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Clin Pediatr (Phila). 2008 Jan;47(1):49-57. Epub 2007 Sep 27.

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

Author information

1
Center for Managing Chronic Disease University of Michigan, Ann Arbor, MI 48109-2029, USA. nmclark@umich.edu

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 < or = .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 < or = .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.

PMID:
17901215
DOI:
10.1177/0009922807305650
[Indexed for MEDLINE]

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