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. 2016 Feb;99(2):250-5.
doi: 10.1016/j.pec.2015.08.020. Epub 2015 Aug 20.

Respecting patients is associated with more patient-centered communication behaviors in clinical encounters

Tabor E Flickinger  1 , Somnath Saha  2 , Debra Roter  3 , P Todd Korthuis  4 , Victoria Sharp  5 , Jonathan Cohn  6 , Richard D Moore  3 , Karen S Ingersoll  7 , Mary Catherine Beach  3
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Respecting patients is associated with more patient-centered communication behaviors in clinical encounters

Tabor E Flickinger et al. Patient Educ Couns. 2016 Feb.

Abstract

Objective: Attitudes towards patients may influence how clinicians interact. We investigated whether respect for patients was associated with communication behaviors during HIV care encounters.

Methods: We analyzed audio-recordings of visits between 413 adult HIV-infected patients and 45 primary HIV care providers. The independent variable was clinician-reported respect for the patient and outcomes were clinician and patient communication behaviors assessed by the Roter Interaction Analysis System (RIAS). We performed negative binomial regressions for counts outcomes and linear regressions for global outcomes.

Results: When clinicians had higher respect for a patient, they engaged in more rapport-building, social chitchat, and positive talk. Patients of clinicians with higher respect for them engaged in more rapport-building, social chitchat, positive talk, and gave more psychosocial information. Encounters between patients and clinicians with higher respect for them had more positive clinician emotional tone [regression coefficient 2.97 (1.92-4.59)], more positive patient emotional tone [2.71 (1.75-4.21)], less clinician verbal dominance [0.81 (0.68-0.96)] and more patient-centeredness [1.28 (1.09-1.51)].

Conclusions: Respect is associated with positive and patient-centered communication behaviors during encounters.

Practice implications: Clinicians should be mindful of their respectful attitudes and work to foster positive regard for patients. Educators should consider methods to enhance trainees' respect in communication skills training.

Keywords: HIV/AIDS; Patient–clinician communication; Respect.

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Figure 1
Figure 1
Provider ratings of “a great deal of respect” for this patient, as compared to other patients
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