R-E-S-P-E-C-T—What it Means to Patients
Aretha Franklin’s 1967 adaptation of Otis Redding’s “Respect” gave the song fame, contributed to the feminist movement and is widely credited with propelling her career. In the chorus, Franklin repeatedly sings “R-E-S-P-E-C-T—find out what it means to me”. A new study by Quigley and colleagues in this issue of JGIM turns the lens of this important question onto clinical consultations, reaffirming Franklin’s call in the private realm of physicians and patients.1
Using a large sample of survey data from the Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS), the authors tested the hypothesis that the most important communication predictor of patients’ overall physician rating is the item assessing patient’s perception of whether the physician showed respect. For 23 of 28 medical specialties, showing respect was the most predictive item of overall physician ratings, accounting for more than four times as much variance as the other survey items assessing communication behavi
- Quigley DD, Elliott MN, Farley DO, Burkhart Q, Skootsky SA, Hays RD. Specialties Differ in Which Aspects of Doctor Communication Predict Overall Physician Ratings. J Gen Intern Med. doi: 10.1007/s11606-013-2663-2.
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- Beach MC, Roter DL, Wang NY, Duggan PS, Cooper LA. Are physicians’ attitudes of respect accurately perceived by patients and associated with more positive communication behaviors? Patient Educ Couns. 2006;62(3):347–354. CrossRef
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- Patterson CH. Respect (Unconditional Positive Regard). In: The Therapeutic Relationship. Monterey, CA: Brooks/Cole; 1985.
- Schein EH. Humble Inquiry: The Gentle Art of Asking Instead of Telling. San Francisco, CA: Berrett-Koehler Publishers; 2013.
- Rollnick S, Miller WR, Butler CC. Motivational Interviewing in Health Care: Helping Patients Change Behavior. New York: Guildford Press; 2007.
- Mullainathan S, Shafir E. Scarcity: Why Having Too Little Means So Much. New York: Times Books; 2013.
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- R-E-S-P-E-C-T—What it Means to Patients
Journal of General Internal Medicine
Volume 29, Issue 3 , pp 427-428
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- 1. Gordon and Betty Moore Foundation, 1661 Page Mill Road, Palo Alto, CA, 94304, USA
- 2. Department of Medicine, University of California, Los Angeles, CA, USA
- 3. Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA