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Research ArticleOriginal Research

Assessing the Longitudinal Impact of Physician-Patient Relationship on Functional Health

R. Henry Olaisen, Mark D. Schluchter, Susan A. Flocke, Kathleen A. Smyth, Siran M. Koroukian and Kurt C. Stange
The Annals of Family Medicine September 2020, 18 (5) 422-429; DOI: https://doi.org/10.1370/afm.2554
R. Henry Olaisen
1Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio
3Center for Community Health Integration, Departments of Family Medicine & Community Health, Population and Quantitative Health Sciences, Sociology, and the Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio
MPH, PhD
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  • For correspondence: rho2@case.edu
Mark D. Schluchter
1Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio
PhD
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Susan A. Flocke
2Department of Family Medicine, Oregon Health & Science University, Portland, Oregon
MA, PhD
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Kathleen A. Smyth
1Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio
PhD
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Siran M. Koroukian
1Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio
MHA, PhD
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Kurt C. Stange
1Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio
3Center for Community Health Integration, Departments of Family Medicine & Community Health, Population and Quantitative Health Sciences, Sociology, and the Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio
MD, PhD
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Table 2

Table 2

Bivariate Associations Between Baseline Patient Characteristics and Physician-Patient Relationship Among Longitudinal Cohort of US Adults With Physician Office Visits in 2015 and 2016

Baseline CharacteristicPhysician-Patient Relationship Score
Survey-Weighted Population Mean (95% CI)SMDa
Age group0.14
 <40 y65.85 (64.63-67.07)
 40-64 y66.31 (65.47-67.15)
 ≥65 y68.65 (67.77-69.53)
Sex0.01
 Male66.95 (66.15-67.75)
 Female67.02 (66.31-67.73)
Race/Ethnicity0.17
 White, non-Hispanic67.10 (66.43-67.77)
 Black, non-Hispanic68.39 (67.06-69.72)
 Asian, non-Hispanic66.62 (64.41-68.83)
 Other, non-Hispanic62.68 (58.37-65.99)
 Hispanic66.33 (64.78-67.88)
Education0.02
 <High school67.08 (65.53-68.63)
 High school graduate67.24 (66.26-68.22)
 >High school66.88 (66.17-67.59)
US region0.10
 Northeast68.06 (66.75-69.37)
 Midwest67.71 (66.59-68.83)
 South66.72 (65.86-67.58)
 West65.85 (64.56-67.14)
Multimorbidity0.26
 0-1 diagnosis71.38 (69.13-73.63)
 2-4 diagnoses67.65 (66.67-68.63)
 ≥5 diagnoses66.28 (65.61-66.95)
Insurance0.33
 Private67.14 (66.49-67.79)
 Public67.31 (66.29-68.33)
 Uninsured60.59 (57.49-63.69)
Baseline functional healthb0.52
 Low63.33 (62.45-64.21)
 High69.97 (69.31-70.64)
  • HC = MEPS Household Component; SF-12 = 12-Item Short-Form Survey; SMD = standardized mean difference.

  • Note: Population mean and 95% CI of physician-patient relationship score among adults ≥18 years with office visits in 2015 and 2016, reflective of 83 million patients in 2015.

  • Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, Longitudinal Panel (HC −193, 2015-2016) and Medical Conditions (HC −190, 2015).

  • ↵a SMD between the 2 extremes in each category. Difference in means or proportions divided by SD; imbalance defined as absolute value >0.2 (small effect size).

  • ↵b Functional health captured with the SF-12 instrument, cut at the population median.

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Assessing the Longitudinal Impact of Physician-Patient Relationship on Functional Health
R. Henry Olaisen, Mark D. Schluchter, Susan A. Flocke, Kathleen A. Smyth, Siran M. Koroukian, Kurt C. Stange
The Annals of Family Medicine Sep 2020, 18 (5) 422-429; DOI: 10.1370/afm.2554

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Assessing the Longitudinal Impact of Physician-Patient Relationship on Functional Health
R. Henry Olaisen, Mark D. Schluchter, Susan A. Flocke, Kathleen A. Smyth, Siran M. Koroukian, Kurt C. Stange
The Annals of Family Medicine Sep 2020, 18 (5) 422-429; DOI: 10.1370/afm.2554
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Subjects

  • Person groups:
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  • Methods:
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  • Other research types:
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  • Core values of primary care:
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Keywords

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  • functional health
  • relationship
  • impact
  • Medical Expenditure Panel Survey

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