Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations

By P. Little, H. Everitt, I. Williamson, G. Warner, M. Moore, Clare Gould, K. Ferrier, Sheila Payne. British medical journal, 2001

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Measuring patient-centered communication in patient-physician consultations: theoretical and practical issues. (2005, background): “Consultation care measure (Little et al., 2001) Communication and partnership (11 items) Physician verbal behaviors, patient perceptions of physician attitudes, patient reaction to physician behaviors relating to physician interest in patient and mutual discussion of diagnosis and treatment 1.”
Doctor-patient communication: a review. (2010, background): “Satisfaction needs to be investigated with a tightly defined and homogenous case mix to explore cause and effect of various factors on doctor-patient communication.(27) In addition, the Hawthorne effect (awareness that one is being observed and evaluated) is difficult to avoid in observational studi”
The Influence of the Patient-Clinician Relationship on Healthcare Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (2014, background): “In fact, most empirical studies examining the effect of the patient-clinician relationship on medical outcomes have been observational in nature [4,5,6,7,8,9,10,11] and therefore cannot assess causality.”