AI Article Synopsis

  • The study aimed to identify specific communication behaviors of physicians that are linked to patients' perceptions of care quality and positive health outcomes.
  • Among 452 families with children suffering from asthma, several communication behaviors, including careful listening and interactive conversations, were found to enhance patient perceptions of physician performance and reduce unnecessary healthcare use over 12 months.
  • The findings suggest that effective clinician communication can lead to better patient outcomes without extending the duration of visits, advocating for a clinician-patient partnership approach.

Article 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.

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Source
http://dx.doi.org/10.1177/0009922807305650DOI Listing

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