Evidence map›Paper›PMID 21600723›Full record

Trial reportPatient education and counseling2011

The impact of patient-centered communication on patients' decision making and evaluations of physicians: a randomized study using video vignettes.

Somnath Saha, Mary Catherine Beach

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report 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 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  8. A Team Approach to Patient-Centered Communication in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
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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

2 authors.

Somnath SahaPortland VA Medical Center, Portland, OR, USA. sahas@ohsu.edu
Mary Catherine Beach

Funding

Improving ARV Adherence Through Enhancement of HIV Providers' Counseling SkillsR34MH089279 · NIMH · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE, LAWS, MICHAEL BARTON · 2010 to 2011
$707k
NIMHD NIH HHS L60 MD000303NIMH NIH HHS R34 MH089279
6 · The paper itself

Abstract

objectiveTo assess the impact of patient-centered communication (PCC) behaviors on patients' evaluations of physicians and acceptance of clinical recommendations.

methodsWe randomized 248 patients to view video-recorded, standardized vignettes, depicting a cardiologist using a high vs. low degree of PCC while recommending bypass surgery to a patient with angina and 3-vessel coronary artery disease. We compared patients' ratings of the physician and their decision making in response to the physician's recommendation, for high vs. low PCC vignettes.

resultsPatients viewing high PCC vignettes rated the video physician more favorably overall (3.01 vs. 2.12, p<0.001) and as more competent (3.22 vs. 2.66, p<0.001) and trustworthy (2.93 vs. 2.28, p<0.001) than those viewing the low PCC version (0-4 range for all scales). Patients viewing the high PCC version more frequently said they would undergo bypass surgery (96% vs. 74%, p<0.001) if they were the patient in the video.

conclusionPatients expressed greater confidence in physicians who used more PCC behaviors, and greater willingness to accept an evidence-based recommendation. PRACTICE IMPLICATIONS: PCC may make physicians more effective in the delivery of evidence-based care.

Indexed as

CommunicationDecision MakingPatient-Centered CarePhysician-Patient RelationsCardiologyChi-Square DistributionFemaleHumansInterpersonal RelationsMaleMiddle AgedPhysiciansStatistics as TopicUnited StatesVideotape Recording

Identifiers

PMID21600723
PMCPMC3159856

What OpenQuestion holds

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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.