Further examination of the impact of patient participation on physicians' communication style

Patient Education and Counseling
Donald J CegalaBenedict C Nwomeh

Abstract

Previous research in primary care has shown that physicians are more informative and/or patient-centered when they interact with high participation patients (e.g., those who ask questions, express preferences and concerns). This study contributes to this literature by examining parents' participation and physicians' discourse in a pediatric surgery context. The audiotapes of 7 pediatric surgeons and 68 of their patients' parents/guardians were coded and examined for physicians' information exchange and support utterances as they interacted with parents/guardians with varying degrees of participation. The results of a multilevel regression analysis showed, consistent with related research, that the same physicians were more informative overall and provided more information in response to parents' questions when interacting with high participation parents. However, participation was not associated with physicians' volunteered information, general explanations, or support utterances. The results are discussed with respect to the impact of participation on physicians' information provision and implications for future research, particularly with respect to general explanations, volunteered information, and medical context. This stud...Continue Reading

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Apr 28, 2009·Patient Education and Counseling·Donald J Cegala, Douglas M Post

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Citations

Feb 27, 2013·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Susan EgglyTerrance Albrecht
Aug 6, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Susan EgglyTerrance L Albrecht
Apr 23, 2013·Patient Education and Counseling·Donald J CegalaBenedict C Nwomeh
Mar 29, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Emma Forsgren, Ida Björkman
Jun 17, 2020·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Rachel L HarringtonEleanor M Perfetto

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