Section B: Consultation Style
16 important questions on Section B: Consultation Style
With a lot of these types of studies (i.e. whether patient-centred or doctor centred style is better), there is a mixed bag of results. Why do you think this is?
Differences in methodology
What are some issues with communication research?
2. The research is not clear about what happens when the doctor's and patient's opinion clash
(p. 80 textbook)
From a patient's perspective, 2 needs have to be met to have a successful patient-doctor communication. What are they?
- The need to know and understand
- The need to feel known and to be understood
(p. 70 Berry textbook)
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What did Berry (2004) say?
What did Savage & Armstrong (1990) say?
What did Epstein et al. (2005) argue?
What did Coulter (1999) stress?
What did Levinson et al. (2010) support?
What is a limitation with Saha and Beach's (2011) study?
-->Taking this evidence into account, the applicability of Saha & Beach’s (2011) study to the general population is limited.
What did Patel et al. (2002) argue?
What did Swenson et al. (2004) find that links with Saha and Beachs' (2011) study?
What did McKinstry (2000) find?
What did Covey (2011) find?
What did Marcatto et al. (2013) argue? Who is this study supported by?
What did Swenson et al. (2004) argue in terms of individual differences?
--> Therefore, doctor flexibility is important in the decision-making process so that individual differences in patient preferences are respected.
What did Lee and Lin (2010) examine?
Results: autonomy preferences moderate the relationship between consulting style and satisfaction. The researchers indicated that patients with a higher autonomy preference preferred a patient-centred approach compared to those who wanted to be less involved in the treatment decision.
Limitation: the sample only consisted of older patients. Research has shown that older prefer a more passive role in decision making (Say et al. 2006), therefore the results may differ with a wider range of ages
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