ArticleJournal of general internal medicine2002
Unmet expectations for care and the patient-physician relationship.
Article in Journal of general internal medicine, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
72 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How patient-generated health data and patient-reported outcomes affect patient-clinician relationships: A systematic review.Health informatics journal · 2020Pooled it
- Effect of Expectation of Care on Adherence to Antihypertensive Medications Among Hypertensive Blacks: Analysis of the Counseling African Americans to Control Hypertension (CAATCH) Trial.Journal of clinical hypertension (Greenwich, Conn.) · 2016Trial
- Activation, self-management, engagement, and retention in behavioral health care: a randomized clinical trial of the DECIDE intervention.JAMA psychiatry · 2014Trial
- Spinal manipulative therapy-specific changes in pain sensitivity in individuals with low back pain (NCT01168999).The journal of pain · 2014Trial
- Supportive Outpatient-Provider Communication-A Scoping Review About Expectations, Experiences, and Actual Behaviours Regarding Healthcare Visits.Journal of evaluation in clinical practice · 2026Review
- Beyond a Diagnosis: A Qualitative Study Exploring Patient and Caregiver Expectations About Emergency Department Visits Amid Uncertainty.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Less continuity with more complaints: a repeated cross-sectional study of the association between relational continuity of care and patient complaints in English general practice.BMJ quality & safety · 2026Article
- Satisfaction with primary health care services among patients with chronic diseases: a qualitative study.Frontiers in medicine · 2026Article
- Voices of Students in Crisis: Qualitative Interviews with College Students Hospitalized for Psychiatric Distress.The Psychiatric quarterly · 2025Article
- The role of confidence/trust in the emergency department.BMC research notes · 2025Article
- What matters to you? An observational field study of patient and care provider expectations for health care relationships.PloS one · 2024Observational
- Treatment expectations of patients and clinicians: a cross-sectional study.Frontiers in psychiatry · 2024Article
- In their own words: Safety and quality perspectives from families of hospitalized children with medical complexity.Journal of hospital medicine · 2023Article
- Adherence to Antiretroviral Therapy and Its Predictive Factors Among People Living with HIV in China: A Behavioral Theory-Based Prospective Cohort Study.International journal of behavioral medicine · 2023Article
- Medical students' experiences when empathizing with patients' emotional issues during a medical interview - a qualitative study.BMC medical education · 2022Article
- Physician-patient agreement on physicians' communication skills and visit satisfaction in dermatology clinics: a one-with-many design.Health psychology report · 2022Article
- SIMDiscovery: a simulation-based preparation program for adolescents undergoing spinal fusion surgery.Spine deformity · 2021Article
- Hope versus reality: Parent expectations of genomic testing.Patient education and counseling · 2021Article
- Improved Inpatient Care through Greater Patient-Doctor Contact under the Hospitalist Management Approach: A Real-Time Assessment.International journal of environmental research and public health · 2021Article
- What do consumers with chronic conditions expect from their interactions with general practitioners? A qualitative study of Australian consumer and provider perspectives.Health expectations : an international journal of public participation in health care and health policy · 2020Article
12 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo profile patients likely to have unmet expectations for care, examine the effects of such expectations, and investigate how physicians' responses to patients' requests affect the development of unfulfilled expectations.
designPatient and physician questionnaires were administered before and after outpatient visits. A follow-up telephone survey was administered 2 weeks post visit.
settingThe offices of 45 family practice, internal medicine, and cardiology physicians. PATIENTS: Nine hundred nine adults reporting a health problem or concern. MEASUREMENTS AND MAIN
resultsBefore their visits, patients rated their general health and trust in the index physician. After the visit, patients reported upon 8 types of unmet expectations and any request they made. Two weeks thereafter, patients rated their visit satisfaction, improvement, and intention to adhere to the physician's advice. They also reported any postvisit health system contacts. Overall, 11.6% of patients reported >/=1 unmet expectation. Visits in which a patient held an unmet expectation were rated by physicians as less satisfying and more effortful. At follow-up, patients who perceived an unmet expectation for care also reported less satisfaction with their visits, less improvement, and weaker intentions to adhere. Patients with an unmet expectation related to clinical resource allocation had more postvisit health system contacts. Unmet expectations were typically reported by a patient whose request for a resource was not fulfilled.
conclusionsUnmet expectations adversely affect patients and physicians alike. Physicians' nonfulfillment of patients' requests plays a significant role in patients' beliefs that their physicians did not meet their expectations for care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.