ArticlePatient education and counseling2011
The association of visit length and measures of patient-centered communication in HIV care: a mixed methods study.
Article in Patient education and counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Effects of Race and Racial Concordance on Patient-Physician Communication: A Systematic Review of the Literature.Journal of racial and ethnic health disparities · 2018Pooled it
- Development of the Chronic Pain Coding System (CPCS) for Characterizing Patient-Clinician Discussions About Chronic Pain and Opioids.Pain medicine (Malden, Mass.) · 2016Trial
- Examining Barriers to Cancer Care: A Needs Assessment of African American and Black African Immigrants in Iowa.Journal of racial and ethnic health disparities · 2026Article
- The Intergroup Time Bias and Its Implications for Medical Healthcare.The Journal of social issues · 2025Article
- "The doctor will see you now… but not for long": Linking physicians' racial attitudes and patients' discrimination experiences to racial disparities in the duration of medical consultations.Patient education and counseling · 2025Article
- Empowering people living with HIV (PLHIV): unveiling care gaps and identifying opportunities for improving care for PLHIV in Singapore and Hong Kong.Journal of the International AIDS Society · 2024Article
- Indian Society of Critical Care Medicine and Indian Association of Palliative Care Expert Consensus and Position Statements for End-of-life and Palliative Care in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Impact of Patients' Companions on Clinical Encounters Between Black Patients and Their Non-Black Oncologists.JCO oncology practice · 2021Article
- Article
- Operational characteristics of antiretroviral therapy clinics in Zambia: a time and motion analysis.BMC health services research · 2019Article
- Family Engagement in Pediatric Sickle Cell Disease Visits.Health communication · 2017Article
- Using topic coding to understand the nature of change language in a motivational intervention to reduce alcohol and sex risk behaviors in emergency department patients.Patient education and counseling · 2016Article
- Appreciating Reasons for Nonadherence in Women.Health care for women international · 2015Article
- Patient-centered care for people living with multimorbidity.Current opinion in HIV and AIDS · 2014Review
- Provider-patient communication about adherence to anti-retroviral regimens differs by patient race and ethnicity.AIDS and behavior · 2014Article
- Automatically annotating topics in transcripts of patient-provider interactions via machine learning.Medical decision making : an international journal of the Society for Medical Decision Making · 2014Article
- "Best practice" for patient-centered communication: a narrative review.Journal of graduate medical education · 2013Review
- Problems and processes in medical encounters: the cases method of dialogue analysis.Patient education and counseling · 2013Article
- Shared decision making: a fundamental tenet in a conceptual framework of integrative healthcare delivery.Integrative medicine insights · 2013Article
- Evaluation of dimensions and measurement scales in patient-centeredness.Patient preference and adherence · 2013Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivePatient centered clinical communication may be associated with longer encounters.
methodsWe used the General Medical Interaction Analysis System (GMIAS) to code transcripts of routine outpatient visits in HIV care, and create 5 measures of patient-centeredness. We defined visit length as number of utterances. To better understand properties of encounters reflected in these measures, we conducted a qualitative analysis of the 15 longest and 15 shortest visits.
resultsAll 5 measures were significantly associated with visit length (p<0.05, rank order correlations 0.21-0.44). In multivariate regressions, association of patient centeredness with visit length was attenuated for 4 measures, and increased for 1; two were no longer statistically significant (p>0.05). Black and Hispanic race were associated with shorter visits compared with White race. Some of the longest visits featured content that could be considered extraneous to appropriate care.
conclusionPatient centeredness is weakly related to visit length, but may reflect inefficient use of time in long encounters. PRACTICE IMPLICATIONS: Efforts to make visits more patient centered should focus on improving dialogue quality and efficient use of time, not on making visits longer. Shorter visits for Black and Hispanic patients could contribute to health disparities related to race and ethnicity.
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