and Instruction of Patients

  Lawrence D Egbert, George E Battit et al.•New England Journal of Medicine•1964

  Incluir item

• Gaps in Doctor-Patient Communication

  Vida Francis, Barbara M Korsch et al.•New England Journal of Medicine•1969

  Incluir item

• Communication, compliance, and concordance between physicians and patients with prescribed medications

  Barbara S Hulka, John C Cassel et al.•American Journal of Public Health•1976

  Incluir item

• Correlates of Outcomes in Patients with Congestive Heart Failure

  Fredric J Romm, Barbara S Hulka et al.•Medical Care•1976

  Incluir item

• Outcome-Based Doctor-Patient Interaction Analysis

  Thomas S Inui, William B Carter et al.•Medical Care•1982

  Incluir item

• Interaction Exchange Structure and Patient Satisfaction with Medical Interviews

  William B Stiles, Willlam B Stiles et al.•Medical Care•1979

  Incluir item

• Outcome-Based Doctor-Patient Interaction Analysis

  William B Carter, Thomas S Inui et al.•Medical Care•1982

  Incluir item

• Verbal response modes and dimensions of interpersonal roles

  William B Stiles•Journal of Personality and Social…•1978

  Incluir item

• Issues Underlying Prevalence of 'Doctor-Shopping' Behavior

  Josephine Kasteler, Josephine M Kasteler et al.•Journal of Health and Social…•1976

  Incluir item