Building an Effective Doctor-Patient Relationship: From Patient Satisfaction to Patient Participation
Speedling, Edward J.
Rose, David N.
Social Science and Medicine. 1985; 21(2): 115-120.
Patient satisfaction is rejected as a sufficient measure of the quality and effectiveness of the physician patient relationship. Satisfaction appears to be correlated with passive acquiescence to treatment but not with commitment to health promoting behavior. Physicians are urged to involve patients in an informed decision making process by eliciting and including patient preferences in a health program that incorporates an active patient role. The authors suggest a preliminary, "utility value" model of clinical decision analysis to be used in conditions of uncertainty when the outcomes of care may be risky or costly. The model, which requires the physician to elicit the patient's ranking of potential outcomes of treatment options, integrates the probability of an event's occurrence with that event's outcome value. (KIE abstract)
Attitudes; Autonomy; Communication; Decision Analysis; Decision Making; Evaluation; Health; Life; Patient Care; Patient Compliance; Patient Participation; Patient Satisfaction; Patients; Physician Patient Relationship; Physicians; Probability; Professional Patient Relationship; Quality of Life; Uncertainty; Values;
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