Abstract:
UNLABELLED:Social characteristics (e.g. race, gender, age, education) are associated with health care disparities. We introduce social concordance, a composite measure of shared social characteristics between patients and physicians. OBJECTIVE:To determine whether social concordance predicts differences in medical visit communication and patients' perceptions of care. METHODS:Regression analyses were used to determine the association of patient-provider social concordance with medical visit communication and patients' perceptions of care using data from two observational studies involving 64 primary care physicians and 489 of their patients from the Baltimore, MD/Washington, DC/Northern Virginia area. RESULTS:Lower patient-physician social concordance was associated with less positive patient perceptions of care and lower positive patient affect. Patient-physician dyads with low vs. high social concordance reported lower ratings of global satisfaction with office visits (OR=0.64 vs. OR=1.37, p=0.036) and were less likely to recommend their physician to a friend (OR=0.61 vs. OR=1.37, p=0.035). A graded-response was observed for social concordance with patient positive affect and patient perceptions of care. CONCLUSION:Patient-physician concordance across multiple social characteristics may have cumulative effects on patient-physician communication and perceptions of care. PRACTICE IMPLICATIONS:Research should move beyond one-dimensional measures of patient-physician concordance to understand how multiple social characteristics influence health care quality.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Thornton RL,Powe NR,Roter D,Cooper LAdoi
10.1016/j.pec.2011.07.015subject
Has Abstractpub_date
2011-12-01 00:00:00pages
e201-8issue
3eissn
0738-3991issn
1873-5134pii
S0738-3991(11)00382-Xjournal_volume
85pub_type
杂志文章abstract:OBJECTIVE:Patient engagement has been credited with contributing to improved outcomes and experiences of care. Patient engagement has become a widely used term, but remains a poorly understood concept in healthcare. Citations for the term have increased throughout the healthcare-related disciplines without a common def...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
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abstract:OBJECTIVE:To critically examine properties of clinician-patient communication measures and offer suggestions for selecting measures appropriate to the purposes of research or clinical practice assessment. METHODS:We analyzed different types of communication measures by focusing on their ontological properties. We desc...
journal_title:Patient education and counseling
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abstract:OBJECTIVE:The purpose of this project was to gather preliminary data on preferred content for text reminders sent to low-income parents. METHODS:A brief, IRB-approved survey was administered to 200 consecutive English-speaking parents of children under 6 years old at a Pediatric Residency clinic. Because text messages...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.08.007
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abstract:OBJECTIVE:This study investigates HIV positive adolescents' health literacy and whether factors associated with health literacy in HIV-positive adults are associated with health literacy among HIV-positive adolescents. METHODS:Adolescents in this study were behaviorally and perinatally HIV-infected youth (n=186) from ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.07.014
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To review the strengths and weaknesses of deliberative and intuitive processes in the context of patient decision support and to discuss implications for decision aid (DA) design. METHODS:Conceptual review of the strengths and weaknesses of intuitive and analytical decision making and applying these findings...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.11.016
更新日期:2013-05-01 00:00:00
abstract::Providing accurate information, in both verbal and written formats, is seen as an important component of patient care. For individuals diagnosed with cancer, acquiring information may be a particularly pertinent issue in terms of coping with the disease. Numerous information booklets are available for people with canc...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(96)00988-3
更新日期:1997-06-01 00:00:00
abstract:OBJECTIVE:We developed a curriculum to increase internal medicine interns' proficiency in sexual history taking and sexually transmitted illness (STI) counseling. METHODS:The 4-h curriculum included didactics and interactive components, and was evaluated with matched pre- and post-surveys. RESULTS:Twenty-one interns ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.02.016
更新日期:2018-07-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2007.12.004
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abstract:OBJECTIVES:It is important for health professionals to have behavior change skills to empower people to manage long-term-conditions. Theoretically derived, competency-based training can be particularly effective where it considers reflective and automatic routes to behavior change. The aim of this study was to develop,...
journal_title:Patient education and counseling
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doi:10.1016/j.pec.2020.04.013
更新日期:2020-11-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.01.010
更新日期:2014-05-01 00:00:00
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journal_title:Patient education and counseling
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doi:10.1016/j.pec.2014.07.023
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abstract:OBJECTIVE:The role of the consultation in mediating improved clinical outcomes has been demonstrated in both conventional and complementary medicine but to date no depth study has explored how complementary medical consultations achieve such benefits. This study explored rheumatoid arthritis (RA) patients' perceptions ...
journal_title:Patient education and counseling
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doi:10.1016/j.pec.2011.11.008
更新日期:2012-12-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.06.002
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.11.006
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:In facilitating informed decision making about PSA screening, men are often asked to consider the potential consequences of the test, including a diagnosis of prostate cancer and how they would want to be treated. However, there is no empirical evidence thus far demonstrating that men are able to consider th...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.02.002
更新日期:2006-04-01 00:00:00
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更新日期:2020-03-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/s0738-3991(00)00181-6
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:This paper describes a translational project that explored the feasibility and effect of introducing a coordinated approach to emotional care. METHODS:The project was undertaken using Action Research on one ward at St John of God Hospital Subiaco, Western Australia. A senior Registered Nurse was appointed to...
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pub_type: 杂志文章
doi:10.1016/j.pec.2008.04.011
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abstract:OBJECTIVES:To evaluate the acceptability of the Integrated Parkinson's disease Care Network (IPCN) from the perspectives of persons with Parkinson's disease (PD), their care partners and healthcare providers, including identification of important components and areas for improvement. METHODS:We used a descriptive qual...
journal_title:Patient education and counseling
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,多中心研究
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pub_type: 杂志文章,随机对照试验
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更新日期:2006-12-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2009.09.027
更新日期:2010-07-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.05.007
更新日期:2012-10-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
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更新日期:2003-11-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2019.12.003
更新日期:2020-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.pec.2014.05.024
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(93)90004-g
更新日期:1993-12-01 00:00:00