How does communication heal? Pathways linking clinician-patient communication to health outcomes.
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| Title: | How does communication heal? Pathways linking clinician-patient communication to health outcomes. |
|---|---|
| Authors: | Street RL Jr (AUTHOR), Makoul G (AUTHOR), Arora NK (AUTHOR), Epstein RM (AUTHOR) |
| Source: | Patient Education & Counseling. Mar2009, Vol. 74 Issue 3, p295-301. 7p. |
| Abstract: | OBJECTIVE: Although prior research indicates that features of clinician-patient communication can predict health outcomes weeks and months after the consultation, the mechanisms accounting for these findings are poorly understood. While talk itself can be therapeutic (e.g., lessening the patient's anxiety, providing comfort), more often clinician-patient communication influences health outcomes via a more indirect route. Proximal outcomes of the interaction include patient understanding, trust, and clinician-patient agreement. These affect intermediate outcomes (e.g., increased adherence, better self-care skills) which, in turn, affect health and well-being. Seven pathways through which communication can lead to better health include increased access to care, greater patient knowledge and shared understanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and empowerment, and better management of emotions. CONCLUSION: Future research should hypothesize pathways connecting communication to health outcomes and select measures specific to that pathway. PRACTICE IMPLICATIONS: Clinicians and patients should maximize the therapeutic effects of communication by explicitly orienting communication to achieve intermediate outcomes (e.g., trust, mutual understanding, adherence, social support, self-efficacy) associated with improved health. [ABSTRACT FROM AUTHOR] |
| Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 105482473 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: How does communication heal? Pathways linking clinician-patient communication to health outcomes. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Street+RL+Jr%22">Street RL Jr</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Makoul+G%22">Makoul G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arora+NK%22">Arora NK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epstein+RM%22">Epstein RM</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Mar2009, Vol. 74 Issue 3, p295-301. 7p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVE: Although prior research indicates that features of clinician-patient communication can predict health outcomes weeks and months after the consultation, the mechanisms accounting for these findings are poorly understood. While talk itself can be therapeutic (e.g., lessening the patient's anxiety, providing comfort), more often clinician-patient communication influences health outcomes via a more indirect route. Proximal outcomes of the interaction include patient understanding, trust, and clinician-patient agreement. These affect intermediate outcomes (e.g., increased adherence, better self-care skills) which, in turn, affect health and well-being. Seven pathways through which communication can lead to better health include increased access to care, greater patient knowledge and shared understanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and empowerment, and better management of emotions. CONCLUSION: Future research should hypothesize pathways connecting communication to health outcomes and select measures specific to that pathway. PRACTICE IMPLICATIONS: Clinicians and patients should maximize the therapeutic effects of communication by explicitly orienting communication to achieve intermediate outcomes (e.g., trust, mutual understanding, adherence, social support, self-efficacy) associated with improved health. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=105482473 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.pec.2008.11.015 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 295 Titles: – TitleFull: How does communication heal? Pathways linking clinician-patient communication to health outcomes. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Street RL Jr – PersonEntity: Name: NameFull: Makoul G – PersonEntity: Name: NameFull: Arora NK – PersonEntity: Name: NameFull: Epstein RM IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar2009 Type: published Y: 2009 Identifiers: – Type: issn-print Value: 07383991 Numbering: – Type: volume Value: 74 – Type: issue Value: 3 Titles: – TitleFull: Patient Education & Counseling Type: main |
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