Patient affect,physician liking for the patient,physician behavior,and patient reported outcomes: A modeling approach |
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| Institution: | 1. Institute of Clinical Medicine, Campus Ahus, University of Oslo, Norway;2. HØKH, Research Centre, Akershus University Hospital, Norway;3. Department of Behavioural Sciences, Institute of Basal Medical Sciences, University of Oslo, Norway;4. Department of Psychology, Northeastern University, Boston, MA, USA;1. UTHealth School of Public Health in San Antonio, San Antonio, Texas;2. UTHealth Long School of Medicine, San Antonio, Texas;3. University of Hawaii Internal Medicine Residency Program, Honolulu, Hawaii;4. UTHealth School of Public Health in Houston, Houston, Texas;1. Division of Plastic Surgery, Albany Medical Center, Albany, New York;2. Albany Medical College, Albany, New York;3. Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Bronx, New York;1. Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Columbia University College of Physicians and Surgeons, New York, NY;2. Department of Pediatrics, Baylor College of Medicine, Houston, TX;3. Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO;4. Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada;5. Department of Emergency Medicine, University of California, Davis School of Medicine, Sacramento, CA;1. Yale School of Medicine, New Haven, Connecticut;2. Yale New Haven Health, Department of Radiology and Biomedical Imaging, New Haven, Connecticut;3. Yale New Haven Health, Department of Medicine, Section of Digestive Diseases, New Haven, Connecticut;4. Professor of Radiology and Biomedical Imaging, Yale School of Medicine and Yale New Haven Health, New Haven, Connecticut;5. Chief MRI Services, Yale-New Haven Hospital, New Haven Connecticut |
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| Abstract: | ObjectiveTo determine associations between patient affect and physician liking of the patient, and their associations with physician behavior and patient-reported outcomes.MethodsStructural equation modeling based on coding of 497 videotaped hospital encounters, with questionnaires assessing pre-visit patient affect, post-visit patient affect and encounter evaluations, and physician liking of the patient, involving 71 physicians.ResultsIn first visits, patient reported outcomes were strongly correlated with physician behavior and less so with physician liking, while in later visits, patient reported outcomes were directly related to physician liking and not mediated by physician behavior. Physician liking predicted physician behavior, more for female physicians in first visits. Patient negative affect before the visit was negatively associated with male physicians’ liking. When acquainted, both patient positive and negative affect were associated with physician liking.ConclusionPhysician liking of the patient plays a dynamic role in a consultation, is influenced by patient pre-encounter affect, and influences physician behavior. The dynamics are different in first and later visits, and influenced by physician gender.Practice implicationsPhysicians should be aware how patient affect influences their behavior, and administrators should take any prior relationship between patient and physician into account when evaluating patient reported outcomes. |
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| Keywords: | Communication Physician-patient relationship Patient-centeredness Patient-reported outcomes Affect Physician behavior Physician liking Structural equation modeling Norway |
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