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Type: Journal article
Title: The search for reliable and valid measures of patient-centredness
Author: Winefield, H.
Murrell, T.
Clifford, J.
Farmer, E.
Citation: Psychology and Health: an international journal, 1996; 11(6):811-824
Publisher: Harwood Academic Publishers
Issue Date: 1996
ISSN: 0887-0446
Statement of
Helen Winefield, Tim Murrell, Julie Clifford and Elizabeth Farmer
Abstract: While patient-centredness in medical consultations has often been advocated, there are no standard measures for it and relatively little empirical evidence for its beneficial effects. Using the transcripts of 210 general practice consultations we applied two different measures of patient-centredness, and related the results to doctor and patient satisfaction with the consultations and consultation length. One measure was based on combined Verbal Response Modes indicative of Doctor Receptiveness and Patient Involvement, and the other measure was based on global ratings of the extent to which doctors solicited patient views, responded to them, related information to them, involved the patient in decision-making and checked their understanding. There was little relationship between patient satisfaction and patient-centredness of the consultations; more patient-centred consultations tended to last longer and to deal with psychosocial or complex problems, and were related to relative doctor dissatisfaction. It is important that recommendations made to medical practitioners about their professional communication skills should take account of the time and knowledge constraints within medical practice.
Keywords: Physician-patient relations, primary health care, communication skills, patient-centred approach
Rights: © 1996 OPA (Overseas Publishers Association)
DOI: 10.1080/08870449608400277
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Appears in Collections:Aurora harvest 5
Psychiatry publications

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