ArticleBMC medical education2017
Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study.
Article in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers, 6 of them syntheses that pooled 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.
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
123 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Pooled it
- Conventions and research challenges in considering trust with socially assistive robots for older adults.Frontiers in robotics and AI · 2025Pooled it
- Acceptability of community health worker and peer supported interventions for ethnic minorities with type 2 diabetes: a qualitative systematic review.Frontiers in clinical diabetes and healthcare · 2024Pooled it
- Web-based decision aids for cancer clinical decisions: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Pooled it
- The Therapeutic Relationship in China: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Socio-economic differences in patient participation behaviours in doctor-patient interactions-A systematic mapping review of the literature.Health expectations : an international journal of public participation in health care and health policy · 2019Pooled it
- Utility of Generative Artificial Intelligence for Japanese Medical Interview Training: Randomized Crossover Pilot Study.JMIR medical education · 2025Trial
- An enhanced educational intervention for improving confidence in the eye health benefits of appropriate care for age-related macular degeneration: a randomized controlled trial.Health education research · 2025Trial
- Effects of preoperative education using virtual reality on preoperative anxiety and information desire: a randomized clinical trial.Journal of clinical monitoring and computing · 2023Trial
- General practitioners' perspectives regarding early developmental surveillance for autism within the australian primary healthcare setting: a qualitative study.BMC primary care · 2023Trial
- Trial
- Building Trust in a Newly Established Physician-Patient Relationship: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Facilitators of good consultations in primary health care clinics in Botswana: a qualitative study of patients' and doctors' views.BMC primary care · 2026Article
- The Association Between Healthcare Provider Trust and Healthcare Avoidance: Findings From a HIV Mixed Serostatus Cohort Study.American journal of health promotion : AJHP · 2026Article
- Saying goodbye to my doctor: a qualitative study on the experiences of chronically ill patients when facing the termination of a long-term treatment relationship in Hong Kong.BMC primary care · 2026Article
- Drivers Aesthetic Surgery Patient Satisfaction: Moderating Role of Physician-Patient Dissonance.Aesthetic plastic surgery · 2026Article
- The Access, Initiation, Engagement, Retention, and Recovery (AIERR) Model: A Stage-Based Framework for Understanding Mental Health Service Utilization.Healthcare (Basel, Switzerland) · 2026Review
- Trailblazing Person-Centred Care: Lessons From a Hospital Cluster-Wide Retreat to Co-Design Approaches to Person-Centred Care in Singapore.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- The latent determinants of higher order parity births (HOB) in Cheyyar & Tenkasi districts of Tamil Nadu - a qualitative exploration.Contraception and reproductive medicine · 2026Article
- Article
63 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundNew patients are a particularly vulnerable population because they are at high risk of missing a subsequent visit or dropping out of care completely. However, few data exist on what new patients value in the beginning of a relationship with a new provider. Persons with HIV infection may be an ideal population to study the drivers of a positive initial patient-provider relationship, as it is a chronic and serious condition that requires a reliable, ongoing relationship with a provider. Informed by patients' real experiences, this study aims to identify what patients see as the most critical elements for building trust and rapport from the outset.
methodsWe conducted longitudinal, in-person interviews with 21 patients new to the HIV clinic at the Michael E. DeBakey Veterans Affairs Medical Center in Houston, Texas, from August 2013 to March 2015. Patients were interviewed across three time points: once before their first provider visit, a second time within two weeks after the first visit, and a third time at 6 to 12 months after the first provider visit.
resultsWe conducted 61 h of patient interviews. The mean age was 53 years; 52% were non-Hispanic white, 23% were non-Hispanic black and 19% were Hispanic. Patients described significant anxiety and vulnerability not just from HIV itself, but also in starting a relationship as a new patient to a new provider. Our analysis of these experiences revealed five actions providers can take to reduce their patients' anxiety and build trust early in the first visit: 1) provide reassurance to patients, 2) tell patients it's okay to ask questions, 3) show patients their lab results and explain what they mean, 4) avoid language and behaviors that are judgmental of patients, and 5) ask patients what they want [i.e., treatment goals and preferences].
conclusionsOur study incorporates direct input from patients and highlights the unique psychological challenges that patients face in seeking care from a new provider. The actionable opportunities cited by patients have the potential to mitigate patients' feelings of anxiety and vulnerability, and thereby improve their overall health care experience.
Indexed as
Identifiers
What OpenQuestion holds
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.