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Comparative Study
. 2010 Dec;102(12):1237-42.
doi: 10.1016/s0027-9684(15)30779-3.

Perceptions of health care communication: examining the role of patients' psychological distress

Jiali Ye  1 , Ruth Shim
Affiliations
Comparative Study

Perceptions of health care communication: examining the role of patients' psychological distress

Jiali Ye et al. J Natl Med Assoc. 2010 Dec.

Abstract

Objective: We sought to gain a better understanding of the relationship between patients' serious psychological distress (SPD) and their perception of interactions with health care providers and their ratings of the health care quality.

Methods: We analyzed data from 6286 adult respondents to the 2007 Health Information National Trends Survey. We conducted cross-tabulations to compare sociodemographic characteristics between those with SPD and those without SPD. Using odds ratios and 95% confidence intervals from logistic regression models, we assessed the association between psychological status and indicators of perceived health care communication and the overall health care quality after controlling for sociodemographic variables.

Results: Patients with SPD were less likely to report that their provider "always" paid attention to their feelings and emotions, "always" ensured their understanding of the needed care, and "always" assisted them dealing with uncertain feelings. These distressed patients were also less satisfied with the overall health care quality.

Conclusions: Patients' psychological distress is negatively associated with their perceived quality of communication with health providers. Further knowledge on the health care need of patients with SPD would be important in improving health service delivery and optimizing the psychological care of medical patients.

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References

    1. DeVoe JE, Wallace LS, Fryer GE., Jr Patient age influences perceptions about health care communication. Fam Med. 2009;41:126–133. - PMC - PubMed
    1. Dutta-Bergman MJ. The relation between health-orientation, provider-patient communication, and satisfaction: an individual-difference approach. Health Commun. 2005;18:291–303. - PubMed
    1. Kerse N, Buetow S, Mainous AG, Young G, Coster G, Arroll B. Physician- patient relationship and medication compliance: A primary care investigation. Ann Fam Med. 2004;2:455–461. - PMC - PubMed
    1. Trummer UF, Mueller UO, Nowak P, et al. Does physician-patient communication that aims at empowering patients improve clinical outcome? A case study. Patient Educ Couns. 2005;61:299–306. - PubMed
    1. Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ. 1995;152:1423–1433. - PMC - PubMed

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