Original article
The effects of physician communications skills on patient satisfaction; Recall, and adherence

https://doi.org/10.1016/0021-9681(84)90044-4Get rights and content

Abstract

An understanding of means to improve patient adherence to the therapeutic regimen is a subject of increasing concern in medical care. This study examined the effects of physician interpersonal skills and teaching on patient satisfaction, recall, and adherence to the regimen. We studied the ambulatory visits of 63 patients to five medical residents at a teaching hospital in Baltimore.

It was found that quality of interpersonal skills influenced patient outcomes more than quantity of teaching and instruction. Secondary analyses found that all the effects of physician communication skills on patient adherence are mediated by patient satisfaction and recall. These findings indicate that the physician might pay particular attention to these two variables in trying to improve patient adherence, and that enhancing patient satisfaction may be pivotal to the care of patients with chronic illness.

References (39)

  • MR DiMatteo

    Patient's perceptions of physicians' behavior: Determinants of patient commitment to the therapeutic relationship

    J Commun Hlth

    (1975)
  • WB Stiles

    Interaction exchange and patient satisfaction with medical interviews

    Med Care

    (1979)
  • M Becker

    Motivations as predictors of health behavior

    Hlth Serv Rep

    (1972)
  • J Kincey

    Satisfaction and reported acceptance of advice in general practice: A preliminary study

    J R Coll Gen Prac

    (1975)
  • P Ley

    Towards better doctor-patient communications

  • JE Ware

    The measurement and meaning of patient satisfaction

    Health Med Care Serv Rev

    (1978)
  • BS Hulka

    Communication, compliance, and concordance between physicians and patients with prescribed medications

    Am J Publ Health

    (1976)
  • P Ley et al.

    Communications in an out-patient setting

    Br J Soc Clin Psychol

    (1965)
  • CRB Joyce

    Quantitative study of doctor-patient communication

    Q J Med

    (1969)
  • Cited by (294)

    • Emotional support from a digital assistant in technology-mediated services: Effects on customer satisfaction and behavioral persistence

      2021, International Journal of Research in Marketing
      Citation Excerpt :

      Evidence also exists regarding the serial causal chain linking emotional support to persistence in healthcare settings. Several studies support how physicians' empathy and warmth foster patients' satisfaction with the visit, which fosters medication persistence (e.g., Bartlett et al., 1984; Howe, Leibowitz, & Crum, 2019). Transferred to our context, we propose that customers' increased feelings of warmth induced by the supportive words of the digital assistant will increase customer satisfaction, and, in turn, their persistence in the task.

    View all citing articles on Scopus

    Research conducted at the Primary Care Residency Program, Baltimore City Hospital, Johns Hopkins University, Baltimore, Maryland 21224.

    View full text