Evidence map›Paper›PMID 32928758›Full record

Observational studyAnnals of family medicine2020

Assessing the Longitudinal Impact of Physician-Patient Relationship on Functional Health.

R Henry Olaisen, Mark D Schluchter, Susan A Flocke, Kathleen A Smyth, Siran M Koroukian, Kurt C Stange

Abstract readObservational Study
In one paragraph

Observational study in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–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

33 citing papers in PubMed.

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  14. Why Do Primary Care Patients Change Their Physicians: An Overview of the Literature.International journal of environmental research and public health · 2025
    Review
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  18. Ensuring useful adoption of generative artificial intelligence in healthcare.Journal of the American Medical Informatics Association : JAMIA · 2024
    Review
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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

6 authors.

R Henry OlaisenDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio rho2@case.edu.
Mark D SchluchterDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio.
Susan A FlockeDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Kathleen A SmythDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio.
Siran M KoroukianDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio.
Kurt C StangeDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAccess to a usual source of care is associated with improved health outcomes, but research on how the physician-patient relationship affects a patient's health, particularly long-term, is limited. The aim of this study was to investigate the longitudinal effect of changes in the physician-patient relationship on functional health.

methodsWe conducted a prospective cohort study using the Medical Expenditure Panel Survey (MEPS, 2015-2016). The outcome was 1-year change in functional health (12-Item Short-Form Survey). The predictors were quality of physician-patient relationship, and changes in this relationship, operationalized with the MEPS Primary Care (MEPS-PC) Relationship subscale, a composite measure with preliminary evidence of reliability and validity. Confounders included age, sex, race/ethnicity, educational attainment, insurance status, US region, and multimorbidity. We conducted analyses with survey-weighted, covariate-adjusted, predicted marginal means, used to calculate Cohen effect estimates. We tested differences in trajectories with multiple pairwise comparisons with Tukey contrasts.

resultsImproved physician-patient relationships were associated with improved functional health, whereas worsened physician-patient relationships were associated with worsened functional health, with 1-year effect estimates ranging from 0.05 (95% CI, 0-0.10) to 0.08 (95% CI, 0.02-0.13) compared with -0.16 (95% CI, -0.35 to -0.03) to -0.33 (95% CI, -0.47 to -0.02), respectively.

conclusionThe quality of the physician-patient relationship is positively associated with functional health. These findings could inform health care strategies and health policy aimed at improving patient-centered health outcomes.

Indexed as

Health StatusPatient Reported Outcome MeasuresPhysician-Patient RelationsAdultAgedFemaleHealth SurveysHumansInsurance CoverageLongitudinal StudiesMaleMiddle AgedOffice VisitsPrimary Health CareProspective StudiesUnited Statesfunctional healthimpactMedical Expenditure Panel Surveyprimary carerelationshipUnited States

Identifiers

PMID32928758
PMCPMC7489969

What OpenQuestion holds

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Registered trials

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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.