Physician patient relationship and health outcomes in the us

physician patient relationship and health outcomes in the us

Keywords: physician-patient relationship, Internet, empowerment, health One major U.S. household survey found that 50% of respondents who found health . of empowerment within the clinical encounter have shown mixed outcomes. The effect of health insurance coverage and the doctor-patient relationship the effects of race on health outcomes where socioeconomic status includes and number seven causes of overall mortality in the US, respectively (Heron, ). Patients' trust in their health care professional is central to clinical in the health care provider in relation to the patient-clinician relationship, All records were transferred to EndNote (EndNote X7 Thomson Reuters, USA).

Nevertheless, these observational studies do suggest that relationship factors may hold important potential to affect health outcomes.

Doctors + Administrators: A Partnership for Better Healthcare

The patient-clinician relationship has both emotional and informational components — what Di Blasi and colleagues have termed emotional care and cognitive care [12].

Emotional care includes mutual trust, empathy, respect, genuineness, acceptance and warmth [13]. Cognitive care includes information gathering, sharing medical information, patient education, and expectation management.

3 Studies Show Patient-Physician Interaction Affects Health Outcomes | MedXM

Initially, our primary aim was to investigate the emotional component of the patient-clinician relationship. However, most studies of the patient-clinician relationship include both cognitive and emotional care, and consequently, we expanded our focus to include these studies also.

physician patient relationship and health outcomes in the us

We note, however, that studies that do not separately measure emotional care while investigating communication interventions leave unclear which factor — emotional care or cognitive care — is responsible for any beneficial effects. We also note that the boundary between cognitive care such as communications training and emotional care that enhances the patient-clinician relationship is unclear.

For example, communications interventions often train clinicians to ask more open-ended questions, to resist interrupting patients, to identify and respond to patient expectations and fears, and to check patients' understanding of the diagnosis and recommended treatment.

While these techniques are intended to improve the quality of information exchange, they are also likely to produce richer interpersonal interactions.

Indeed, any intervention designed to improve communication — if effectively employed — is also likely to improve the quality of the interpersonal relationship. Previous reviews have attempted to estimate the magnitude of the effect of relational factors on health outcomes and to discern the relative impact of discrete interventions and contextual factors [12][14][15][16][17].

Since the last review was published almost a decade ago, and in response to enormous changes in conceptual thinking about how best to restructure the delivery of healthcare services, we undertook an updated systematic review and meta-analysis examining whether the patient-clinician relationship has a beneficial effect on healthcare outcomes.

In contrast to previous reviews, we included in our review only randomized controlled trials RCTs that had either objective or validated subjective medical outcomes; and we excluded studies that only examined intermediate outcomes such as patient satisfaction or comprehension of medical advice.

Trust in the health care professional and health outcome: A meta-analysis

Therefore, the current review focuses on the most rigorous sources of evidence to determine whether the relationship between patient and clinician can produce improvements in health. We report here on the thirteen studies that met our selection criteria for study design and methods. The exact electronic search strategy and a full description are provided in File S1.

Briefly, the electronic search strategy required that articles: For the review by hand, the inclusion criteria were: Two interdependent researchers assessed the quality of the included studies using the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Exploratory analyses showed a large correlation between trust and patient satisfaction and somewhat smaller correlations with health behaviours, quality of life and symptom severity.

physician patient relationship and health outcomes in the us

Heterogeneity was small to moderate across the analyses. Conclusions From a clinical perspective, patients reported more beneficial health behaviours, less symptoms and higher quality of life and to be more satisfied with treatment when they had higher trust in their health care professional.

There was evidence for upward bias in the summarized results. Prospective studies are required to deepen our understanding of the complex interplay between trust and health outcomes.

physician patient relationship and health outcomes in the us

The General Medical Council states that " p atients must be able to trust doctors with their lives and health" and that maintaining trust is one core guidance for physicians [ 3 ]. Similar obligations are part of codes of conduct for other health care professionals such as nurses [ 4 ] or psychotherapists [ 5 ]. Patients have to trust their health care professionals to work in their best interest and outcome [ 6 ].

Trust in the health care professional and health outcome: A meta-analysis

In this regard, trust in the health care professional has been suggested to be the foundation for effective treatments [ 78 ] and fundamental for patient-centered care [ 9 ].

Besides such a deontological obligation for trust theoretical models describe mechanisms on how trust may influence health outcomes [ 710 — 12 ].

Some of those conceptualize trust in the health care provider in relation to the patient-clinician relationship, which has previously been shown to be significantly associated with health outcomes across 13 RCTs [ 13 ]. In the different studies the health outcomes encompass different dimensions, such as objectively measured indicators e.

CD4 cell counts [ 14 ], clinical observations e.

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  • 3 Studies Show Patient-Physician Interaction Affects Health Outcomes

The association between trust and health outcome has been found to differ across individual studies.