ArticleHealth expectations : an international journal of public participation in health care and health policy2021
What are the underlying reasons behind socioeconomic differences in doctor-patient communication in head and neck oncology review clinics?
Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Potentially inappropriate prescribing (PIP) in older people and its association with socioeconomic deprivation-a systematic review and narrative synthesis.BMC geriatrics · 2024Pooled it
- Question prompt lists and caregiver question asking in pediatric specialty appointments: A randomized controlled trial.Patient education and counseling · 2023Trial
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- Hidden Costs of Endocrine Therapy for Black Breast Cancer Survivors: A Qualitative Examination of Patient and Provider Experiences.Clinical breast cancer · 2025Article
- Association between older adults' socioeconomic status and their healthcare experiences, preferences, and attitudes towards deprescribing: a cross-sectional study in 14 countries.Archives of public health = Archives belges de sante publique · 2025Article
- Observational
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- Socioeconomic status and older adult's experiences of weight loss: a qualitative secondary analysis.PloS one · 2025Article
- Social Determinants of Health: The Impact of This Overlooked Vital Sign.Journal of Brown hospital medicine · 2025Review
- Article
- Disparities in patient-resident physician communication and counseling: A multi-perspective exploratory qualitative study.PloS one · 2023Article
- Association of Smoking, Comorbidity, Clinical Stage, and Treatment Intent With Socioeconomic Differences in Survival After Oropharyngeal Squamous Cell Carcinoma in Denmark.JAMA network open · 2022Article
- What are the underlying reasons behind socioeconomic differences in doctor-patient communication in head and neck oncology review clinics?Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Impact of Socio-demographic Characteristics on Time in Outpatient Cardiology Clinics: A Retrospective Analysis.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveTo explore socioeconomic status (SES) differences in patterns of doctor-patient communication within head and neck cancer clinics and why such differences exist.
methodsThirty-six head and neck cancer review appointments with five Physicians were observed and audio-taped, along with follow-up interviews involving 32 patients. Data were analysed using Thematic Analysis, and compared by patient SES (education, occupation and Indices of Multiple Deprivation).
resultsThree main themes were identified: (a) Physicians used more humour and small talk in their consultations with high SES patients; (b) Low SES patients were more passive in their participation, engaged in less agenda setting and information-seeking, and framed their clinical experience differently; (c) Low SES patients had different preferences for involvement, defining involvement differently to high SES patients and were seen to take a more stoical approach.
conclusionLow SES patients take a more passive role in medical consultations, engage in less relational talk and are less likely to raise concerns, but were satisfied with this. Physicians may adapt their communication behaviour in response to low SES patients' expectations and preferences. PRACTICE IMPLICATIONS: A question prompt list may help low SES patients to raise concerns during their consultations. This may reduce inequalities in communication and health.
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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.