View in EDS

Patient-centered communication in primary care: physician and patient gender and gender concordance.

Saved in:
Bibliographic Details
Title: Patient-centered communication in primary care: physician and patient gender and gender concordance.
Authors: Bertakis KD (AUTHOR), Franks P (AUTHOR), Epstein RM (AUTHOR)
Source: Journal of Women's Health (15409996). Apr2009, Vol. 18 Issue 4, p539-545. 7p.
Subjects: Primary care, Physician-patient relations, Patients, Dyads, Gender, Sex differences (Biology), Concordances (Topology), Internists
Abstract: Background: Physicians' use of patient-centered communication (PCC) affects important outcomes of care. Although there is evidence that both patient and physician gender affect the process of care, there is limited information about their impact on PCC. Our objective was to investigate the influence of patient and physician gender, as well as gender concordance between patient and physician, on the patient centeredness of primary care visits. Methods: Participating primary care physicians (100 family physicians and internists) with clinical practices in the Rochester, New York area, had two unannounced covertly audiorecorded standardized patients' visits. Encounters were analyzed using the Measure of Patient-Centered Communication (MPCC), which measures three aspects of physician communication: Component 1 (Exploring both the disease and illness experience), Component 2 (Understanding the whole person), and Component 3 (Finding common ground). Results: Compared with male patients, females had interactions characterized by greater PCC (total and Component 2 scores). Whereas female physicians exhibited higher Component 1 scores, male physicians had higher Component 2 scores, and gender-concordant visits also exhibited higher Component 2 scores. However, there were no significant differences in total MPCC scores for encounters of female vs. male physicians or for genderconcordant compared with discordant patient-physician dyads. Conclusions: These findings add further evidence that patient gender can affect the interactions between physicians and patients. More research is needed to understand why male patients are less likely to have medical encounters in which their physicians employ a patient-centered practice style. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. 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: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 105513558
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Patient-centered communication in primary care: physician and patient gender and gender concordance.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Bertakis+KD%22">Bertakis KD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Franks+P%22">Franks P</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="%22Journal+of+Women's+Health+%2815409996%29%22">Journal of Women's Health (15409996)</searchLink>. Apr2009, Vol. 18 Issue 4, p539-545. 7p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Primary+care%22">Primary care</searchLink><br /><searchLink fieldCode="DE" term="%22Physician-patient+relations%22">Physician-patient relations</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Dyads%22">Dyads</searchLink><br /><searchLink fieldCode="DE" term="%22Gender%22">Gender</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+differences+%28Biology%29%22">Sex differences (Biology)</searchLink><br /><searchLink fieldCode="DE" term="%22Concordances+%28Topology%29%22">Concordances (Topology)</searchLink><br /><searchLink fieldCode="DE" term="%22Internists%22">Internists</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Physicians' use of patient-centered communication (PCC) affects important outcomes of care. Although there is evidence that both patient and physician gender affect the process of care, there is limited information about their impact on PCC. Our objective was to investigate the influence of patient and physician gender, as well as gender concordance between patient and physician, on the patient centeredness of primary care visits. Methods: Participating primary care physicians (100 family physicians and internists) with clinical practices in the Rochester, New York area, had two unannounced covertly audiorecorded standardized patients' visits. Encounters were analyzed using the Measure of Patient-Centered Communication (MPCC), which measures three aspects of physician communication: Component 1 (Exploring both the disease and illness experience), Component 2 (Understanding the whole person), and Component 3 (Finding common ground). Results: Compared with male patients, females had interactions characterized by greater PCC (total and Component 2 scores). Whereas female physicians exhibited higher Component 1 scores, male physicians had higher Component 2 scores, and gender-concordant visits also exhibited higher Component 2 scores. However, there were no significant differences in total MPCC scores for encounters of female vs. male physicians or for genderconcordant compared with discordant patient-physician dyads. Conclusions: These findings add further evidence that patient gender can affect the interactions between physicians and patients. More research is needed to understand why male patients are less likely to have medical encounters in which their physicians employ a patient-centered practice style. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. 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=pbh&AN=105513558
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1089/jwh.2008.0969
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 539
    Subjects:
      – SubjectFull: Primary care
        Type: general
      – SubjectFull: Physician-patient relations
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Dyads
        Type: general
      – SubjectFull: Gender
        Type: general
      – SubjectFull: Sex differences (Biology)
        Type: general
      – SubjectFull: Concordances (Topology)
        Type: general
      – SubjectFull: Internists
        Type: general
    Titles:
      – TitleFull: Patient-centered communication in primary care: physician and patient gender and gender concordance.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Bertakis KD
      – PersonEntity:
          Name:
            NameFull: Franks P
      – PersonEntity:
          Name:
            NameFull: Epstein RM
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: Apr2009
              Type: published
              Y: 2009
          Identifiers:
            – Type: issn-print
              Value: 15409996
          Numbering:
            – Type: volume
              Value: 18
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Journal of Women's Health (15409996)
              Type: main
ResultId 1