Somnath Saha|Mary Catherine Beach
The impact of patient-centered communication on patients’ decision making and evaluations of physicians: A randomized study using video vignettes
Portland VA Medical Center|Johns Hopkins Medicine|Johns Hopkins University
assess impact patientcentered communication pcc behaviors patients evaluations physicians acceptance clinical recommendationswe randomized 248 patients view videorecorded standardized vignettes depicting cardiologist using high vs low degree pcc recommending bypass surgery patient angina 3vessel coronary artery disease compared patients ratings physician decision making response physicians recommendation high vs low pcc vignettespatients viewing high pcc vignettes rated video physician favorably overall 301 vs 212 p0001 competent 322 vs 266 p0001 trustworthy 293 vs 228 p0001 viewing low pcc version 04 range scales patients viewing high pcc version frequently said would undergo bypass surgery 96 vs 74 p0001 patient videopatients expressed greater confidence physicians used pcc behaviors greater willingness accept evidencebased recommendationpcc may make physicians effective delivery evidencebased care