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The doctor-patient relationship

Challenges, opportunities, and strategies

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References

  1. Lipkin M Jr, Putnam SM, Lazare A, eds. The Medical Interview: Clinical Care, Education, and Research. New York, NY: Springer-Verlag; 1995.

    Google Scholar 

  2. Tessler R, Mechanic D. Factors affecting the choice between prepaid group practice and alternative insurance programs. Milbank Mem Fund Q Health Soc. 1975;53(2):149–72.

    Article  PubMed  CAS  Google Scholar 

  3. Garfinkel SA, Schlenger WE, McLeroy KR, et al. Choice of payment plan in the Medicare capitation demonstration. Med Care. 1986;24(7):628–40.

    Article  PubMed  CAS  Google Scholar 

  4. Grazier KL, Richardson WC, Martin DP, Diehr P. Factors affecting choice of health care plans. Health Serv Res. 1986;20(6 pt 1):659–82.

    PubMed  CAS  Google Scholar 

  5. Sofaer S, Hurwicz ML. When medical group and HMO part company: disenrollment decisions in Medicare HMOs. Med Care. 1993;31(9):808–21.

    Article  PubMed  CAS  Google Scholar 

  6. Emanuel EJ, Dubler NN. Preserving the physician-patient relationship in the era of managed care. JAMA. 1995;273(4):323–9.

    Article  PubMed  CAS  Google Scholar 

  7. Mechanic D, Schlesinger M. The impact of managed care on patients’ trust in medical care and their physicians. JAMA. 1996;275(21):1693–7.

    Article  PubMed  CAS  Google Scholar 

  8. Mechanic D. Changing medical organization and the erosion of trust. Milbank Q. 1996;74(2):171–89.

    Article  PubMed  CAS  Google Scholar 

  9. Rodwin M. Medicine Money and Morals: Physician’s Conflict of Interest. New York, NY: Oxford University Press; 1993.

    Google Scholar 

  10. Angell M. Cost containment and the physician. JAMA. 1985;254:1203–7.

    Article  PubMed  CAS  Google Scholar 

  11. Gordon GH, Rost K. Evaluating a faculty development course on medical interviewing. In: Lipkin M Jr, Putnam SM, Lazare A, eds. The Medical Interview: Clinical Care, Education, and Research. New York, NY: Springer-Verlag; 1995;248–53.

    Google Scholar 

  12. Levinson W. Roter D. The effects of two continuing medical education programs on communication skills of practicing primary care physicians. J Gen Intern Med. 1993;8:318–24.

    Article  PubMed  CAS  Google Scholar 

  13. Lipkin M Jr. The medical interview. In: Feldman M, Phil M, Christensen J, eds. Behavioral Medicine in Primary Care: A Practical Guide. Stamford, Conn: Appleton-Lange; 1997;1–7.

    Google Scholar 

  14. Lazare A, Putnam SM, Lipkin M Jr. Three functions of the medical interview. In: Lipkin M Jr, Putnam SM, Lazare A, eds. The Medical Interview: Clinical Care, Education, and Research, New York, NY: Springer-Verlag; 1995;3–19.

    Google Scholar 

  15. Dye NE, DiMatteo MR. Enhancing cooperation with the medical regimen. In: Lipkin M Jr, Putnam SM, and Lazare A, eds. The Medical Interview: Clinical Care, Education, and Research. New York, NY: Springer-Verlag; 1995;134–44.

    Google Scholar 

  16. Kaplan S. Patient activation. Presented at Royal College of Medicine symposium on Doctor Patient Communication, Washington, DC, 1997.

  17. Stewart MA, Brown J, Levenstein J, McCracken E, McWhinney IR. The patient-centered clinical method: changes in residents’ performance over two months of training. Fam Pract. 1986;3:164–7.

