The Experts below are selected from a list of 16272 Experts worldwide ranked by ideXlab platform
Debra L Roter - One of the best experts on this subject based on the ideXlab platform.
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disentangling Physician sex and Physician communication style their effects on patient satisfaction in a virtual medical visit
Patient Education and Counseling, 2007Co-Authors: Marianne Schmid Mast, Judith A Hall, Debra L RoterAbstract:Objective: The present study aimed to investigate the effect of Physician sex and Physician communication style on patient satisfaction. In real medical visits, Physician sex and Physician communication style are confounded variables. By using the virtual medical visit paradigm, we were able to disentangle the two variables and study their separate and/or joint effects on patient satisfaction. Method: In an experimental design, analogue patients (167 students) interacted with a computer-generated virtual Physician on a computer screen. The patients’ satisfaction during the visit was assessed. Results: Depending on the sex composition of the dyad, Physician communication style affected analogue patients’ satisfaction differently. For instance, in male–male dyads, Physician communication style did not affect the patients’ satisfaction, whereas in Female–Female dyads, analogue patients were more satisfied when the Physician adopted a caring as opposed to a non-caring communication style. Conclusion: Sex of the Physician and sex of the patient moderate how different Physician communication styles affect patient satisfaction. In particular, a Female-sex role congruent communication style leads to higher patient satisfaction when women see a Female Physician. Practice implications: Physician communication training cannot be one size fits all. Rather Female and male Physicians should obtain different training and they need to be made aware of the fact that Female and male patients harbor different expectations toward them. # 2007 Elsevier Ireland Ltd. All rights reserved.
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effects of obstetrician gender on communication and patient satisfaction
Obstetrics & Gynecology, 1999Co-Authors: Debra L Roter, Barbara A. Bernhardt, Gail Geller, Susan Larson, Teresa DoksumAbstract:Objective: To describe patient-obstetrician communication during the first prenatal visit and its relationship to Physician gender and patient satisfaction. Methods: The first prenatal visit of 87 women with 21 obstetricians (11 male and ten Female) was audiotaped and analyzed using the Roter Interaction Analysis System. Patient satisfaction was measured by postvisit questionnaire. Results: Communication during first prenatal visits was largely biomedical, with little psychosocial or social discussion. Male Physicians conducted longer visits than Females (26 minutes versus 21.9 minutes, P 1.96, P 1.96, P < .05). Satisfaction with Physicians’ emotional responsiveness and informational partnership was related to Female Physician gender and a variety of task-focused and affective communication variables. Conclusion: Communication and satisfaction between women and obstetricians during initial prenatal visits is related to Physician gender and patient satisfaction. Male Physicians conducted longer visits but women were more satisfied with Female Physicians.
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gender in medical encounters an analysis of Physician and patient communication in a primary care setting
Health Psychology, 1994Co-Authors: Judith A Hall, Debra L Roter, Julie T Irish, Carol M Ehrlich, Lucy H MillerAbstract:The relation of Physician and patient gender to verbal and nonverbal communication was examined in 100 routine medical visits. Female Physicians conducted longer visits, made more positive statements, made more partnership statements, asked more questions, made more back-channel responses, and smiled and nodded more. Patients made more partnership statements and gave more medical information to Female Physicians. The combinations of Female Physician-Female patient and Female Physician-male patient received special attention in planned contrasts. These combinations showed distinctive patterns of Physician and patient behavior, especially in nonverbal communication. We discuss the relation of the results to gender differences in nonclinical settings, role strains in medical visits, and current trends in medical education.
Rachel Kupets - One of the best experts on this subject based on the ideXlab platform.
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women s behaviors toward mammogram and pap test opportunities to increase cervical cancer screening participation rates among older women
Womens Health Issues, 2018Co-Authors: Simon M Tavasoli, Eli Kane, Anna M Chiarelli, Rachel KupetsAbstract:Abstract Objectives Screening rates for cervical cancer remain moderate among women over 50 years of age. Because cervical and breast screening interventions can be linked, evaluating screening factors relating to both is important. This study evaluates factors associated with breast and cervical screening participation in women aged 52 to 69. Methods A cross-sectional study was used to describe characteristics associated with screening behaviors of 1,173,456 eligible women in Ontario, Canada. Overdue for screening was defined as more than 2.5 years from last mammogram or more than 3.5 years from last Pap test. Factors that might influence uptake of mammogram or Pap test were included as covariates in a multivariable multinomial logistic regression model. Results Overall, 52.4% of eligible women were up-to-date for both, 21.3% were overdue for both, 14.4% were overdue for Pap test but were up-to-date with mammogram, and 11.9% were overdue for mammogram but were up-to-date with Pap test. There was an opposite effect of age on likelihood of being overdue for Pap test only versus mammogram only. Women aged 67 to 69 compared with those 52 to 54 were more likely to be overdue for Pap test only (adjusted odds ratio, 2.3; 95% confidence interval, 2.3–2.4) and less likely to be overdue for mammogram only (adjusted odds ratio, 0.5; 95% confidence interval, 0.5–0.6). A greater proportion of women rostered to a Female Physician versus a male Physician were up-to-date for both (63.7% vs. 51.5%). Conclusions Comparing screening patterns may provide Physician- and patient-directed strategies to increase cervical screening participation by recruiting women who are overdue for Pap test but undergoing breast cancer screening.
