Physicians' opening questions and patients' satisfaction.

Abstract:

OBJECTIVE:To determine the association between the format of physicians' opening questions that solicit patients' presenting concerns and patients' post-visit evaluations of (i.e., satisfaction with) the affective-relational dimension of physicians' communication. METHODS:Videotape and questionnaire data were collected from visits between 28 primary-care physicians and 142 adult patients with acute problems. Factor analysis resulted in three dependent variables derived from the 9-item Socioemotional Behavior subscale of the Medical Interview Satisfaction Scale. RESULTS:Question format was significantly, positively associated with patients' evaluations of physicians' listening (p=.028) and positive affective-relational communication (p=.046). CONCLUSION:Patients desire opportunities to present concerns in their own time and terms regardless of how extensively they act on this opportunity. PRACTICE IMPLICATIONS:Visits should be opened with general inquiries (e.g., What can I do for you today?) versus closed-ended requests for confirmation (e.g., Sore throat, huh?).

journal_name

Patient Educ Couns

authors

Robinson JD,Heritage J

doi

10.1016/j.pec.2005.11.009

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

279-85

issue

3

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(05)00332-0

journal_volume

60

pub_type

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