    Article  PubMed  CAS  Google Scholar 

  18. Carkhuff R. Art of Helping. Amherst, Mass: Human Resources Development Press; 1972.

    Google Scholar 

  19. Peabody FW. The care of the patient. JAMA. 1927;88:877–82.

    Google Scholar 

  20. Rogers C. A Way of Being. Boston, Mass: Houghton Mifflin; 1980.

    Google Scholar 

  21. Kaplan SH, Greenfield S, Ware JE. Assessing the effects of physicianpatient interactions on the outcome of chronic disease. Med Care. 1989;27(suppl.):S110–27.

    Article  PubMed  CAS  Google Scholar 

  22. Orth JE, Stiles WB, Scherwitz L, Hennrikus D, Vallbona C. Patient exposition and provider explanation in routine interviews and hypertensive patients’ blood pressure control. Health Psychol. 1987;6:29–42.

    Article  PubMed  CAS  Google Scholar 

  23. Starfield B, Wray C, Hess K, Gross R, Birk PS, D’Lugoff BC. The influence of patient-practitioner agreement on the outcome of care. Am J Public Health. 1981;71:127–31.

    PubMed  CAS  Google Scholar 

  24. Tuckett D, Boulton M, Olson C, Williams A. Meetings Between Experts: An Approach to Sharing Ideas in Medical Consultations. New York, NY: Tavistock Publications; 1985.

    Google Scholar 

  25. Egbert LD, Battit GE, Welch CE, Bartlett MK. Reduction of postoperative pain by encouragement and instruction of patients. N Engl J Med. 1964;270:825–7.

    Article  PubMed  CAS  Google Scholar 

  26. Hall JA, Roter DL, Katz NR. Meta-analysis of correlates of provider behavior in medical encounters. Med Care. 1988;26:657–75.

    Article  PubMed  CAS  Google Scholar 

  27. Roter DL. Patient participation in the patient-provider interaction: the effects of patient question asking on the quality of interaction, satisfaction, and compliance. Health Educ Monogr. 1977;5:281–315.

    PubMed  CAS  Google Scholar 

  28. Putnam SM, Lipkin M Jr. The patient-centered interview: research support. In: Lipkin M Jr, Putnam SM, Lazare A, eds. The Medical Interview: Clinical Care, Education, and Research. New York, NY: Springer-Verlag; 1995;530–7.

    Google Scholar 

  29. Gerteis M, Roberts MJ. Culture, leadership and service in the patient-centered hospital. In: Gerteis M, Edgman-Levitan S, Daley J, Delbanco TL, eds. Through the Patient’s Eyes. San Francisco, Calif: Jossey-Bass Publishers; 1993.

    Google Scholar 

  30. Brody H. The Healer’s Power. New Haven, Conn: Yale University Press; 1992.

    Google Scholar 

  31. Arnold R, Forrow L, Barker LR. Medical ethics and doctor/patient communication. In: Lipkin M Jr, Putnam SM, Lazare A, eds. The Medical Interview: Clinical Care, Education, and Research. New York, NY: Springer-Verlag; 1995;345–67.

    Google Scholar 

  32. Ubel P, Goold SD. Recognizing bedside rationing: clear cases and tough calls. Ann Intern Med. 1997;126(1):74–80.

    PubMed  CAS  Google Scholar 

  33. Eddy DM. Cost-effectiveness analysis: will it be accepted? JAMA. 1992;268:132–6.

    Article  PubMed  CAS  Google Scholar 

  34. Jecker NS, Pearlman RA. An ethical framework for rationing healthcare. J Med Philos. 1992;17:79–96.

    PubMed  CAS  Google Scholar 

  35. Kleinman A, Eisenberg L, Good B. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978;88:251–8.

    PubMed  CAS  Google Scholar 

  36. Halpern J. Can the development of practice guidelines safeguard patient values. J Law Med Ethics. 1995;23(1):75–81.

    Article  PubMed  CAS  Google Scholar 

  37. Deming WE. Out of the Crisis. Cambridge, Mass: Massachusetts Institute of Technology, Center for Advanced Engineering Study; 1986.

    Google Scholar 

  38. Roland MO, Bartholomew J, Courtenay MJF, Morris RW, Morrell DC. The “five minute” consultation: effective time constraint on verbal communication. BMJ. 1986;292:874–6.

    Article  PubMed  CAS  Google Scholar 

  39. Tamblyn R, Berkson L, Dauphinee W, et al. Unnecessary prescribing of NSAIDs and the management of NSAID-related gastropathy in medical practice. Ann Intern Med. 1997;127:429–38.

    PubMed  CAS  Google Scholar 

  40. Hjortdahl P, Laerum E. Continuity of care in general practice: effect on patient satisfaction. BMJ. 1992;304(6837):1287–90.

    PubMed  CAS  Google Scholar 

  41. Goold SD. Allocating health care resources: cost utility analysis, informed democratic decision making, or the veil of ignorance? J Health Polit Policy Law. 1996;21(1):69–98.

    PubMed  CAS  Google Scholar 

  42. Sofaer S, Hurwicz ML. When medical group and HMO part company: disenrollment decisions in Medicare HMOs. Med Care. 1993;31(9):808–21.

    Article  PubMed  CAS  Google Scholar 

  43. Lipkin M Jr. The medical interview as core clinical skill: the problem and the opportunity. J Gen Intern Med. 1987;2(5):363–5.

    Article  PubMed  Google Scholar 

  44. Gerteis M, Edgman-Levitan S, Daley J, Delbanco TL, eds. Through the Patient’s Eyes. San Francisco, Calif: Jossey-Bass Publishers; 1993:ch. 10.

    Google Scholar 

  45. Daniels N. Why saying no to patients in the United States is so hard: cost containment, justice, and provider autonomy. N Engl J Med. 1986;314(21):1380–3.

    Article  PubMed  CAS  Google Scholar 

  46. Weber LJ. The business of ethics: hospitals need to focus on managerial ethics as much as clinical ethics. Health Prog. 1990;71(1):76–8, 102.

    PubMed  CAS  Google Scholar 

  47. Goold SD. Money and trust: relationships between patients, physicians and health plans. J Health Polit Policy Law. 1998;23:687–95.

    PubMed  CAS  Google Scholar 

  48. Ubel PA, Goold SD. Does bedside rationing violate patient’s best interests? An exploration of the moral relevance of “moral hazard.” Am J Med. In press.

  49. Scott RA, Aiker LH, Mechanic D, Moravcsik J. Organizational aspects of caring. Milbank Q. 1995;73(1):77–95.

    Article  PubMed  CAS  Google Scholar 

  50. Mao Tse Tung. Quotations from Chairman Mao. San Francisco, CA: China Books; 1975.

    Google Scholar 

  51. Clark W, Lipkin M Jr. Graman H, Shorey J. Improving physicians’ relationships with patients. J Gen Intern Med. 1999;14(suppl 1):S45–50.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. the Division of General Medicine, University of Michigan Medical Center, Ann Arbor, Mich

    Susan Dorr Goold MD, MHSA, MA

  2. New York University Medical Center, New York, N.Y.

    Mack Lipkin Jr. MD

Authors
  1. Susan Dorr Goold MD, MHSA, MA
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  2. Mack Lipkin Jr. MD
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Additional information

Dr. Goold’s contribution to this work was supported by the Picker Commonwealth Scholars Program (National Program Office, Association of Health Services Research, 1130 Connecticut Ave., N.W., Suite 700, Washington, DC 20036) and the Department of Veterans Affairs.

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Goold, S.D., Lipkin, M. The doctor-patient relationship. J GEN INTERN MED 14 (Suppl 1), S26–S33 (1999). https://doi.org/10.1046/j.1525-1497.1999.00267.x

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  • DOI: https://doi.org/10.1046/j.1525-1497.1999.00267.x

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