Clayman, M. L., Roter, D., Wissow, L. S., & Bandeen-Roche, K. (2005). Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits. Social Science Medicine, 60(7), 1583-1591.
Videotapes of 93 primary care visits by geriatric patients and a family member or friend revealed that the companions are more likely to facilitate patient understanding, physician understanding, and patient involvement in decision-making than engage in behaviors that were not helpful to building collaboration. Patients whose companion elicited the patients' opinions and asked them questions were four times more likely to participate in decision-making.
Jahng, K. H., Martin, L. R., Golin, C. E., & DiMatteo, M. R. (2005). Preferences for medical collaboration: Patient-physician congruence and patient outcomes. Patient Education & Counseling, 57(3), 308-314.
When patients' and their doctors' expectations for patient involvement are aligned, patient outcomes are more positive. Highest patient satisfaction scores were found in cases where both patient and doctor desire more patient involvement.
Kemp-White, M. & Bonvicini, K. (2003). Annotated bibliography for clinician-patient communication to enhance health outcomes. New Haven, CT: Bayer Institute for Health Care Communication.
A comprehensive bibliography, exploring the impact of clinician-patient communication is available on the Bayer Institute website at www.bayerinstitute.org/index.php?sec=biblio.
Lorig, K. R. & Holman, H. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1-7.
For over 20 years, Lorig and colleagues have developed and implemented a model for education and self-management of chronic illness that encourages patients and families to actively partner with health care providers in decision-making and care. This article reviews the model and what they have learned to date including the outcomes of such partnerships.
Lorig, K. R., Sobel, D. S., Stewart, A. L., et al. (1999). Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized control trial. Medical Care, 37(1), 5-14.
Results from this randomized control trial suggested that a chronic disease self-management program can improve health status while reducing hospitalization. Education programs for the subjects were taught by trained peers (patients) with chronic illness.
Marks, R., Allegrante, J. P., & Lorig, K. (2005). A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: Implications for health education practice (Part I). Health Promotion Practice, 6(1), 37-43.
Marks, R., Allegrante, J. P., & Lorig, K. (2005). A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (Part II). Health Promotion Practice, 6(2), 148-156.
Lorig and colleagues have transformed the traditional model of patient education into a model of collaborative self-management where the patient is an active participant in care planning and decision-making. This first article presents the framework and outcomes. The second article identifies and synthesizes the evidence.
McWilliam, C. L., Brown, J. B., & Stewart, M. (2000). Breast cancer patients' experiences of patient-doctor communication: A working relationship. Patient Education and Counseling, 39(2-3), 191-204.
Women with breast cancer who reported positive working relationships and communication with their health care provider were more likely to also report more control and mastery of the illness experience than women who did not have a positive relationship.
Safran, D., Taira, D., et al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-220.
This study sought to explore the relationships between the Institute of Medicine's recommended standards for primary care and patient outcomes. Physician-patient partnerships in which the patient perceived a trusting relationship and physician knowledge of the patient were highly correlated with adherence to treatment regimen, satisfaction with care, and improved health status.
Stewart, M. J., Brown, J. B., Donner, A., et al. (2000). The impact of patient-centered care on outcomes. Journal of Family Medicine, 49(9), 796-804.
In this study of 39 physicians and 315 patients, patients' perceptions of their physicians as patient-centered was positively associated with improved patients' health status and increased efficiency of care. This study of communication in outpatient visits revealed that when patients achieved common ground with physicians, health status and emotional health improved, while fewer referrals and diagnostic tests were needed two months after the visit. This study is part of a long-term program focusing on physician and patient relationships led by Stewart and colleagues.