Abstract
Background
Communication and interactions between patients and healthcare providers are important components in the provision of healthcare services. In this study, we assessed the effects of institutional factors, defined as a usual source of care and the type of a usual source of care, on perceived patient–provider communication and interactions.
Method
We used individual-level data for adults (N = 89,725) from the Medical Expenditure Panel Survey for the years 2001 to 2012 and employed multivariate logistic regressions to assess the relationship between institutional factors and four communication and interaction outcomes: provider listened to patient, provider explained so that patient understood, provider showed respect to patient, and provider spent enough time with patient.
Results
Adults who report having a usual source of care have significantly higher odds of reporting positively on their communication and interactions with their healthcare providers in comparison to adults who do not have a usual source of care. We also find that having an individual physician or nurse practitioner as a usual source of care further improves patient–provider communication and interaction in comparison to having an outpatient clinic, a hospital, an emergency department, or any other type of clinic as a usual source of care.
Conclusion
Our study shows that having a usual source of care is an important component in patient–provider communication and interactions, beyond patients’ personal characteristics. We also show that having a physician (or any other individual practitioner) rather than a healthcare facility, such as an outpatient clinic, as a usual source of care further improves patient–provider communication and interactions.
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Notes
See for example: Agency for Healthcare Research and Quality: Medical Expenditure Panel Survey (https://meps.ahrq.gov/survey_comp/household.jsp)
References
Ahmed F, Burt J, Roland M (2014) Measuring patient experience: concepts and methods. Patient 7:235–241
Andersen RM (1995) Revising the behavioral model and access to medical care: does it matter? J Health Soc Behav 36:1–10
Check DK, Chawla N, Kwan ML, Pinheiro L, Roh JM et al (2018) Understanding racial/ethnic differences in breast cancer-related physical wellbeing: the role of patient-provider interactions. Breast Cancer Res Treat 170:593–603
Chevarley FM (2011) Patient-provider communication by race/ethnicity and disability status: United States, 2007. Statistical brief #312. Agency for Healthcare Research and Quality, Rockville
DeVoe JE, Wallace LS, Fryer GE (2009a) Measuring patients’ perceptions of communication with healthcare providers: do differences in demographic and socioeconomic characteristics matter? Health Expect 12:70–80
DeVoe JE, Wallace LS, Fryer GE (2009b) Patient age influences perceptions about health care communication. Fam Med 41(2):126–133
Doyle C, Lennox L, Bell D (2013) A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open 3:1–18
Duberstein P, Meldrum S, Fiscella K, Shields CG, Epstein RM (2006) Influences of patients’ ratings of physicians: physicians demographics and personality. Patient Educ Couns 65:270–274
Ekholm O, Gundgaard J, Rasmussen NK, Hansen EH (2010) The effect of health, socio-economic position, and mode of data collection on non-response in health interview surveys. Scand J Public Health 38(7):699–706
Epstein RM, Street RL (2011) The values and value of patient-centered care. Ann Fam Med 9:100–103
Hall WJ, Chapman MV, Lee KM, Merino YM, Thomas TW et al (2015) Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. Am J Public Health 105(12):e60–e76
Haverfield MC, Tierney A, Schwartz R, Bass MB, Brown-Johnson C (2020) Can patient-provider interpersonal interventions achieve the quadruple aim of healthcare? A systematic review. J Gen Intern Med 35:2107–2117
Hawkins JM, Mitchell J (2018) The doctor never listens: older African American men’s perceptions of patient-provider communication. Soc Work Res 42(1):57–63
Jagosh J, Boudreau JD, Steinert Y, MacDonald ME, Ingram L (2011) The importance of physician listening from the patients’ perspective: enhancing diagnosis, healing, and the doctor-patient relationship. Patient Educ Couns 85:369–374
Korkeila K, Suominen S, Ahvenainen J, Ojanlatva A, Rautava P, Helenius H, Koskenvuo M (2001) Non-response and related factors in a nation-wide health survey. Eur J Epidemiol 17(11):991–999
