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Relational control patterns in physician-patient clinical encounters: continuing the conversation
1Interdisciplinary Communication, Research Institute, Wichita State University, USA. cecil@unm.edu
Health Communication
|December 24, 2005
Summary
Physician-patient communication control impacts patient outcomes. Less physician control assertiveness and patient submission increase compliance, while less physician dominance enhances patient satisfaction.
Area of Science:
- Medical Communication
- Health Services Research
Background:
- Physician-patient communication is crucial for healthcare.
- Understanding control dynamics in clinical interactions is essential for improving patient outcomes.
Purpose of the Study:
- To apply the relational communication approach to analyze physician-patient control patterns.
- To explore how these control behaviors influence patient satisfaction and compliance.
Main Methods:
- Analysis of videotaped family medicine clinical visits using the Relational Communication Control Coding Scheme.
- Post-visit telephone surveys to assess patient satisfaction and compliance.
Main Results:
- Physicians predominantly exhibited control submission, while patients demonstrated greater control dominance.
- Reduced physician control assertiveness and patient control submission correlated with increased patient compliance.
- Lower physician control dominance was associated with higher patient satisfaction.
Conclusions:
- Physician-patient communication control patterns significantly affect patient compliance and satisfaction.
- Tailoring communication strategies to balance control dynamics can enhance patient outcomes.
- Further research into relational communication's role in healthcare is warranted.
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