Evidence map›Paper›PMID 15566435›Full record

Trial reportJournal of general internal medicine2004

Patient-centered communication: do patients really prefer it?

Sara L Swenson, Stephanie Buell, Patti Zettler, Martha White, Delaney C Ruston, Bernard Lo

Open access · greenAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 4 pooled it
13.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 4 syntheses or guidelines pooled it, 276 citations in OpenAlex.

  1. Pooled it
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  10. Evaluating Approaches for Communication About Genomic Influences on Body Weight.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015
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  15. Patient Perceptions of Weight Stigma Experiences in Healthcare: A Qualitative Analysis.Health expectations : an international journal of public participation in health care and health policy · 2024
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  19. 'The way you talk, do I have a choice?' Patient narratives of medication decision-making during hospitalization.International journal of qualitative studies on health and well-being · 2023
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  20. Review

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Sara L SwensonProgram in Medical Ethics, Division of General Internal Medicine, University of California San Francisco, CA 94143-0320, USA. swenson@medicine.ucsf.edu
Stephanie Buell
Patti Zettler
Martha White
Delaney C Ruston
Bernard Lo
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate patient preferences for a patient-centered or a biomedical communication style.

designRandomized study.

settingUrgent care and ambulatory medicine clinics in an academic medical center.

participantsWe recruited 250 English-speaking adult patients, excluding patients whose medical illnesses prevented evaluation of the study intervention.

interventionParticipants watched one of three videotaped scenarios of simulated patient-physician discussions of complementary and alternative medicine (CAM). Each participant watched two versions of the scenario (biomedical vs. patient-centered communication style) and completed written and oral questionnaires to assess outcome measurements. MEASUREMENTS AND MAIN

resultsMain outcome measures were 1) preferences for a patient-centered versus a biomedical communication style; and 2) predictors of communication style preference. Participants who preferred the patient-centered style (69%; 95% confidence interval [CI], 63 to 75) tended to be younger (82% [51/62] for age < 30; 68% [100/148] for ages 30-59; 55% [21/38] for age > 59; P < .03), more educated (76% [54/71] for postcollege education; 73% [94/128] for some college; 49% [23/47] for high school only; P= .003), use CAM (75% [140/188] vs. 55% [33/60] for nonusers; P= .006), and have a patient-centered physician (88% [74/84] vs. 30% [16/54] for those with a biomedical physician; P < .0001). On multivariate analysis, factors independently associated with preferring the patient-centered style included younger age, use of herbal CAM, having a patient-centered physician, and rating a "doctor's interest in you as a person" as "very important."

conclusionsGiven that a significant proportion of patients prefer a biomedical communication style, practicing physicians and medical educators should strive for flexible approaches to physician-patient communication.

Indexed as

CommunicationPatient SatisfactionAdultFemaleHumansMaleMiddle AgedMultivariate AnalysisPaternalismPhysician-Patient RelationsQualitative ResearchVideo Recording

Identifiers

PMID15566435
PMCPMC1494788
OpenAlexW2070584382

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.