To identify physician and practice characteristics associated with a physician's propensity to involve patients in diagnostic and treatment decisions, or participatory decision-making style.
A representative cross-sectional sample of patients participating in the Medical Outcomes Study characterized each physician's style by using a self-reported questionnaire.
A single averaged style score was generated for each physician.
Style scores were compared among physicians who differed in age, sex, minority status, specialty, primary care training or training in interviewing skills, satisfaction with professional autonomy, and practice volume.
Solo practices, multispecialty groups, and health maintenance organizations in Boston, Chicago, and Los Angeles.
7730 patients sampled over 9 days from the practices of 300 physicians.
Physicians were practicing general internal medicine, family medicine, cardiology, and endocrinology.
Participatory decision-making style was measured using a three-item scale on a questionnaire that was completed by patients after their office visit.
Physician and practice characteristics were reported by physicians on self-administered questionnaires.
Among patients of physicians who were rated in the lowest (least participatory) quartile, one third changed physicians in the following year ; among patients of physicians who were rated in the highest quartile, only 15%...
Mots-clés Pascal : Relation médecin malade, Communication, Participation, Décision, Influence, Attitude, Homme, Observance
Mots-clés Pascal anglais : Physician patient relation, Communication, Participation, Decision, Influence, Attitude, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0162085
Code Inist : 002B30A05. Création : 199608.