The clinician-patient partnership paradigm: Outcomes associated with physician communication behavior

Noreen M. Clark, Michael D. Cabana, Bin Nan, Z. Molly Gong, Kathryn K. Slish, Nancy A. Birk, Niko Kaciroti

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Objective: To identify physician communication behaviors associated with perceptions of quality of care and predictive of positive patient outcomes. Patients and Methods: A total of 452 families seeing 48 pediatricians for a child's asthma participated. Perceptions and health care use were assessed at baseline and after 12 months through interviews and medical records. The measures used were 10 physician communication behaviors and 6 items describing physician's performance, asthma office visits, emergency department visits, and hospitalization. Results: Positive perceptions of physicians' performance were related to (P ≤.05) careful listening, inquiring about at-home management, nonverbal attention, interactive conversation, tailoring short-term goals, and long-term therapeutic plan. Loss in health care use was predicted (P ≤.05) by interactive conversation, short-term goals, criteria for decision making, long-term treatment plan, and tailoring according to needs. The use of these techniques did not lengthen the patient visit. A clinician-patient partnership paradigm is provided based on these findings. Conclusions: The specific clinician communication behaviors predicted reduced health care use and positive perceptions of quality of care.

Original languageEnglish (US)
Pages (from-to)49-57
Number of pages9
JournalClinical Pediatrics
Volume47
Issue number1
DOIs
StatePublished - Jan 1 2008
Externally publishedYes

Fingerprint

Communication
Physicians
Quality of Health Care
Delivery of Health Care
Asthma
Office Visits
Medical Records
Hospital Emergency Service
Decision Making
Hospitalization
Interviews
Therapeutics

Keywords

  • Asthma
  • Outcomes
  • Physician communication
  • Physician education

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

The clinician-patient partnership paradigm : Outcomes associated with physician communication behavior. / Clark, Noreen M.; Cabana, Michael D.; Nan, Bin; Gong, Z. Molly; Slish, Kathryn K.; Birk, Nancy A.; Kaciroti, Niko.

In: Clinical Pediatrics, Vol. 47, No. 1, 01.01.2008, p. 49-57.

Research output: Contribution to journalArticle

Clark, Noreen M. ; Cabana, Michael D. ; Nan, Bin ; Gong, Z. Molly ; Slish, Kathryn K. ; Birk, Nancy A. ; Kaciroti, Niko. / The clinician-patient partnership paradigm : Outcomes associated with physician communication behavior. In: Clinical Pediatrics. 2008 ; Vol. 47, No. 1. pp. 49-57.
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