Patient-physician fit: an exploratory study of a multidimensional instrument

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Alan SchwartzArthur S Elstein

Abstract

Patients face difficulty selecting physicians because they have little knowledge of how physicians' behaviors fit with their own preferences. To develop scales of patient and physician behavior preferences and determine whether patient-physician fit is associated with patient satisfaction. Two cross-sectional surveys of patients and providers. Ambulatory clinics at a university medical center. Participants. Eight general internists, 14 family physicians, and 193 patients. Two instruments were developed to measure 6 preferences for physician behaviors: 1) considering nonmedical aspects of the patient's life, 2) familiarity with herbal medicine, 3) physician decision making, 4) providing information, 5) considering the patient's religion, and 6) treating what the patient perceives as his or her problem. Patients reported how they would prefer physicians to behave, and physicians reported how they preferred to behave. Patients also rated satisfaction with their physician. Post hoc tests found that as a group, patients scored higher than physicians in preference for the physician to provide information and lower in preference for considering nonmedical aspects of the patient's life and religious beliefs. As hypothesized, preference...Continue Reading

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Citations

Oct 12, 2012·Journal of Immigrant and Minority Health·Memoona HasnainUNKNOWN UIC Experiences of Care Project Group
Dec 31, 2010·Journal of Women's Health·Memoona HasnainPatrick A Tranmer
Mar 19, 2008·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Austin S BaldwinPeter J Kaboli
Jan 23, 2014·International Journal of Audiology·Ariane Laplante-LévesqueCaitlin Grenness
Sep 26, 2008·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Wendy HuAndrew Kemp
Mar 10, 2006·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Edward Krupat

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