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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| Format: | Article |
| Language: | English |
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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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| author | Sarah F. D’Ambruoso MSN Anne M. Walling MD, PhD Neil S. Wenger MD, MPH Rebecca L. Sudore MD Lisa Gibbs MD Maryam Rahimi MD Ron D. Hays PhD |
| author_facet | Sarah F. D’Ambruoso MSN Anne M. Walling MD, PhD Neil S. Wenger MD, MPH Rebecca L. Sudore MD Lisa Gibbs MD Maryam Rahimi MD Ron D. Hays PhD |
| author_sort | Sarah F. D’Ambruoso MSN |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e3cede2432024ee294a5216655be4b75 |
| institution | Kabale University |
| issn | 2374-3743 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj-art-e3cede2432024ee294a5216655be4b752025-08-20T04:01:58ZengSAGE PublishingJournal of Patient Experience2374-37432025-08-011210.1177/23743735251352601Associations of Patient Experience With Doctor-Patient Communication and Patient-Reported Physical and Mental Health in Seriously Ill AdultsSarah F. D’Ambruoso MSN0Anne M. Walling MD, PhD1Neil S. Wenger MD, MPH2Rebecca L. Sudore MD3Lisa Gibbs MD4Maryam Rahimi MD5Ron D. Hays PhD6 , Cleveland, OH, USA Department of Medicine, VA Greater Los Angeles Health System, Los Angeles, CA, USA Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, CA, USA San Francisco Veterans Affairs Health Care System, San Francisco, CA, USA Departments of Medicine and Family Medicine, University of California, Irvine, CA, USA Departments of Medicine and Family Medicine, University of California, Irvine, CA, USA Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, CA, USAThe 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.https://doi.org/10.1177/23743735251352601 |
| spellingShingle | Sarah F. D’Ambruoso MSN Anne M. Walling MD, PhD Neil S. Wenger MD, MPH Rebecca L. Sudore MD Lisa Gibbs MD Maryam Rahimi MD Ron D. Hays PhD Associations of Patient Experience With Doctor-Patient Communication and Patient-Reported Physical and Mental Health in Seriously Ill Adults Journal of Patient Experience |
| title | Associations of Patient Experience With Doctor-Patient Communication and Patient-Reported Physical and Mental Health in Seriously Ill Adults |
| title_full | Associations of Patient Experience With Doctor-Patient Communication and Patient-Reported Physical and Mental Health in Seriously Ill Adults |
| title_fullStr | Associations of Patient Experience With Doctor-Patient Communication and Patient-Reported Physical and Mental Health in Seriously Ill Adults |
| title_full_unstemmed | Associations of Patient Experience With Doctor-Patient Communication and Patient-Reported Physical and Mental Health in Seriously Ill Adults |
| title_short | Associations of Patient Experience With Doctor-Patient Communication and Patient-Reported Physical and Mental Health in Seriously Ill Adults |
| title_sort | associations of patient experience with doctor patient communication and patient reported physical and mental health in seriously ill adults |
| url | https://doi.org/10.1177/23743735251352601 |
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