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Patient Educ Couns. 2006 Jun;61(3):319-41. Epub 2005 Dec 20.

Optimal matches of patient preferences for information, decision-making and interpersonal behavior: evidence, models and interventions.

Author information

1
Virginia Commonwealth University, Department of Psychology, 808 W. Franklin Street, Box 842018, Richmond, VA 23284, USA.

Abstract

OBJECTIVE:

A comprehensive review was conducted of the theoretical and empirical work that addresses the preference-match strategy in physician-patient communication.

METHODS:

Searches were conducted on Medline, PsychINFO, InFoTrac One File Plus, Sociological Abstracts, and Dissertation Abstracts through 2004. The following keywords were used: patient preferred and received information; patient preferred and actualized treatment decision-making; patient-physician beliefs in shared decision-making; patient-physician match, fit, or concordance; reciprocal relationship or mutuality; doctor-patient affiliation, control, relationship; match/fit between patient and physician in affiliation, control, or relationship.

RESULTS:

Findings revealed varying degrees of support for the positive effects of matching patients' preferred levels of information, decisional control, and consultative interpersonal behavior.

CONCLUSIONS:

Findings justify not only continued but expanded research efforts in this area that would incorporate recommended changes in research design and implementation. PRACTICE AND RESEARCH IMPLICATIONS: Assessment strategies and match interventions are discussed that, if evidence continues to be supportive, might routinely optimize patient-physician encounters toward more positive outcomes. Methodological guidelines are suggested that can improve future preference-match studies of the patient-physician interaction. Practitioners need to consider adoption of patient-match assessment and intervention strategies in addition to recent exclusive concentrations on patient-centered and shared decision-making approaches.

PMID:
16368220
DOI:
10.1016/j.pec.2005.08.002
[Indexed for MEDLINE]

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