Judith A Hall - One of the best experts on this subject based on the ideXlab platform.
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disentangling Physician sex and Physician communication style their effects on patient satisfaction in a virtual medical visit
Patient Education and Counseling, 2007Co-Authors: Marianne Schmid Mast, Judith A Hall, Debra L RoterAbstract:Objective: The present study aimed to investigate the effect of Physician sex and Physician communication style on patient satisfaction. In real medical visits, Physician sex and Physician communication style are confounded variables. By using the virtual medical visit paradigm, we were able to disentangle the two variables and study their separate and/or joint effects on patient satisfaction. Method: In an experimental design, analogue patients (167 students) interacted with a computer-generated virtual Physician on a computer screen. The patients’ satisfaction during the visit was assessed. Results: Depending on the sex composition of the dyad, Physician communication style affected analogue patients’ satisfaction differently. For instance, in male–male dyads, Physician communication style did not affect the patients’ satisfaction, whereas in Female–Female dyads, analogue patients were more satisfied when the Physician adopted a caring as opposed to a non-caring communication style. Conclusion: Sex of the Physician and sex of the patient moderate how different Physician communication styles affect patient satisfaction. In particular, a Female-sex role congruent communication style leads to higher patient satisfaction when women see a Female Physician. Practice implications: Physician communication training cannot be one size fits all. Rather Female and male Physicians should obtain different training and they need to be made aware of the fact that Female and male patients harbor different expectations toward them. # 2007 Elsevier Ireland Ltd. All rights reserved.
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gender in medical encounters an analysis of Physician and patient communication in a primary care setting
Health Psychology, 1994Co-Authors: Judith A Hall, Debra L Roter, Julie T Irish, Carol M Ehrlich, Lucy H MillerAbstract:The relation of Physician and patient gender to verbal and nonverbal communication was examined in 100 routine medical visits. Female Physicians conducted longer visits, made more positive statements, made more partnership statements, asked more questions, made more back-channel responses, and smiled and nodded more. Patients made more partnership statements and gave more medical information to Female Physicians. The combinations of Female Physician-Female patient and Female Physician-male patient received special attention in planned contrasts. These combinations showed distinctive patterns of Physician and patient behavior, especially in nonverbal communication. We discuss the relation of the results to gender differences in nonclinical settings, role strains in medical visits, and current trends in medical education.
Jonathan S. Slater - One of the best experts on this subject based on the ideXlab platform.
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Why Do Patients of Female Physicians Have Higher Rates of Breast and Cervical Cancer Screening?
Journal of General Internal Medicine, 1997Co-Authors: Nicole Lurie, Karen L. Margolis, Pamela J. Mink, Paul G. Mcgovern, Jonathan S. SlaterAbstract:OBJECTIVE: Women are more likely to receive breast and cervical cancer screening if they see Female Physicians. We studied whether this is due to differences between male and Female Physicians, or to differences in their patients. SETTING: Large midwestern, independent practice association style of health plan. DESIGN: We surveyed male and Female primary care Physicians matched for age and specialty and a stratified random sample of three of each Physician's women patients. Physicians reported on their practice setting, their attitudes and practices regarding prevention, and their comfort and skill with various examinations. Patients reported on their sociodemographic characteristics, their attitudes and practices regarding prevention, and their preferences for Physician gender. Claims data were used to calculate mammography and Pap smear screening rates for the Physicians PARTICIPANTS: We studied 154 Female and 190 male internists and family Physicians and 794 of their patients. MEASUREMENTS AND MAIN RESULTS: We compared the responses of male and Female Physicians and their patients and used multivariable analysis to identify the patient and Physician factors that accounted for the differences in screening rates between male and Female Physicians. Female Physicians were more likely to ask new patients about components of prevention, to believe in the effectiveness of mammography, to feel more personal responsibility for ensuring that their patients received screening, and to report more comfort in performing Pap smears and breast examinations. Patients of Female Physicians were more educated and less likely to be married, but did not differ in other sociodemographic characteristics. They had similar attitudes and practices regarding prevention, except that patients of male Physicians were more likely to smoke. Significantly more patients of Female Physicians preferred a Female for some component of care. In multivariable analyses, practice organization, patient preference for a Female Physician, and prevention orientation of Female Physicians accounted for up to 40% of screening rate differences between Female and male Physicians for Pap smears, and 33% for mammography. CONCLUSIONS: Differences in beliefs of male and Female Physicians and patient preference for a Female provider contribute independently to the higher rate of breast and cervical cancer screening by Female Physicians.
Lucy H Miller - One of the best experts on this subject based on the ideXlab platform.
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gender in medical encounters an analysis of Physician and patient communication in a primary care setting
Health Psychology, 1994Co-Authors: Judith A Hall, Debra L Roter, Julie T Irish, Carol M Ehrlich, Lucy H MillerAbstract:The relation of Physician and patient gender to verbal and nonverbal communication was examined in 100 routine medical visits. Female Physicians conducted longer visits, made more positive statements, made more partnership statements, asked more questions, made more back-channel responses, and smiled and nodded more. Patients made more partnership statements and gave more medical information to Female Physicians. The combinations of Female Physician-Female patient and Female Physician-male patient received special attention in planned contrasts. These combinations showed distinctive patterns of Physician and patient behavior, especially in nonverbal communication. We discuss the relation of the results to gender differences in nonclinical settings, role strains in medical visits, and current trends in medical education.
