Associations between thin slice ratings of affect and rapport and perceived patient-centeredness in primary care: Comparison of audio and video recordings

PATIENT EDUCATION AND COUNSELING

卷:100

Article

Henry, Stephen G.¹  Penner, Louis A.²  Eggly, Susan² 

[1] Univ Calif Davis, Dept Internal Med, Sacramento, CA 95817 USA

[2] Wayne State Univ, Dept Oncol, Karmanos Canc Inst, Detroit, MI USA

关键词: Affect;    Rapport;    Physician-patient relations;    Video recording;    Audio recording;    Patient-centered care;    Thin slices;    Primary care;   

DOI  :  10.1016/j.pec.2016.12.020

来源: Elsevier

【 摘 要 】

Objective: To investigate associations between ratings of thin slices from recorded clinic visits and perceived patient-centeredness; to compare ratings from video recordings (sound and images) versus audio recordings (sound only). Methods: We analyzed 133 video-recorded primary care visits and patient perceptions of patient-centeredness. Observers rated thirty-second thin slices on variables assessing patient affect, physician affect, and patient-physician rapport. Video and audio ratings were collected independently. Results: In multivariable analyses, ratings of physician positive affect (but not patient positive affect) were significantly positively associated with perceived patient-centeredness using both video and audio thin slices. Patient-physician rapport was significantly positively associated with perceived patient-centeredness using audio, but not video thin slices. Ratings from video and audio thin slices were highly correlated and had similar underlying factor structures. Conclusion: Physician (but not patient) positive affect is significantly associated with perceptions of patient-centeredness and can be measured reliably using either video or audio thin slices. Additional studies are needed to determine whether ratings of patient-physician rapport are associated with perceived patient-centeredness. Practice implications: Observer ratings of physician positive affect have a meaningful positive association with patients' perceptions of patient-centeredness. Patients appear to be highly attuned to physician positive affect during patient-physician interactions. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free