Liaw W, Jetty A, Petterson S, Bazemore A, Green L (2018) Trends in the type of usual source of care: a shift from people to place or nothing at all. Health Serv Res 53:2346–2367
Machlin S, Yu W, Zodet M (2005) Computing standard errors for MEPS estimates. Agency for Healthcare Research and Quality, Rockville, MD. Accessed 8 Mar 2019 from http://www.meps.ahrq.gov/survey_comp/standard_errors.jsp
Miller NA, Kirk A, Kaiser MJ, Glos L (2014a) The relationship between health insurance and health care disparities among adults with disabilities. Am J Public Health 104(3):e85–e93
Miller NA, Kirk A, Kaiser MJ, Glos L (2014b) Disparities in access to health care among middle-aged and older adults with disabilities. J Aging Soc Policy 26(4):324–346
Neumann M, Edelhauser F, Kreps GL, Scheffer C, Lutz G, Tauschel D, Visser A (2010) Can patient-provider interaction increase the effectiveness of medical treatment or even substitute it? An exploration on why and how to study the specific effect of the provider. Patient Educ Couns 80(3):307–314
Ng CD (2019) Errors in body mass index from self-reported data by sex and across waves of add health. Ann Epidemiol 39:21–25
Remler DK, Van Ryzin GG (2011) Research methods in practice: strategies for description and causation. SAGE Publications, Inc., Thousand Oaks
Rutten LJF, Agunwamba AA, Beckjord E, Hesse BW, Moser RP et al (2015) The relation between having a usual source of car and ratings of care quality: does patient-centered communication play a role? J Health Commun 20:759–765
Saha S, Beach MC, Cooper LA (2008) Patient centeredness, cultural competence and healthcare quality. J Natl Med Assoc 100(11):1275–1285
Singh S, Evans N, Williams M, Sezginis N, Baryeh NAK (2018) Influences of socio-demographic factors and health utilization factors on patient-centered provider communication. Health Commun 33(7):917–923
Smith DL (2013) The relationship of age and satisfaction with physician-patient communication from the 2009 Medical Expenditure Panel Survey (MEPS). J Commun Healthc 6:44–57
Solon G, Haider SJ, Wooldridge JM (2015) What are we weighting for? J Hum Resour 50:301–316
Spooner KK, Salemi JL, Salihu HM, Zoorob RJ (2016) Disparities in perceived patient-provider communication quality in the United States: trends and correlates. Patient Educ Couns 99:844–854
StataCorp LP (2013) Stata statistical software: release 13. StataCorp LP, College Station
van Liew JR, Cvengros JA, Christensen AJ (2018) Patient-provider interactions: promoting effective behavior and providing optimal care. In: Fisher E et al (eds) Principles and concepts of behavioral medicine. Springer, New York
Viera AJ, Thorpe JM, Garrett J (2006) Effects of sex, age, and visits on receipt of preventive healthcare services: a secondary analysis of national data. BMC Health Serv Res 6(15):1–8
Wanzer MB, Booth-Butterfield M, Gruber K (2004) Perceptions of health care providers’ communication: relationships between patient-centered communication and satisfaction. Health Commun 16:363–383
White RO, Eden S, Wallston KA, Kripalani S, Barto S et al (2015) Health communication, self-care, and treatment satisfaction among low-income diabetes patients in public health settings. Patient Educ Couns 98(2):144–149
White-Means SI, Osmani AR (2017) Racial and ethnic disparities in patient-provider communication with breast cancer patients: evidence from 2011 MEPS and experiences with cancer supplement. Inquiry 54:1–17
Wiebe DJ, Baker AC, Marino JA (2020) Medical systems and patient-provider relationships. In: Delamater A, Marrero D (eds) Behavioral diabetes. Springer
Wooldridge JM (2009) Introductory econometrics: a modern approach, 4th edn. South Western, Mason
Young HN, Len-Rios ME, Brown R, Moreno MM, Cox E (2017) How does patient-provider communication influence adherence to asthma medications? Patient Educ Couns 100(4):696–702
Zuvekas SH, Olin GL (2009) Validating household reports of health care use in the Medical Expenditure Panel Survey. Health Serv Res 44(5):1679–1700
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Glos, L., Pinet-Peralta, L.M. The influence of institutional factors on patient–provider communication and interactions in the U.S. healthcare system. J Public Health (Berl.) 31, 123–134 (2023). https://doi.org/10.1007/s10389-020-01426-5
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DOI: https://doi.org/10.1007/s10389-020-01426-5