Associations of Patient Experience With Doctor-Patient Communication and Patient-Reported Physical and Mental Health in Seriously Ill Adults
The importance of effective doctor-patient communication is well established; however, rigorous evaluations of its association with patient-reported outcomes among seriously ill patients are needed. We analyzed 2 waves of survey data from adults with serious illnesses in primary care clinics. We adm...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-08-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735251352601 |
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| Summary: | The importance of effective doctor-patient communication is well established; however, rigorous evaluations of its association with patient-reported outcomes among seriously ill patients are needed. We analyzed 2 waves of survey data from adults with serious illnesses in primary care clinics. We administered the Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) communication scale, Patient-Reported Outcomes Measurement and Information System (PROMIS ® ) global health items, and the PROMIS-29 depression and anxiety scales. We evaluated a structural equation model to assess relationships between patient experience and self-reported global physical and mental health in 779 patients at baseline and 12 months later. Average age was 69, with 52% male, 18% Hispanic, 9% Asian, and 7% Black; 24% had a high school education or less. Better global health (PROMIS) at baseline was associated with better doctor-patient communication (CAHPS) at 12 months (β = 0.09, P = .005), and better doctor-patient communication at baseline was related to better mental health at follow-up (β = 0.07, P = .0105). The results suggest that patients’ overall health may influence doctor-patient communication, and this communication may impact patients’ mental health over time. |
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| ISSN: | 2374-3743 |